Breast cancer survival among Japanese individuals and US residents of Japanese and other origins: a comparative registry-based study.


Journal

Breast cancer research and treatment
ISSN: 1573-7217
Titre abrégé: Breast Cancer Res Treat
Pays: Netherlands
ID NLM: 8111104

Informations de publication

Date de publication:
Nov 2020
Historique:
received: 07 03 2020
accepted: 08 08 2020
pubmed: 21 8 2020
medline: 24 6 2021
entrez: 21 8 2020
Statut: ppublish

Résumé

Breast cancer survival outcomes vary across different ethnic groups. We clarified the differences in clinicopathological and survival characteristics of breast cancer among Japanese, US residents with Japanese origin (USJ), and US residents with other origins (USO). Using Surveillance, Epidemiology, and End Results (SEER) 18 dataset and Japanese Breast Cancer Society (JBCS) registry, we included patients first diagnosed with breast cancer between 2004 and 2015. We categorized the patients into three groups based on the database and the recorded ethnicity: Japanese (all those from the JBCS registry), USJ (those from SEER with ethnicity: Japanese), and USO (those from SEER with ethnicity other than Japanese). Excluding patients diagnosed after 2012, stage 0, and 4 patients, we examined the overall survival (OS) and breast cancer-specific survival (BCSS) using the Kaplan-Meier method and Cox proportional hazards models, adjusting for age, sex, cancer stage, and hormone receptor (HR) status. We identified 7362 USJ, 701,751 USO, and 503,013 Japanese breast cancer patients. The proportion of HR-positive breast cancer was the highest among USJ (71%). OS was significantly longer among Japanese and USJ than USO (Hazard ratio 0.46; 95% Confidence Interval [CI] 0.45-0.47 for Japanese and 0.66 [95% CI 0.59-0.74] for USJ) after adjusting for baseline covariates. BCSS was also significantly higher in the two groups (HR 0.53 [95% CI 0.51-0.55] for Japanese and 0.53 [95% CI 0.52-0.74] for USJ). In stage I-III breast cancer, Japanese and US residents with Japanese origin experienced significantly longer survival than US residents with non-Japanese origins.

Sections du résumé

BACKGROUND BACKGROUND
Breast cancer survival outcomes vary across different ethnic groups. We clarified the differences in clinicopathological and survival characteristics of breast cancer among Japanese, US residents with Japanese origin (USJ), and US residents with other origins (USO).
METHOD METHODS
Using Surveillance, Epidemiology, and End Results (SEER) 18 dataset and Japanese Breast Cancer Society (JBCS) registry, we included patients first diagnosed with breast cancer between 2004 and 2015. We categorized the patients into three groups based on the database and the recorded ethnicity: Japanese (all those from the JBCS registry), USJ (those from SEER with ethnicity: Japanese), and USO (those from SEER with ethnicity other than Japanese). Excluding patients diagnosed after 2012, stage 0, and 4 patients, we examined the overall survival (OS) and breast cancer-specific survival (BCSS) using the Kaplan-Meier method and Cox proportional hazards models, adjusting for age, sex, cancer stage, and hormone receptor (HR) status.
RESULTS RESULTS
We identified 7362 USJ, 701,751 USO, and 503,013 Japanese breast cancer patients. The proportion of HR-positive breast cancer was the highest among USJ (71%). OS was significantly longer among Japanese and USJ than USO (Hazard ratio 0.46; 95% Confidence Interval [CI] 0.45-0.47 for Japanese and 0.66 [95% CI 0.59-0.74] for USJ) after adjusting for baseline covariates. BCSS was also significantly higher in the two groups (HR 0.53 [95% CI 0.51-0.55] for Japanese and 0.53 [95% CI 0.52-0.74] for USJ).
CONCLUSIONS CONCLUSIONS
In stage I-III breast cancer, Japanese and US residents with Japanese origin experienced significantly longer survival than US residents with non-Japanese origins.

Identifiants

pubmed: 32816191
doi: 10.1007/s10549-020-05869-y
pii: 10.1007/s10549-020-05869-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

585-596

Subventions

Organisme : the Japanese Breast Cancer Society (JBCS)
ID : 17003

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Auteurs

Rin Ogiya (R)

Harvard T H Chan School of Public Health, Boston, USA.

Naoki Niikura (N)

Department of Breast and Endocrine Surgery, Tokai University School of Medicine, 143, Shimokasuya, Isehara, Kanagawa, Japan. niikura@is.icc.u-tokai.ac.jp.

Hiraku Kumamaru (H)

Department of Healthcare Quality Assessment, School of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Yoshinori Takeuchi (Y)

Department of Biostatistics, School of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Takuho Okamura (T)

Department of Breast and Endocrine Surgery, Tokai University School of Medicine, 143, Shimokasuya, Isehara, Kanagawa, Japan.

Takayuki Kinoshita (T)

Division of Breast Surgery, Tokyo Medical Center, Tokyo, Japan.

Kenjiro Aogi (K)

Division of Clinical Research Promotion, NHO Shikoku Cancer Center, Matsuyama, Japan.

Keisei Anan (K)

Department of Surgery, Kitakyushu Municipal Medical Center, Kitakyushu, Japan.

Kotaro Iijima (K)

Department of Breast Oncology, Juntendo University, Tokyo, Japan.

Takanori Ishida (T)

Department of Breast and Endocrine Surgical Oncology, Tohoku University Graduate School of Medicine, Sendai, Japan.

Takayuki Iwamoto (T)

Department of Breast and Endocrine Surgery, Okayama University Hospital, Okayama, Japan.

Masaaki Kawai (M)

Department of Breast Oncology, Miyagi Cancer Center, Natori, Japan.

Yasuyuki Kojima (Y)

Division of Breast and Endocrine Surgery, Department of Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.

Takashi Sakatani (T)

Department of Diagnostic Pathology, Nippon Medical School Hospital, Tokyo, Japan.

Yasuaki Sagara (Y)

Department of Breast Surgical Oncology, Hakuaikai Medical Cooperation, Sagara Hospital, Kagoshima, Japan.

Naoki Hayashi (N)

Department of Breast Surgical Oncology, St. Luke's International Hospital, Tokyo, Japan.

Hideji Masuoka (H)

Kotoni Breast Clinic, Sapporo, Japan.

Masayuki Yoshida (M)

Department of Diagnostic Pathology, National Cancer Center Hospital, Tokyo, Japan.

Hiroaki Miyata (H)

Department of Healthcare Quality Assessment, School of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Hitoshi Tsuda (H)

Department of Basic Pathology, National Defense Medical College, Tokorozawa, Japan.

Shigeru Imoto (S)

Department of Breast Surgery, Kyorin University Hospital, Mitaka, Japan.

Hiromitsu Jinno (H)

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

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