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Fig. 1

Average population (A) and rates of unemployment (B) of women in Lower Silesia, Poland, within the decade of 2005–2014
Average population (A) and rates of unemployment (B) of women in Lower Silesia, Poland, within the decade of 2005–2014

Fig. 2

Standardized incidence (A) and mortality (B) ratios of breast cancer in Lower Silesia, Poland (2005–2014)
Standardized incidence (A) and mortality (B) ratios of breast cancer in Lower Silesia, Poland (2005–2014)

Fig. 3

Growth rates (GR) of breast cancer incidence (A; mean GR= 1% (−4%, 8%), p= 0.316) and mortality (B; mean GR= −2% (−12%, 9%), p= 0.336) in Lower Silesia, Poland (2005–2014)
Growth rates (GR) of breast cancer incidence (A; mean GR= 1% (−4%, 8%), p= 0.316) and mortality (B; mean GR= −2% (−12%, 9%), p= 0.336) in Lower Silesia, Poland (2005–2014)

Fig. 4

Statistically significant (p< 0.05) spatiotemporal breast cancer (BC) incidence hot (A) and cold (B) spots and statistically significant (p< 0.05) spatiotemporal BC mortality hot spot (C) in Lower Silesia (with geographical centers of administrative units)
Statistically significant (p< 0.05) spatiotemporal breast cancer (BC) incidence hot (A) and cold (B) spots and statistically significant (p< 0.05) spatiotemporal BC mortality hot spot (C) in Lower Silesia (with geographical centers of administrative units)

Moran's I statistic and test p-values

Spatial feature Moran's I p-value
SIR −0.057 0.506
SMR 0.001 0.308
GR (incidence) 0.079 0.001
GR (mortality) 0.052 0.014

Estimates of regression coefficients of the unemployed fraction [%] in the entire female population on breast cancer incidence and mortality in Lower Silesia, Poland (2005–2014)

Spatial feature Regr. coeff. CI95% p-value
BC incidence −0.03 (−0.05, −0.01) 0.005
BC mortality 0.04 (0.01, 0.07) 0.002

Pearson's r linear correlations between standardized incidence and mortality ratios as well as cancer growth rates (SIRs, SMRs, and GRs) in Lower Silesia Region

Correlation SMR GR (incidence) GR (mortality)
SIR r= −0.35p= 0.061 r= 0.19p= 0.321 r= 0.17p= 0.378
SMR -- r= 0.34p= 0.066 r= 0.60p< 0.001
GR (incidence) -- -- r= 0.13p= 0.506

Statistically significant (p< 0.05) spatiotemporal BC clusters in Lower Silesia (2005–2014)

Spatial feature Cluster # N, E Coordinates Radius [km] Counties Timeframe RR (CI95%) p-value
Incidence 1 51.13, 16.99 0 Wroclaw 2010–2014 1.42 (1.31–1.53) <0.001
2 50.79, 16.30 20.8 Wałbrzych, wałbrzyski, świdnicki, kamiennogórski 2011–2013 1.29 (1.16–1.43) <0.001
3 51.16, 15.07 0 zgorzelecki 2008–2012 0.48 (0.41–0.56) <0.001
4 59.9 Wałbrzych, wałbrzyski, świdnicki, dzierżoniowski, jaworski, Jelenia Góra, jeleniogórski, kamiennogórski, złotoryjski, średzki, Legnica, legnicki, wrocławski, ząbkowicki, kłodzki, strzeliński, lwówecki 2005–2006 0.74 (0.69–0.79) <0.001
5 51.26, 17.51 0 oleśnicki 2005–2009 0.53 (0.68–0.81) <0.001
Mortality 6 50.76, 16.01 32.5 jaworski, Jelenia Góra, jeleniogórski, kamiennogórski, świdnicki, Wałbrzych, wałbrzyski 2008–2013 1.35 (1.19–1.54) <0.001

Characteristics of the female population and oncological care (presence of the full-profile oncology center) of Lower Silesia by counties in 2005–2014

County SIR incidence SMR mortality GR incidence GR mortality Number of urban communes Number of urban-rural communes Number of rural communes Presence of oncology center (reorganization/opening year)
bolesławiecki 0.94 0.95 0.99 0.89 1 1 4 NO
dzierżoniowski 1.04 1.03 1.03 1.01 3 2 2 NO
głogowski 0.89 1.02 0,96 1.01 1 0 5 NO
górowski 0.98 1.05 0.89 1.08 0 2 2 NO
jaworski 1.05 1.04 1.03 1.03 1 1 4 NO
jeleniogórski 0.90 1.07 1.04 1.02 4 0 5 NO
kamiennogórski 1.06 1.07 1.13 1.10 1 1 2 NO
kłodzki 1.13 0.99 1.00 1.06 5 6 3 NO
legnicki 0.93 1.08 1.01 0.98 1 1 6 NO
lubański 1.14 0.93 0,99 0.92 2 2 3 NO
lubiński 0.91 1.00 0.91 1.02 1 1 2 NO
lwówecki 0.95 0.93 1.10 0.89 0 5 0 NO
milicki 1.15 0.88 1.07 0.86 0 1 2 NO
oleśnicki 0.74 1.14 1,08 0.92 1 4 3 NO
oławski 1.42 0.83 0.88 0.88 1 1 2 NO
polkowicki 0.96 0.97 0.96 0.98 0 3 3 NO
strzeliński 1.01 0.96 0.99 0.98 0 2 3 NO
średzki 0.85 1.03 0,97 0.98 0 1 4 NO
świdnicki 1.12 1.06 1.02 1.04 2 3 3 NO
trzebnicki 0.90 0.99 1.00 0.95 0 4 2 NO
wałbrzyski 1.08 1.08 1.13 1.01 3 2 3 NO
wołowski 1.09 1.03 1.00 0.98 0 2 1 NO
wrocławski 1.09 0.92 1.00 0.90 0 3 6 NO
ząbkowicki 1.04 1.09 1.08 1.11 0 4 3 NO
zgorzelecki 0.55 1.06 0.92 0.88 3 2 3 NO
złotoryjski 1.00 0.88 1.04 0.94 2 1 3 NO
Jelenia Góra 1.15 1.09 1.05 1.11 1 0 0 NO
Legnica 1.10 1.01 1.03 0.93 1 0 0 YES (2014)
Wrocław 1.25 0.95 0.96 1.00 1 0 0 YES
Wałbrzych 1.24 1.07 1.27 0.99 1 0 0 YES (2008)
eISSN:
1732-2693
Język:
Angielski
Częstotliwość wydawania:
Volume Open
Dziedziny czasopisma:
Life Sciences, Molecular Biology, Microbiology and Virology, Medicine, Basic Medical Science, Immunology