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Primary prevention and screening practices among long-term breast cancer survivors

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Abstract

Purpose

Parallel to increasing survival of breast cancer (BC) patients, a need has arisen to characterize the follow-up required to improve and maintain their health. Our study aimed to assess changes in lifestyle habits over time among the study population, compare compliance rates of selected primary and secondary prevention practices between long-term BC survivors and an age-matched comparison group, and identify factors associated with compliance to these practices.

Methods

The study population comprised 250 Israeli BC survivors, diagnosed with BC between 1999 and 2003, without evidence of disease after 8–12 years, and 250 women with no cancer history, individually matched to survivors by age and area of residence. Data collection and analysis were conducted during August 2012–June 2015 and included socio-demographic variables, lifestyle habits, health promotion by the family physician, and participation in screening procedures and prevention measures.

Results

Higher performance rates of mammography and colonoscopy among BC survivors were observed, as well as a greater likelihood of receiving an influenza vaccine and undergoing a bone mineral density scan (adjusted-ORs: 7.7, 1.48, 1.42, and 2.59, respectively) compared to controls. Factors identified with compliance to selected practices were age, higher levels of education and income, never smoking, and strenuous physical activity. The survivors adopted healthier lifestyles, which were similar to those of women who never had cancer.

Conclusions

About 10 years after BC diagnosis, the survivors generally comply with primary and secondary prevention practices.

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Acknowledgements

This work was supported by a grant from the Health Council and the Israel National Institute for Health Policy Research (Grant No. 2011/50/E).

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Authors and Affiliations

  1. Cancer and Radiation Epidemiology Unit, Gertner Institute for Epidemiology & Health Policy Research, Chaim Sheba Medical Center, Tel Hashomer, 5262000, Ramat Gan, Israel

    Lori Mandelzweig, Angela Chetrit, Tova Amitai & Siegal Sadetzki

  2. Israel National Cancer Registry, Gertner Institute Building, Chaim Sheba Medical Center, Tel Hashomer, 5262000, Ramat Gan, Israel

    Barbara Silverman

  3. Oncology Service line, Maccabi Healthcare Services, Tel Aviv, Israel

    Nava Siegelmann-Danieli

  4. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Siegal Sadetzki

Authors
  1. Lori Mandelzweig
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  2. Angela Chetrit
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  3. Tova Amitai
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  4. Barbara Silverman
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  5. Nava Siegelmann-Danieli
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  6. Siegal Sadetzki
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Corresponding author

Correspondence to Siegal Sadetzki.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants.

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Mandelzweig, L., Chetrit, A., Amitai, T. et al. Primary prevention and screening practices among long-term breast cancer survivors. Cancer Causes Control 28, 657–666 (2017). https://doi.org/10.1007/s10552-017-0891-1

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  • DOI: https://doi.org/10.1007/s10552-017-0891-1

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