Table 2:
Estimated 5-year net breast cancer survival by income group and area under various single policy interventions, means (95% UI)
Increased treatment availability | Increased imaging availability | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Chemo- therapy |
Radio- therapy |
Surgery | Targeted therapy |
Quality | Ultrasound | CT (+X-ray) | MRI | PET | SPECT | ||
Global | Survival (%) | 67·9 (62·9-73·4) | 69·0 (63·8-74·6) | 69·4 (64·2-74·0) | 70·6 (65·1-75·4) | 68·7 (63·4-74·1) | 68·9 (63·5-73·9) | 68·1 (63·0-73·5) | 68·4 (63·2-73·8) | 68·3 (63·0-73·8) | 68·2 (63·2-73·8) | 68·2 (63·2-73·6) |
Gain (%) | --- | 1·1 (0·1-3·4) | 1·5 (0·2-4·4) | 2·7 (0·4-8·3) | 0·8 (0·2-2·2) | 1·0 (0·1-3·8) | 0·3 (0·0-1·2) | 0·5 (0·0-2·0) | 0·4 (0·0-1·2) | 0·3 (0·0-0·9) | 0·3 (0·0-0·8) | |
Low income | Survival (%) | 3·5 (0·4-10·0) | 4·6 (0·5-14·7) | 5·8 (0·6-15·8) | 6·4 (0·7-21·7) | 3·5 (0·4-10·1) | 6·2 (0·9-14·3) | 4·7 (0·7-12·9) | 4·0 (0·5-11·6) | 3·5 (0·4-10·1) | 3·5 (0·4-10·1) | 3·5 (0·4-10·0) |
Gain (%) | --- | 1·1 (0·0-4·4) | 2·4 (0·2-6·1) | 3·0 (0·1-10·6) | 0·0 (0·0-0·2) | 2·8 (0·0-9·9) | 1·2 (0·0-4·4) | 0·6 (0·0-2·3) | 0·1 (0·0-0·2) | 0·0 (0·0-0·1) | 0·0 (0·0-0·1) | |
Lower middle income | Survival (%) | 30·2 (8·6-51·6) | 33·4 (9·6-60·8) | 36·0 (13·7-56·0) | 40·7 (16·4-60·7) | 30·9 (8·6-52·1) | 33·8 (9·7-53·6) | 31·2 (8·6-53·2) | 31·6 (8·8-51·9) | 31·0 (8·7-52·6) | 30·5 (8·7-52·3) | 30·4 (8·7-52·4) |
Gain (%) | --- | 3·2 (0·0-12·5) | 5·8 (0·1-17·9) | 10·4 (0·3-35·9) | 0·6 (0·1-1·9) | 3·5 (0·1-14·1) | 0·9 (0·0-5·7) | 1·3 (0·0-7·9) | 0·7 (0·0-1·8) | 0·3 (0·0-0·7) | 0·2 (0·0-0·6) | |
Upper middle income | Survival (%) | 75·5 (71·4-79·5) | 76·5 (72·0-79·7) | 76·0 (71·4-80·2) | 76·3 (72·2-80·3) | 76·8 (72·2-80·9) | 75·8 (71·4-79·9) | 75·5 (71·4-79·5) | 75·9 (71·5-80·2) | 76·2 (71·4-80·8) | 76·1 (71·9-80·8) | 76·0 (72·2-80·2) |
Gain (%) | --- | 1·0 (0·0-2·6) | 0·5 (0·0-1·4) | 0·9 (0·0-2·5) | 1·4 (0·1-4·6) | 0·3 (0·0-1·3) | 0·0 (0·0-0·1) | 0·4 (0·0-1·6) | 0·7 (0·0-2·6) | 0·6 (0·0-1·8) | 0·5 (0·0-2·1) | |
High income | Survival (%) | 87·0 (85·6-88·4) | 87·1 (85·7-88·6) | 87·1 (85·7-88·6) | 87·2 (85·6-88·5) | 87·5 (85·9-88·9) | 87·2 (85·7-88·6) | 87·0 (85·6-88·4) | 87·1 (85·6-88·5) | 87·1 (85·6-88·4) | 87·2 (85·6-88·4) | 87·2 (85·8-88·7) |
Gain (%) | --- | 0·1 (0·0-0·5) | 0·1 (0·0-0·5) | 0·2 (0·0-0·7) | 0·5 (0·1-1·0) | 0·2 (0·0-0·7) | 0·0 (0·0-0·0) | 0·1 (0·0-0·4) | 0·1 (0·0-0·2) | 0·2 (0·0-0·6) | 0·2 (0·0-0·8) | |
