Research Article
Comparison of Risk Factors Related to Survival in Breast Cancer Patients in The Low and High Plains in West Sumatra, Indonesia
@INPROCEEDINGS{10.4108/eai.13-11-2018.2283663, author={Rima Semiarty and Rosfita Rasyid and Daan Khambri and Ricvan Dana Nindrea and Cimi Ilmiawati}, title={Comparison of Risk Factors Related to Survival in Breast Cancer Patients in The Low and High Plains in West Sumatra, Indonesia}, proceedings={Proceedings of the 1st EAI International Conference on Medical And Health Research, ICoMHER November 13-14th 2018, Padang, West Sumatera, Indonesia}, publisher={EAI}, proceedings_a={ICOMHER}, year={2019}, month={5}, keywords={breast cancer risk factor low-high plains}, doi={10.4108/eai.13-11-2018.2283663} }- Rima Semiarty
Rosfita Rasyid
Daan Khambri
Ricvan Dana Nindrea
Cimi Ilmiawati
Year: 2019
Comparison of Risk Factors Related to Survival in Breast Cancer Patients in The Low and High Plains in West Sumatra, Indonesia
ICOMHER
EAI
DOI: 10.4108/eai.13-11-2018.2283663
Abstract
Breast cancer continues to be a major cause of morbidity among women in Indonesia. This study was designed to explore the comparison of risk factor related to survival in breast cancer patients in the low and high plains in West Sumatera, Indonesia. Data were extracted from medical records of Dr M Djamil General Hospital Padang in 2007 until 2016 for all breast cancer patients treated with a 219 patients. Disease free survival and overall survival rates and their relationship with low and high plains residence were investigated using survival analysis and risk factors related to survival in breast cancer patients using chi-square test. Disease free survival in breast cancer patients in the low plains was 54 months (95% CI 45-63) lower than high plains 63 months (95% CI 54-72). Overall survival rate revealed median survival of 57 months (95% CI 49-64) in low plains lower than high plains 62 months (95% CI 53-72). Stage had the highest hazard ratio or dominant factor for breast cancer patients in low plains (HR = 7.9 [95% CI=3.42-18.34]) and high plains (HR= 6.3 [95% CI = 1.12-34.73]). This analysis confirmed breast cancer patients in the low plains had low survival rate than high plains. Advance stage, obesity and family history of breast cancer associated with survival in breast cancer patients in low plains but in high plains residence are advance stage, low-level education, work, and obesity. The stage had the highest hazard ratio for breast cancer
