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Variations in outcomes by residential location for women with breast cancer: A systematic review

BMJ Open May 04, 2018

Dasgupta P, et al. - Researchers probed into the evidence for variations in outcomes at each step along the breast cancer continuum of care for Australian women by residential location. Inclusion criteria were: Population was adult female patients with breast cancer; Australian setting; outcome measure was survival, patient or tumour characteristics, screening rates or frequencies, clinical management, patterns of initial care or post-treatment follow-up with analysis by residential location or studies involving non-metropolitan women only. Findings illustrated a general pattern of poorer survival and variations in clinical management for Australian female patients with breast cancer from non-metropolitan areas. Nevertheless, the wide variability in data sources, measures, study quality, time periods and geographical classification made direct comparisons across studies challenging. A necessity arose for promoting the standardisation of geographical classifications and increased comparability of data systems.
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