From: Are socio-economic inequalities in breast cancer survival explained by peri-diagnostic factors?
 | Total | 1 - Least deprived | 2 | 3 | 4 | 5 - Most deprived | p-value2 | p-value non-miss.3 | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N | % | N | % | N | % | N | % | N | % | N | % | |||
A All cases1 | 21,802 | 100.0 | 4,898 | 22.5 | 5,335 | 24.5 | 4,979 | 22.8 | 4,048 | 18.6 | 2,542 | 11.7 | Â | Â |
Vital status | ||||||||||||||
 Alive | 13,594 | 62.4 | 3,252 | 66.4 | 3,481 | 65.2 | 3,121 | 62.7 | 2,336 | 57.7 | 1,404 | 55.2 | <0.001 |  |
 Dead | 8,208 | 37.6 | 1,646 | 33.6 | 1,854 | 34.8 | 1,858 | 37.3 | 1,712 | 42.3 | 1,138 | 44.8 | ||
Age at diagnosis | ||||||||||||||
 Mean (sd) | 63.2 | (14.6) | 61.8 | (13.9) | 63.3 | (14.5) | 63.4 | (14.7) | 64.4 | (15.0) | 63.3 | (15.2) | <0.001 |  |
 15-49 | 4,367 | 20.0 | 1,056 | 21.6 | 1,020 | 19.1 | 970 | 19.5 | 756 | 18.7 | 565 | 22.2 | <0.001 | |
 50-59 | 5,072 | 23.3 | 1,228 | 25.1 | 1,283 | 24.0 | 1,155 | 23.2 | 893 | 22.1 | 513 | 20.2 | ||
 60-69 | 5,198 | 23.8 | 1,212 | 24.7 | 1,309 | 24.5 | 1,195 | 24.0 | 913 | 22.6 | 569 | 22.4 | ||
 70-79 | 3,885 | 17.8 | 833 | 17.0 | 905 | 17.0 | 891 | 17.9 | 766 | 18.9 | 490 | 19.3 | ||
 80+ | 3,280 | 15.0 | 569 | 11.6 | 818 | 15.3 | 768 | 15.4 | 720 | 17.8 | 405 | 15.9 | ||
Period of diagnosis | ||||||||||||||
 1989-1992 | 447 | 2.1 | 93 | 1.9 | 112 | 2.1 | 115 | 2.3 | 80 | 2.0 | 47 | 1.8 | <0.001 |  |
 1993-1995 | 1,070 | 4.9 | 284 | 5.8 | 230 | 4.3 | 248 | 5.0 | 201 | 5.0 | 107 | 4.2 | ||
 1996-1998 | 1,595 | 7.3 | 370 | 7.6 | 393 | 7.4 | 339 | 6.8 | 287 | 7.1 | 206 | 8.1 | ||
 1999-2001 | 2,585 | 11.9 | 639 | 13.0 | 616 | 11.5 | 569 | 11.4 | 475 | 11.7 | 286 | 11.3 | ||
 2002-2004 | 3,605 | 16.5 | 904 | 18.5 | 798 | 15.0 | 792 | 15.9 | 688 | 17.0 | 423 | 16.6 | ||
 2005-2007 | 5,870 | 26.9 | 1,371 | 28.0 | 1,259 | 23.6 | 1,439 | 28.9 | 1,097 | 27.1 | 704 | 27.7 | ||
 2008-2010 | 6,630 | 30.4 | 1,237 | 25.3 | 1,927 | 36.1 | 1,477 | 29.7 | 1,220 | 30.1 | 769 | 30.3 | ||
Stage at diagnosis | ||||||||||||||
 Stage I | 4,912 | 22.5 | 1,116 | 22.8 | 1,286 | 24.1 | 1,137 | 22.8 | 878 | 21.7 | 495 | 19.5 | <0.001 | <0.01 |
 Stage II | 6,525 | 29.9 | 1,460 | 29.8 | 1,577 | 29.6 | 1,545 | 31.0 | 1,175 | 29.0 | 768 | 30.2 | ||
 Stage III | 1,046 | 4.8 | 203 | 4.1 | 264 | 4.9 | 245 | 4.9 | 212 | 5.2 | 122 | 4.8 | ||
 Stage IV | 516 | 2.4 | 99 | 2.0 | 127 | 2.4 | 120 | 2.4 | 98 | 2.4 | 72 | 2.8 | ||
 Missing | 8,803 | 40.4 | 2,020 | 41.2 | 2,081 | 39.0 | 1,932 | 38.8 | 1,685 | 41.6 | 1,085 | 42.7 | ||
Smoking status | ||||||||||||||
 Non-smoker | 9,464 | 43.4 | 2,362 | 48.2 | 2,442 | 45.8 | 2,165 | 43.5 | 1,625 | 40.1 | 870 | 34.2 | 0.077 | <0.001 |
 Current smoker | 4,491 | 20.6 | 875 | 17.9 | 950 | 17.8 | 999 | 20.1 | 942 | 23.3 | 725 | 28.5 | ||
 Ex-smoker | 6,705 | 30.8 | 1,449 | 29.6 | 1,711 | 32.1 | 1,539 | 30.9 | 1,227 | 30.3 | 779 | 30.6 | ||
 Current or Ex-smoker | 384 | 1.8 | 52 | 1.1 | 64 | 1.2 | 92 | 1.8 | 101 | 2.5 | 75 | 3.0 | ||
 Missing | 758 | 3.5 | 160 | 3.3 | 168 | 3.1 | 184 | 3.7 | 153 | 3.8 | 93 | 3.7 | ||
Alcohol drinking status | ||||||||||||||
 Non-drinker | 3,178 | 14.6 | 555 | 11.3 | 649 | 12.2 | 721 | 14.5 | 693 | 17.1 | 560 | 22.0 | <0.001 | <0.001 |
 Current drinker | 12,294 | 56.4 | 2,841 | 58.0 | 3,184 | 59.7 | 2,803 | 56.3 | 2,195 | 54.2 | 1,271 | 50.0 | ||
 Ex-drinker | 1,420 | 6.5 | 234 | 4.8 | 302 | 5.7 | 304 | 6.1 | 332 | 8.2 | 248 | 9.8 | ||
 Missing | 4,910 | 22.5 | 1,268 | 25.9 | 1,200 | 22.5 | 1,151 | 23.1 | 828 | 20.5 | 463 | 18.2 |  |  |
A All cases1 | 21,802 | 100.0 | 4,898 | 22.5 | 5,335 | 24.5 | 4,979 | 22.8 | 4,048 | 18.6 | 2,542 | 11.7 | Â | Â |
Body mass index (kg/m2) | ||||||||||||||
 <20 | 1,188 | 5.4 | 275 | 5.6 | 301 | 5.6 | 249 | 5.0 | 214 | 5.3 | 149 | 5.9 | 0.290 | <0.001 |
 20-24 | 7,195 | 33.0 | 1,903 | 38.9 | 1,828 | 34.3 | 1,565 | 31.4 | 1,210 | 29.9 | 689 | 27.1 | ||
 25-29 | 6,455 | 29.6 | 1,390 | 28.4 | 1,611 | 30.2 | 1,528 | 30.7 | 1,171 | 28.9 | 755 | 29.7 | ||
 30+ | 4,542 | 20.8 | 812 | 16.6 | 978 | 18.3 | 1,081 | 21.7 | 986 | 24.4 | 685 | 26.9 | ||
 Missing | 2,422 | 11.1 | 518 | 10.6 | 617 | 11.6 | 556 | 11.2 | 467 | 11.5 | 264 | 10.4 | ||
Charlson Comorbidity Score (CPRD data only) | ||||||||||||||
 None recorded | 16,662 | 76.4 | 4,024 | 82.2 | 4,133 | 77.5 | 3,758 | 75.5 | 2,949 | 72.9 | 1,798 | 70.7 | <0.001 |  |
 1 | 3,597 | 16.5 | 640 | 13.1 | 842 | 15.8 | 869 | 17.5 | 741 | 18.3 | 505 | 19.9 | ||
 2 | 1,033 | 4.7 | 162 | 3.3 | 251 | 4.7 | 227 | 4.6 | 229 | 5.7 | 164 | 6.5 | ||
 3+ | 510 | 2.3 | 72 | 1.5 | 109 | 2.0 | 125 | 2.5 | 129 | 3.2 | 75 | 3.0 | ||
Consultations prior to diagnosis | ||||||||||||||
 None recorded | 1,070 | 4.9 | 199 | 4.1 | 247 | 4.6 | 262 | 5.3 | 231 | 5.7 | 131 | 5.2 | <0.001 |  |
 1 to 5 | 8,076 | 37.0 | 1,939 | 39.6 | 2,007 | 37.6 | 1,862 | 37.4 | 1,428 | 35.3 | 840 | 33.0 | ||
 6 to 10 | 6,131 | 28.1 | 1,377 | 28.1 | 1,518 | 28.5 | 1,402 | 28.2 | 1,117 | 27.6 | 717 | 28.2 | ||
 11+ | 6,525 | 29.9 | 1,383 | 28.2 | 1,563 | 29.3 | 1,453 | 29.2 | 1,272 | 31.4 | 854 | 33.6 | ||
 Mean (sd) | 8.8 | (8.3) | 8.5 | (7.8) | 8.6 | (8.0) | 8.6 | (8.1) | 9.2 | (8.8) | 9.6 | (9.1) | ||
Breast-related consultations prior to diagnosis | ||||||||||||||
 None recorded | 11,214 | 51.4 | 2,383 | 48.7 | 2,721 | 51.0 | 2,628 | 52.8 | 2,186 | 54.0 | 1,296 | 51.0 | <0.001 |  |
 1 | 8,939 | 41.0 | 2,100 | 42.9 | 2,186 | 41.0 | 2,008 | 40.3 | 1,577 | 39.0 | 1,068 | 42.0 | ||
 2+ | 1,649 | 7.6 | 415 | 8.5 | 428 | 8.0 | 343 | 6.9 | 285 | 7.0 | 178 | 7.0 | ||
 Mean (sd) | 0.58 | (0.72) | 0.62 | (0.71) | 0.60 | (0.76) | 0.56 | (0.69) | 0.55 | (0.72) | 0.58 | (0.68) | ||
