The impact of eliminating age inequalities in stage at diagnosis on breast cancer survival for older women

Abstract

Background: Older women with breast cancer have poorer relative survival outcomes, but whether achieving earlier stage at diagnosis would translate to substantial reductions in mortality is uncertain. Methods: We analysed data on East of England women with breast cancer (2006–2010) aged 70 þ years. We estimated survival for different stage-deprivation-age group strata using both the observed and a hypothetical stage distribution (assuming that all women aged 75 þ years acquired the stage distribution of those aged 70–74 years). We subsequently estimated deaths that could be postponed beyond 5 years from diagnosis if women aged 75 þ years had the hypothetical stage distribution. We projected findings to the English population using appropriate age and socioeconomic group weights. Results: For a typically sized annual cohort in the East of England, 27 deaths in women with breast cancer aged 75 þ years can be postponed within 5 years from diagnosis if their stage distribution matched that of the women aged 70–74 years (4.8% of all 566 deaths within 5 years post diagnosis in this population). Under assumptions, we estimate that the respective number for England would be 280 deaths (5.0% of all deaths within 5 years post diagnosis in this population). Conclusions: The findings support ongoing development of targeted campaigns aimed at encouraging prompt presentation in older women.