Africa | Survival (%) | 22·7 (11·5-34·2) | 25·7 (13·9-38·3) | 27·2 (14·7-40·4) | 27·5 (14·5-43·7) | 23·2 (11·6-34·9) | 25·5 (12·5-39·1) | 23·7 (12·0-34·7) | 23·5 (11·5-37·6) | 23·1 (11·6-35·3) | 22·9 (11·6-34·4) | 22·8 (11·5-34·8) |
Gain (%) | --- | 3·0 (0·1-8·5) | 4·5 (0·3-15·9) | 4·8 (0·3-15·7) | 0·5 (0·0-1·4) | 2·8 (0·0-10·8) | 1·0 (0·0-4·7) | 0·9 (0·0-5·4) | 0·4 (0·0-1·2) | 0·2 (0·0-0·8) | 0·1 (0·0-0·6) | |
Asia | Survival (%) | 61·1 (51·3-71·4) | 62·6 (52·0-73·0) | 63·4 (53·0-72·5) | 66·0 (54·0-75·6) | 62·0 (51·7-72·1) | 62·5 (51·8-72·0) | 61·5 (51·3-71·5) | 61·8 (51·5-72·1) | 61·8 (51·5-72·6) | 61·5 (51·4-71·6) | 61·5 (51·9-71·9) |
Gain (%) | --- | 1·5 (0·0-6·6) | 2·3 (0·0-8·7) | 4·9 (0·1-17·3) | 0·9 (0·0-3·2) | 1·3 (0·0-8·0) | 0·4 (0·0-2·9) | 0·6 (0·0-3·8) | 0·7 (0·0-2·3) | 0·3 (0·0-1·2) | 0·4 (0·0-1·5) | |
Europe | Survival (%) | 80·6 (78·0-83·1) | 81·0 (78·1-83·3) | 81·2 (78·6-83·5) | 81·0 (78·1-83·6) | 81·6 (78·8-83·8) | 81·3 (78·9-83·2) | 80·7 (78·0-83·2) | 80·9 (78·1-84·3) | 80·9 (78·1-83·4) | 81·0 (78·1-83·7) | 80·8 (78·3-83·2) |
Gain (%) | --- | 0·4 (0·0-2·2) | 0·6 (0·0-2·3) | 0·4 (0·0-1·6) | 0·9 (0·1-2·0) | 0·6 (0·0-3·5) | 0·0 (0·0-0·3) | 0·2 (0·0-1·2) | 0·3 (0·0-1·1) | 0·4 (0·0-1·2) | 0·1 (0·0-0·6) | |
Latin America and the Caribbean | Survival (%) | 74·3 (68·5-78·6) | 75·4 (69·6-80·8) | 74·6 (68·8-79·1) | 75·0 (69·1-79·0) | 75·6 (69·6-81·3) | 74·6 (68·8-79·3) | 74·3 (68·5-78·6) | 75·2 (69·6-81·4) | 74·6 (68·6-83·1) | 75·0 (68·7-79·8) | 74·6 (68·5-78·9) |
Gain (%) | --- | 1·1 (0·0-6·2) | 0·3 (0·0-1·2) | 0·7 (0·0-4·8) | 1·3 (0·0-4·8) | 0·3 (0·0-2·1) | 0·0 (0·0-0·5) | 0·9 (0·0-3·6) | 0·3 (0·0-3·9) | 0·7 (0·0-3·0) | 0·3 (0·0-1·8) | |
Northern America | Survival (%) | 89·2 (86·7-91·1) | 89·3 (86·7-91·1) | 89·3 (86·7-91·1) | 89·4 (86·7-91·5) | 89·3 (86·7-91·3) | 89·3 (86·7-91·3) | 89·2 (86·7-91·1) | 89·3 (86·7-91·1) | 89·2 (86·7-91·1) | 89·3 (86·7-91·2) | 89·5 (87·0-91·7) |
Gain (%) | --- | 0·0 (0·0-0·1) | 0·0 (0·0-0·2) | 0·1 (0·0-1·6) | 0·0 (0·0-0·7) | 0·1 (0·0-1·2) | 0·0 (0·0-0·0) | 0·0 (0·0-0·1) | 0·0 (0·0-0·0) | 0·0 (0·0-0·0) | 0·3 (0·0-2·3) | |
Oceania | Survival (%) | 80·0 (74·2-85·8) | 80·3 (74·5-85·9) | 80·9 (74·7-86·2) | 81·0 (75·2-88·9) | 80·8 (75·4-85·9) | 80·8 (74·2-85·9) | 80·1 (74·2-85·8) | 80·3 (74·2-85·9) | 80·0 (74·2-85·9) | 80·2 (74·2-86·1) | 80·4 (74·7-86·5) |
Gain (%) | --- | 0·3 (0·0-2·3) | 0·9 (0·0-3·7) | 1·0 (0·0-6·4) | 0·8 (0·0-3·5) | 0·9 (0·0-4·2) | 0·1 (0·0-1·3) | 0·3 (0·0-2·0) | 0·0 (0·0-0·3) | 0·2 (0·0-2·3) | 0·5 (0·0-2·6) |