Number of breast symptoms reported prior to diagnosis | ||||||||||||||
 None recorded | 10,406 | 47.7 | 2,298 | 46.9 | 2,542 | 47.6 | 2,428 | 48.8 | 1,967 | 48.6 | 1,171 | 46.1 | <0.01 |  |
 1 | 9,664 | 44.3 | 2,182 | 44.5 | 2,356 | 44.2 | 2,218 | 44.5 | 1,759 | 43.5 | 1,149 | 45.2 | ||
 2 | 1,343 | 6.2 | 328 | 6.7 | 332 | 6.2 | 273 | 5.5 | 244 | 6.0 | 166 | 6.5 | ||
 3+ | 389 | 1.8 | 90 | 1.8 | 105 | 2.0 | 60 | 1.2 | 78 | 1.9 | 56 | 2.2 | ||
Number of days since last symptom report to diagnosis4 | ||||||||||||||
 Mean (range) | 32.2 | (1-547) | 32.7 | (1-541) | 32.7 | (1-547) | 32.4 | (1-545) | 30.7 | (1-541) | 32.2 | (1-541) | <0.05 |  |
Referrals prior to diagnosis | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 None recorded | 14,257 | 65.4 | 3,073 | 62.7 | 3,539 | 66.3 | 3,282 | 65.9 | 2,703 | 66.8 | 1,660 | 65.3 | <0.001 |  |
 1 | 7,044 | 32.3 | 1,691 | 34.5 | 1,667 | 31.2 | 1,590 | 31.9 | 1,261 | 31.2 | 835 | 32.8 | ||
 2+ | 501 | 2.3 | 134 | 2.7 | 129 | 2.4 | 107 | 2.1 | 84 | 2.1 | 47 | 1.8 |  |  |
B Cases diagnosed 2005-20101 | 12,500 | 100.0 | 2,608 | 20.9 | 3,186 | 25.5 | 2,916 | 23.3 | 2,317 | 18.5 | 1,473 | 11.8 | Â | Â |
Charlson comorbidity score (HES data only) | ||||||||||||||
 None recorded | 11,774 | 94.2 | 2,512 | 96.3 | 3,032 | 95.2 | 2,742 | 94.0 | 2,137 | 92.2 | 1,351 | 91.7 | <0.001 |  |
 1 | 451 | 3.6 | 64 | 2.5 | 101 | 3.2 | 107 | 3.7 | 110 | 4.7 | 69 | 4.7 | ||
 2 | 174 | 1.4 | 18 | 0.7 | 31 | 1.0 | 50 | 1.7 | 41 | 1.8 | 34 | 2.3 | ||
 3+ | 101 | 0.8 | 14 | 0.5 | 22 | 0.7 | 17 | 0.6 | 29 | 1.3 | 19 | 1.3 | ||
Charlson comorbidity score (CPRD or HES data) | ||||||||||||||
 None recorded | 8,931 | 71.4 | 2,059 | 78.9 | 2,332 | 73.2 | 2,042 | 70.0 | 1,548 | 66.8 | 950 | 64.5 | <0.001 |  |
 1 | 2,185 | 17.5 | 353 | 13.5 | 534 | 16.8 | 541 | 18.6 | 455 | 19.6 | 302 | 20.5 | ||
 2 | 865 | 6.9 | 124 | 4.8 | 206 | 6.5 | 211 | 7.2 | 183 | 7.9 | 141 | 9.6 | ||
 3+ | 519 | 4.2 | 72 | 2.8 | 114 | 3.6 | 122 | 4.2 | 131 | 5.7 | 80 | 5.4 | ||
Time from diagnosis to first major surgery | ||||||||||||||
 On or before diagnosis | 919 | 7.4 | 176 | 6.7 | 202 | 6.3 | 206 | 7.1 | 169 | 7.3 | 166 | 11.3 | 0.064 | 0.106 |
 <=1 month | 4,583 | 36.7 | 936 | 35.9 | 1,139 | 35.8 | 1,079 | 37.0 | 888 | 38.3 | 541 | 36.7 | ||
 <=2 months | 2,733 | 21.9 | 574 | 22.0 | 727 | 22.8 | 645 | 22.1 | 504 | 21.8 | 283 | 19.2 | ||
 >2 months | 588 | 4.7 | 114 | 4.4 | 153 | 4.8 | 141 | 4.8 | 115 | 5.0 | 65 | 4.4 | ||
 None recorded | 3,677 | 29.4 | 808 | 31.0 | 965 | 30.3 | 845 | 29.0 | 641 | 27.7 | 418 | 28.4 | ||
Number of days from diagnosis to first major surgery5 | ||||||||||||||
 Mean (sd) | 34.3 | (28.4) | 34.1 | (27.8) | 35.0 | (28.9) | 34.7 | (29.8) | 33.7 | (27.4) | 33.6 | (27.3) | 0.051 |  |