SciELO - Scientific Electronic Library Online

vol.34 issue2Perception of medical students in Galicia (Spain) regarding conscientious objection to the voluntary termination of pregnancyPreparation of a questionnaire to detect cases of hate violence in emergency rooms author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Gaceta Sanitaria

Print version ISSN 0213-9111


TORA-ROCAMORA, Isabel  and  GRUPO COHORTE DAMA et al. Influence of diagnostic pathway on clinical and non-conventional therapies use in women with breast cancer of the cohort DAMA. Gac Sanit [online]. 2020, vol.34, n.2, pp.157-165.  Epub June 01, 2020. ISSN 0213-9111.


To describe and analyze the characteristics of breast cancer tumours according to the diagnostic pathway. We analyse the adverse effects of the treatments and the use of unconventional therapies in order to alleviate them.


Descriptive design nested in a mixed cohort (Cohort DAMA). The dependent variable was the route to diagnosis of breast cancer. The independent variables were age, body mass index, social class, disposable family income, type of tumour, histological degree, tumour stage, recurrences, treatment, adverse effects derived from treatments and unconventional therapies. Bivariate descriptive analyses were performed and univariate and multivariate regression models were adjusted; and graphic representations of the unconventional therapies.


There are differences in the characteristics of the tumours, and the impact of the adverse effects derived from the treatments. The patients diagnosed by screening were older, from a high social class, had a higher percentage of tumours of grade I differentiation, initial stages, fewer recurrences and fewer adverse effects due to treatment, although this was not different in the screening group compared to the rest. There was also less use of unconventional therapies.


The results indicate that the implementation of screening programmes increases the possibility of detecting tumours in initial stages and with therapies with fewer adverse effects. As a result, there is less need to resort to unconventional therapies.

Keywords : Breast cancer; Cancer screening; Diagnostic route; Adverse effects; Unconventional therapies.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )