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Caroline Dickens, Maureen Joffe, Judith Jacobson, Francois Venter, Joachim Schüz, Herbert Cubasch and Valerie McCormack Stage at breast cancer diagnosis and distance from diagnostic hospital in a periurban setting: A South African public hospital case series of over 1,000 women International Journal of Cancer 135

Version of Record online: 7 APR 2014 | DOI: 10.1002/ijc.28861

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Later stage at diagnosis is known to be associated with poor breast cancer survival and is a particular problem in Sub-Saharan Africa. This study sought to quantify the effect of the distance from the hospital on breast cancer stage at diagnosis in a peri-urban public South African population. They found that living beyond just 20 km away increased the likelihood of a late-stage at diagnosis, a shorter distance than previously thought. This effect was more noticeable in an underrepresented population of women over the age of 70. Targeting efforts for early diagnosis of breast cancer in these women could help reduce the number of lives taken by breast cancer in these settings.

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