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Management and Outcome of Young Women (≤40 Years) with Breast Cancer in Switzerland
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In: Cancers; Volume 14; Issue 5; Pages: 1328 (2022)
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Abstract:
Background: An increase in breast cancer (BC) incidence in young women (YW) as well as disparities in BC outcomes have been reported in Switzerland. We sought to evaluate treatment and outcome differences among YW with BC (YWBC). Methods: YW diagnosed with stage I-III BC between 2000–2014 were identified through nine cancer registries. Concordance with international guidelines was assessed for 12 items covering clinical/surgical management, combined in a quality-of-care score. We compared score and survival outcome between the two linguistic-geographic regions of Switzerland (Swiss-Latin and Swiss-German) and evaluated the impact of quality-of-care on survival. Results: A total of 2477 women were included. The median age was 37.3 years (IQR 34.0–39.4 years), with 50.3% having stage II BC and 70.3% having estrogen receptor positive tumors. The mean quality-of-care score was higher in the Latin region compared to the German region (86.0% vs. 83.2%, p < 0.0005). Similarly, 5- and 10-year overall survival rates were higher in the Latin compared to the German region (92.3% vs. 90.2%, p = 0.0593, and 84.3% vs. 81.5%, p = 0.0025, respectively). There was no difference in survival according to the score. In the univariate analysis, women in the Latin region had a 28% lower mortality risk compared to women in the German region (hazard ratio 0.72; 95% CI 0.59–0.89). In the multivariable analysis, only stage, differentiation, tumor subtype and treatment period remained independently associated with survival. Conclusions: We identified geographic disparities in the treatment and outcome of YWBC in Switzerland. National guidelines for YWBC should be implemented to standardize treatment. Awareness should be raised among YW and clinicians that BC does not discriminate by age.
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Keyword:
breast cancer; management; outcome; Switzerland; young women
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URL: https://doi.org/10.3390/cancers14051328
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| 2 |
Changing from Visibility to Invisibility—An Intersectional Perspective on Mixedness in Switzerland and Morocco
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In: Genealogy; Volume 6; Issue 2; Pages: 30 (2022)
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| 3 |
Facilitators and barriers of women's participation in HIV clinical research in Switzerland: A qualitative study.
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In: HIV medicine, vol. 23, no. 4, pp. 441-447 (2022)
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| 4 |
Talking about chronic pain in family settings: a glimpse of older persons' everyday realities.
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In: BMC geriatrics, vol. 22, no. 1, pp. 358 (2022)
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| 5 |
Healthcare stakeholders' perspective on barriers to integrated care in Switzerland: Results from the open-ended question of a nationwide survey.
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In: Journal of evaluation in clinical practice, vol. 28, no. 1, pp. 129-134 (2022)
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| 6 |
Ein Blick von außen auf ein Verzeichnis grammatischer Fachausdrücke ...
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| 7 |
Zugänge zur Welt: sprachlich realisiert und didaktisch reflektiert. Sprachliche Bildung im Zyklus 1 ...
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| 8 |
Ein Blick von außen auf ein Verzeichnis grammatischer Fachausdrücke
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In: Didaktik Deutsch : Halbjahresschrift für die Didaktik der deutschen Sprache und Literatur 26 (2021) 50, S. 37-43 (2021)
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| 9 |
Förderung ab Geburt mit dem Programm "PAT - Mit Eltern Lernen": Effekte im ersten Kindergartenjahr ; Early support with the program "PAT - Mit Eltern Lernen": effects in the first year of Kindergarten
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In: Schweizerische Zeitschrift für Bildungswissenschaften 43 (2021) 2, S. 285-296 (2021)
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| 10 |
Zugänge zur Welt: sprachlich realisiert und didaktisch reflektiert. Sprachliche Bildung im Zyklus 1
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In: Bachmann, Sara [Hrsg.]; Bertschy, Franziska [Hrsg.]; Künzli David, Christine [Hrsg.]; Leonhard, Tobias [Hrsg.]; Peyer, Ruth [Hrsg.]: Die Bildung der Generalistinnen und Generalisten. Perspektiven auf Fachlichkeit im Studium zur Lehrperson für Kindergarten und Primarschule. Festschrift für Frau Prof. Dr. Charlotte Müller. Bad Heilbrunn : Verlag Julius Klinkhardt 2021, S. 85-101. - (Studien zur Professionsforschung und Lehrerbildung) (2021)
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| 13 |
Versprachlichung der Rolle jüngerer Bevölkerungsschichten in Pandemiediskursen: syntaktische Funktionen, semantische Rollen und deontische Aspekte
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In: ISSN: 1722-5906 ; Rivista internazionale di tecnica della traduzione, Vol. 23 (2021) pp. 17-35 (2021)
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| 14 |
„Inhalt des Originalsatzes unklar…“ Verständlichkeit und Vereinfachung von Schweizer Verwaltungstexten: Eine empirische Untersuchung im Kontext der Mehrsprachigkeit
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In: ISSN: 1015-7573 ; Parallèles, Vol. 33, No 1 (2021) pp. 133-156 (2021)
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| 15 |
Versprachlichung der Rolle jüngerer Bevölkerungsschichten in Pandemiediskursen: syntaktische Funktionen, semantische Rollen und deontische Aspekte
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| 16 |
Changes in substance use and other reinforcing behaviours during the COVID-19 crisis in a general population cohort study of young Swiss men.
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In: Journal of behavioral addictions, vol. 10, pp. 901-911 (2021)
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| 17 |
The psychological impact of the COVID-19 crisis on young Swiss men participating in a cohort study.
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In: Swiss medical weekly, vol. 151, pp. w30028 (2021)
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| 18 |
Cultural competency and sensitivity in the curriculum for palliative care professionals: a survey in Switzerland.
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In: BMC medical education, vol. 21, no. 1, pp. 318 (2021)
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| 19 |
Prevalence, modes of administration and motives for cannabidiol use in young Swiss men.
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In: Swiss medical weekly, vol. 151, pp. w30054 (2021)
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| 20 |
Correlates of the use of electronic devices to vape cannabis in a cohort of young Swiss male reporting current cannabis use.
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In: European journal of public health, vol. 31, no. 2, pp. 437-441 (2021)
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