The influence of socio-economic status on the fulfilment of Saint-Gallen recommendations for early-stage breast cancer
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- dc.contributor.author Dierssen Sotos, Trinidad
- dc.contributor.author Castaño Vinyals, Gemma
- dc.contributor.author Espinosa Díaz, Ana
- dc.contributor.author Kogevinas, Manolis
- dc.contributor.author Llorca, Javier
- dc.date.accessioned 2025-06-20T06:58:44Z
- dc.date.available 2025-06-20T06:58:44Z
- dc.date.issued 2025
- dc.description.abstract Socio-economic status (SES) is related to breast cancer diagnosis and prognosis. We study if SES is related to the adequacy of the treatment according to Saint Gallen consensus in Spanish women with incident breast cancer. Breast cancer cohort was assembled from incident cases from MCC-Spain and prospective followed-up afterwards. Participants were then classified according to the Saint-Gallen consensus in three categories (In Saint-Gallen, who received therapy accorded by Saint Gallen; Over Saint-Gallen, who received some additional therapy; or Under Saint-Gallen, who did not receive the complete therapy). Association between SES and Saint-Gallen fulfilment was analyzed using multinomial logistic regression, adjusting for clinicopathological and patient-related variables. 1115 patients in stages I and II were included. Women with university education were 58% more likely to receive over Saint-Gallen therapies (RRR = 1.68; 95%CI 0.84-3.33). In the simplified SES score, women with higher SES were over Saint-Gallen 52% more than those with lower SES (RRR = 1.52; 95%CI 0.88-2.64). Women with higher SES more often received over Saint-Gallen therapies. Further analyses are needed to understand the influence of these differences on the overall survival as well as its potential unwanted side effects.
- dc.format.mimetype application/pdf
- dc.identifier.citation Dierssen-Sotos T, Gómez-Acebo I, Alonso-Molero J, Pérez-Gómez B, Guevara M, Amiano P, et al. The influence of socio-economic status on the fulfilment of Saint-Gallen recommendations for early-stage breast cancer. Sci Rep. 2025 Apr 23;15(1):14129. DOI: 10.1038/s41598-025-98469-z
- dc.identifier.doi http://dx.doi.org/10.1038/s41598-025-98469-z
- dc.identifier.issn 2045-2322
- dc.identifier.uri http://hdl.handle.net/10230/70735
- dc.language.iso eng
- dc.publisher Nature Research
- dc.relation.ispartof Sci Rep. 2025 Apr 23;15(1):14129
- dc.rights © The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
- dc.subject.keyword Breast cancer
- dc.subject.keyword MCC-Spain
- dc.subject.keyword Saint-Gallen consensus
- dc.subject.keyword Socio-economic status
- dc.title The influence of socio-economic status on the fulfilment of Saint-Gallen recommendations for early-stage breast cancer
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion