Social Determinants of Health and Breast Cancer: Impacts on Diagnosis, Treatment, and Outcomes

A special issue of Current Oncology (ISSN 1718-7729). This special issue belongs to the section "Breast Cancer".

Deadline for manuscript submissions: 31 May 2025 | Viewed by 480

Special Issue Editors


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Guest Editor
Department of Radiology, University of British Columbia, Vancouver, BC, Canada
Interests: breast imaging; radiology equity; diversity; breast cancer screening; healthcare policy

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Guest Editor
BC Cancer Vancouver Centre, University of British Columbia, Vancouver, BC V5Z 4E6, Canada
Interests: medical oncology; breast cancer; cancer biomarkers; tumor biology; translational medicine

Special Issue Information

Dear Colleagues,

The Special Issue of Current Oncology, "Social Determinants of Health and Breast Cancer: Impacts on Diagnosis, Treatment, and Outcomes", aims to explore the complex interplay between socioeconomic factors and breast cancer care.

This issue will address how determinants such as race, ethnicity, income, education, and geographic location affect breast cancer screening, diagnosis, treatment options, and outcomes. By examining these disparities, the issue seeks to highlight barriers to equitable healthcare access and quality. 

Contributions from a multidisciplinary perspective, including public health, radiology, oncology, and healthcare policy, will provide insights into strategies for addressing these inequities and improving outcomes for marginalized populations. 

In this Special Issue, original research articles and reviews are welcome. 

I look forward to receiving your contributions.

Dr. Charlotte Yong-Hing
Dr. Nathalie LeVasseur
Guest Editors

Manuscript Submission Information

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Keywords

  • social determinants of health
  • breast cancer disparities
  • healthcare access
  • health equity
  • screening and diagnosis
  • treatment outcomes
  • socioeconomic factors
  • racial and ethnic disparities
  • healthcare policy
  • marginalized populations

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Published Papers (1 paper)

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Research

13 pages, 750 KiB  
Article
First-Line (1L) Treatment Decision Patterns and Survival of Hormone Receptor (HR)-Positive/HER2-Negative Advanced Breast Cancer (ABC) Patients in a Latin American (LATAM) Public Institution
by Guillermo Valencia, Patricia Rioja, Miguel Chirito, Olenka Peralta, Jorge Sánchez, Connie Rabanal, Raúl Mantilla, Zaida Morante, Hugo Fuentes, Carlos Castaneda, Tatiana Vidaurre, Cristian Pacheco, Silvia Neciosup and Henry L. Gomez
Curr. Oncol. 2024, 31(12), 7890-7902; https://doi.org/10.3390/curroncol31120581 - 9 Dec 2024
Viewed by 330
Abstract
Advanced breast cancer is an incurable disease, with a median overall survival of 3 years, including in countries without access problems. Although chemotherapy is reserved in some cases, it is still used in many countries as a first-line therapy. The aim of our [...] Read more.
Advanced breast cancer is an incurable disease, with a median overall survival of 3 years, including in countries without access problems. Although chemotherapy is reserved in some cases, it is still used in many countries as a first-line therapy. The aim of our study is to evaluate the first-line treatment choices and the factors that influence therapeutic decisions. A retrospective analysis was conducted of hormone receptor (+)/HER2 (−) advanced breast cancer patients classified into three groups according to the first-line and second-line treatment received: endocrine therapy–chemotherapy, endocrine therapy–endocrine therapy and chemotherapy–endocrine therapy. Additionally, we explored the overall survival of sequencing therapy groups. First-line chemotherapy was chosen in 34% of patients. Also, around 60% of our patients met the “aggressive disease” criteria from the RIGHT Choice trial, justifying the use of chemotherapy in a population with poor prognosis. Furthermore, de novo and progressive disease were prognostic factors that influenced the use of chemotherapy as a first-line treatment. Regarding overall survival, the sequencing treatment groups in this trial saw an increase in survival compared with patients of the MONALEESA trials (endocrine therapy alone arms). No significant differences in progression-free survival or overall survival were found in the treatment sequencing groups. There was a higher use of chemotherapy as a first-line therapy, with de novo and “aggressive disease” criteria being the main factors to influence the decision. Full article
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