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Distinct temporal trends in breast cancer incidence from 1997 to 2016 by molecular subtypes: A population-based study of Scottish cancer registry data | |
David Morrison Phillip Rosenberg Sarah Wild Peter S Hall David Cameron Sheila M Bird David Brewster Jonine D Figueroa Ines Mesa-Eguiagaray | |
Novel Coronavirus | |
Acceso Abierto | |
Atribución-NoComercial-SinDerivadas | |
10.1101/19011411 | |
Strategies for breast cancer prevention are informed by assessing whether incidence differs by tumour biology. We describe temporal trends of breast cancer incidence by molecular subtypes in Scotland. Population-based cancer registry data on 72,217 women diagnosed with incident primary breast cancer from 1997 to 2016 were analysed. Age-standardised rates (ASR) and age-specific incidence were estimated by tumour subtype after imputing the 8% of missing oestrogen receptor (ER) status. Joinpoint regression and age- period- cohort models were used to assess whether significant differences were observed in incidence trends by ER status. ER positive tumour incidence steadily increased particularly for women of screening age 50 to 69 years from 1997 till around 2011 (1.6%/year, 95%CI: 1.2 to 2.1). ER negative incidence decreased among all ages at a consistent rate of -0.7%/year (95%CI: -1.5, 0) from around 2000-2016. Compared to the 1941-1959 central birth cohort, women born 1912- 1940 had lower incidence rate ratios (IRR) for ER+ tumours and women born 1960- 1986 had higher IRR for ER- tumours. We show evidence of aetiologic heterogeneity of breast cancer. Future incidence and survival reporting should be monitored by molecular subtypes. ### Competing Interest Statement SMB owns GlaxoSmithKline stock. ### Funding Statement This project was funded by Wellcome Trust grant 207800/Z/17/Z ### Author Declarations All relevant ethical guidelines have been followed; any necessary IRB and/or ethics committee approvals have been obtained and details of the IRB/oversight body are included in the manuscript. Yes All necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived. Yes I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). Yes I have followed all appropriate research reporting guidelines and uploaded the relevant EQUATOR Network research reporting checklist(s) and other pertinent material as supplementary files, if applicable. Yes As these are NHS patient data, approval to obtain individual data are needed. Summary estimates and counts where they would reduce identifiability are presented. | |
Cold Spring Harbor Laboratory Press | |
2019 | |
Preimpreso | |
https://www.medrxiv.org/content/10.1101/19011411v1 | |
Inglés | |
VIRUS RESPIRATORIOS | |
Aparece en las colecciones: | Artículos científicos |
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