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Friday 27 December 2024 03:48:03 GMT
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There is a new study just published in Cancer Causes and Control looking at breast cancer incidence among different states.  This study looks at the incidence of breast cancer between the ages of 2001 to 2020 in women between ages 25-39. Prior studies have shown the increase in breast cancer in younger individuals and now we break it down state by state in this study.  I go through the key points in the video but I’ve described them here as well:  ✅ The incidence of breast cancer from 2001-2020 is highest in the Northeast compared to the South, Midwest and West..but the incidence over the past 20 years is rising the most in the West.  ✅ Media headlines are talking about the rise in these 5 states: New York, NJ, CT, Hawaii and Maryland.  These states have the highest breast cancer rates BUT it’s only in NY (not in the other 4 states) where we see a statistically significant rise in the past 20 years.  ✅ The incidence of breast cancer in Black women <40 years old is the highest across all geographic regions in the US and lowest in Hispanic women and Asian and Pacific Islander women.  ✅ The rise is predominantly due to an increase in ER+ breast cancer.  ✅ The South was the only region where BC under 40 did not increase from 2001 to 2020. Why is this happening?  Lifestyle habits and environmental exposures differ among different states and geographic regions and this is likely some of what’s causing these disparities. For example, air pollution is highest in the Northeast and we know that air pollution is a breast cancer risk factor. Differences in other risk factors like alcohol consumption and age at first child birth likely play a role as well (and others).  The authors ask about whether a geographic risk score is necessary. I think it is an important consideration. Breast cancer screening is not and should not be a “one size fits all” recommendation. We clearly need better risk assessment and more personalized recommendations for breast cancer screening especially given this rise in younger individuals!  Let me know your thoughts and questions. #breastcancer   #oncologist #cancer
There is a new study just published in Cancer Causes and Control looking at breast cancer incidence among different states. This study looks at the incidence of breast cancer between the ages of 2001 to 2020 in women between ages 25-39. Prior studies have shown the increase in breast cancer in younger individuals and now we break it down state by state in this study. I go through the key points in the video but I’ve described them here as well: ✅ The incidence of breast cancer from 2001-2020 is highest in the Northeast compared to the South, Midwest and West..but the incidence over the past 20 years is rising the most in the West. ✅ Media headlines are talking about the rise in these 5 states: New York, NJ, CT, Hawaii and Maryland. These states have the highest breast cancer rates BUT it’s only in NY (not in the other 4 states) where we see a statistically significant rise in the past 20 years. ✅ The incidence of breast cancer in Black women <40 years old is the highest across all geographic regions in the US and lowest in Hispanic women and Asian and Pacific Islander women. ✅ The rise is predominantly due to an increase in ER+ breast cancer. ✅ The South was the only region where BC under 40 did not increase from 2001 to 2020. Why is this happening? Lifestyle habits and environmental exposures differ among different states and geographic regions and this is likely some of what’s causing these disparities. For example, air pollution is highest in the Northeast and we know that air pollution is a breast cancer risk factor. Differences in other risk factors like alcohol consumption and age at first child birth likely play a role as well (and others). The authors ask about whether a geographic risk score is necessary. I think it is an important consideration. Breast cancer screening is not and should not be a “one size fits all” recommendation. We clearly need better risk assessment and more personalized recommendations for breast cancer screening especially given this rise in younger individuals! Let me know your thoughts and questions. #breastcancer #oncologist #cancer

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