A prospective cohort study of women treated for breast cancer at tertiary care centers in the African countries Namibia, Uganda, Zambia, and Nigeria from September 2014 through December 2017 reports that remarkably—remarkably tragic—over half of the 1541 women included (mean age of 50) died at a median follow-up of only 3.5 years. But they didn’t stop there. To explore just the first-degree impact of such devastation, they discovered that for every 100 deaths from breast cancer at an age of younger than 50 years, there were 210 children (half <10 years old) losing their mother forever. Now, it’s worth noting this almost unbelievable number is among those actually able to receive care in a tertiary center. We can only imagine the devastation in more rural settings, many with no formal healthcare whatsoever within reach. TBL: We couldn’t say it any better than an accompanying editorial, “[this study] simultaneously humanizes the gravity of breast cancer death across the globe while illustrating a devastating legacy we must fervently end.” | Galukande, JAMA Oncol 2020 & Teshome, JAMA Oncol 2020


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