Higher disease burden and lower utilization in Mongolian with breast cancer: a 9-year retrospective cohort study of 18.19 million adults in China.
Int J Surg
; 110(8): 4588-4597, 2024 Aug 01.
Article
en En
| MEDLINE
| ID: mdl-38608032
ABSTRACT
BACKGROUND:
Whether health inequalities of disease burden and medical utilization exist by ethnicity in Asian breast cancer (BC) patients remains unclear. The authors aim to measure ethnic disparities in disease burden and utilization among Mongolian and Han female BC patients in China. MATERIALS ANDMETHODS:
Based on data extracted from Inner Mongolia Regional Health Information Platform, a retrospective cohort study was established during 2012-2021. Disease burden including incidence, 5-year prevalence, mortality, survival rate, and medical cost were analyzed and compared between Han and Mongolian patients.RESULTS:
A total of 34 878 female patients [mean (SD) age, 52.34 (10.93) years] were included among 18.19 million Chinese, and 4315 (12.03%) participants were Mongolian. Age-standardized rates of incidence are 32.68 (95% CI 20.39-44.98) per 100 000. Higher age-specific incidence and 5-year prevalence were observed in Mongolian than in Han. The cost of BC annually per capita was significantly lower for Mongolian than Han [$1948.43 (590.11-4 776.42) vs. $2227.35 (686.65-5929.59), P <0.001]. Mongolian females showed higher all-cause mortality [30.92 (95% CI 28.15-33.89) vs. 27.78 (95% CI 26.77-28.83) per 1000, P =0.036] and BC-specific mortality [18.78 (95% CI 16.64-21.13) vs. 15.22 (95% CI 14.47-16.00) per 1000, P =0.002] than Han females. After adjusting covariates, Mongolian were associated with increased all-cause mortality [HR, 1.21, (95% CI 1.09-1.34); P <0.001] and BC-specific mortality [HR, 1.31, (95% CI 1.14-1.49); P <0.001].CONCLUSION:
The findings of this cohort study highlight a higher level of disease burden with unmet medical demand in Mongolian patients, suggesting that more practical efforts should be made for the minority. Further research is needed to explore the concrete mechanisms of the disparities as well as eliminate health disproportion.
Texto completo:
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Bases de datos:
MEDLINE
Asunto principal:
Neoplasias de la Mama
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Costo de Enfermedad
Límite:
Adult
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Aged
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Female
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Humans
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Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
Int J Surg
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Int. j. surg
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International journal of surgery
Año:
2024
Tipo del documento:
Article