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In our findings, we noticed that among sufferers recognized with de novo metastatic breast most cancers, there have been no variations in breast cancer survival regardless of patients’ county of residence, even after adjustment for individual-level, tumor-stage, and county-degree variables. This may very well be due to different advanced biology related to the aggressive phenotype of de novo metastatic breast most cancers. Many cell cycle components contribute to a extra aggressive tumor phenotype and poorer prognosis amongst Black breast cancer sufferers ( 38 ), akin to increased mitotic index; overexpression of cyclin E, p16, p53; and decrease expression of cyclin D1 ( 39 ). A greater understanding of the key molecular determinants and genetic alterations that underlie clinical conduct in Black sufferers may additionally elucidate the higher mortality of de novo metastatic breast cancer.
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We recognized 7292 Black women identified with de novo metastatic breast cancer in Surveillance, Epidemiology, and Finish Outcomes (SEER). The county-degree traits were obtained from 2014 County Well being sexy black women Rankings and linked to SEER. We used Cox proportional hazards models to calculate adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) for mortality between scorching spot and non-scorching spot counties.
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On this study, we are the primary to link nationally consultant data on breast cancer mortality hot spots with incident-primarily based mortality information on de novo metastatic breast most cancers amongst 7292 Black women in the United States. We noticed that Black ladies recognized with de novo metastatic breast most cancers had comparable danger of loss of life regardless of residence in county-degree scorching spots of breast most cancers mortality.
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Nonetheless, to our information, no examine has investigated associations between geographic scorching spots and mortality amongst Black women with de novo metastatic breast cancer. Thus, we are the primary to hyperlink nationally representative information on breast cancer mortality scorching spots with incident-primarily based mortality information on de novo metastatic breast cancer in the United States and look at the association of geographic breast cancer mortality hot spots with de novo metastatic breast cancer mortality amongst Black women. Understanding this affiliation may help medical and public health specialists tailor packages and maximize resources to enhance survivorship charges for this susceptible group.