Unveiling Recurrence Patterns: Analyzing Predictive Risk Factors for Breast Cancer Recurrence after Surgery

Objectives: Breast cancer (BC) stands as the second-leading cause of female-specific cancer-related fatalities globally, necessitating comprehensive research to address its critical aspects. This study aimed to explore the time intervals between surgery and disease recurrence in BC patients and thei...

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Main Authors: Monireh Shahmoradi, Ahmad Fazilat, Mostafa Ghaderi-Zefrehei, Arash Ardalan, Ali Bigdeli, Nahid Nafissi, Ebrahim Babaei, Mahsa Rahmani
Format: Article
Language:English
Published: SAGE Publishing 2024-11-01
Series:Cancer Informatics
Online Access:https://doi.org/10.1177/11769351241297633
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author Monireh Shahmoradi
Ahmad Fazilat
Mostafa Ghaderi-Zefrehei
Arash Ardalan
Ali Bigdeli
Nahid Nafissi
Ebrahim Babaei
Mahsa Rahmani
author_facet Monireh Shahmoradi
Ahmad Fazilat
Mostafa Ghaderi-Zefrehei
Arash Ardalan
Ali Bigdeli
Nahid Nafissi
Ebrahim Babaei
Mahsa Rahmani
author_sort Monireh Shahmoradi
collection DOAJ
description Objectives: Breast cancer (BC) stands as the second-leading cause of female-specific cancer-related fatalities globally, necessitating comprehensive research to address its critical aspects. This study aimed to explore the time intervals between surgery and disease recurrence in BC patients and their survival utilizing various parametric and semi-parametric models. Methods: After the examination of data collected from 2010 to 2021 at a BC Center in Tehran, Iran, 171 cases met the criteria for analysis out of 2246 datasets. Model fitting, was assessed through the Akaike Information Criterion (AIC), and indicated the logistic distribution as the most fit one among concurrent and independent variable models. Results: The Cox proportional hazard regression model consistently demonstrated superior fitting, characterized by the lowest AIC values. The average age at diagnosis was 50.39 years, with a standard deviation of 11.13. Typical survival time was estimated 53.44 months, falling within a confidence interval of 51.41–55.48 months at a 95% confidence level. The 1-year survival rate was determined at 0.92 (95% CI: 0.89–0.94). Notably, patient age while cancer diagnosis, progesterone receptor (PR), tumor grade, and tumor stage were found to be statistically significant ( P  < .05) risk factors for prediction of BC recurrence after surgery in Iran by Cox model. Conclusions: Our findings underscore the importance of further exploration and consideration of the identified risk factors in BC research and treatment strategies.
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spelling doaj-art-43f43e173930449280131cdfd9aafe202025-08-20T02:49:52ZengSAGE PublishingCancer Informatics1176-93512024-11-012310.1177/11769351241297633Unveiling Recurrence Patterns: Analyzing Predictive Risk Factors for Breast Cancer Recurrence after SurgeryMonireh Shahmoradi0Ahmad Fazilat1Mostafa Ghaderi-Zefrehei2Arash Ardalan3Ali Bigdeli4Nahid Nafissi5Ebrahim Babaei6Mahsa Rahmani7Department of Mathematical Statistics, Yasouj University, Yasouj, IranDepartment of Genetics, Motamed Cancer Institute, Breast Cancer Research Center, ACECR, Tehran, IranDepartment of Genetics, Animal Science, Yasouj University, Yasouj, IranDepartment of Statistics and Computer Science, ISC Royal Holloway University of London, UKDepartment of Biophysics, Faculty of Biological Sciences, Tarbiat Modares University, Tehran, IranDepartment of Breast Surgery, Rasoul Akram Hospital, Clinical Research Development Center (RCRDC) Iran University of Medical Sciences, Tehran, IranPreventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, IranDepartment of Mathematical Statistics, Yasouj University, Yasouj, IranObjectives: Breast cancer (BC) stands as the second-leading cause of female-specific cancer-related fatalities globally, necessitating comprehensive research to address its critical aspects. This study aimed to explore the time intervals between surgery and disease recurrence in BC patients and their survival utilizing various parametric and semi-parametric models. Methods: After the examination of data collected from 2010 to 2021 at a BC Center in Tehran, Iran, 171 cases met the criteria for analysis out of 2246 datasets. Model fitting, was assessed through the Akaike Information Criterion (AIC), and indicated the logistic distribution as the most fit one among concurrent and independent variable models. Results: The Cox proportional hazard regression model consistently demonstrated superior fitting, characterized by the lowest AIC values. The average age at diagnosis was 50.39 years, with a standard deviation of 11.13. Typical survival time was estimated 53.44 months, falling within a confidence interval of 51.41–55.48 months at a 95% confidence level. The 1-year survival rate was determined at 0.92 (95% CI: 0.89–0.94). Notably, patient age while cancer diagnosis, progesterone receptor (PR), tumor grade, and tumor stage were found to be statistically significant ( P  < .05) risk factors for prediction of BC recurrence after surgery in Iran by Cox model. Conclusions: Our findings underscore the importance of further exploration and consideration of the identified risk factors in BC research and treatment strategies.https://doi.org/10.1177/11769351241297633
spellingShingle Monireh Shahmoradi
Ahmad Fazilat
Mostafa Ghaderi-Zefrehei
Arash Ardalan
Ali Bigdeli
Nahid Nafissi
Ebrahim Babaei
Mahsa Rahmani
Unveiling Recurrence Patterns: Analyzing Predictive Risk Factors for Breast Cancer Recurrence after Surgery
Cancer Informatics
title Unveiling Recurrence Patterns: Analyzing Predictive Risk Factors for Breast Cancer Recurrence after Surgery
title_full Unveiling Recurrence Patterns: Analyzing Predictive Risk Factors for Breast Cancer Recurrence after Surgery
title_fullStr Unveiling Recurrence Patterns: Analyzing Predictive Risk Factors for Breast Cancer Recurrence after Surgery
title_full_unstemmed Unveiling Recurrence Patterns: Analyzing Predictive Risk Factors for Breast Cancer Recurrence after Surgery
title_short Unveiling Recurrence Patterns: Analyzing Predictive Risk Factors for Breast Cancer Recurrence after Surgery
title_sort unveiling recurrence patterns analyzing predictive risk factors for breast cancer recurrence after surgery
url https://doi.org/10.1177/11769351241297633
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