Publications by authors named "Alejandro Mohar"

Introduction: Cancer treatments have a detrimental impact on the quality of life (QoL) of young women with breast cancer (YWBC). Research exploring QoL trajectories has been mostly centered on postmenopausal women. Here we report longitudinal changes across all QoL domains and associated factors in YWBC.

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  • The study assessed 5-year survival rates for colorectal cancer patients in Mexico who were treated under Seguro Popular, a public health insurance system.
  • It involved 1418 patients diagnosed between 2013 and 2016, revealing an overall survival rate of 50% and noting that 78.1% were diagnosed at advanced stages (III and IV).
  • Findings emphasized the importance of early screening, particularly as younger patients with metastatic disease had a poorer prognosis compared to older patients.
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Background: Young women with breast cancer (YWBC) face unique challenges that can affect their sexual health. This study aimed to identify factors associated with sexual activity, function, and satisfaction in YWBC up to 5 years postdiagnosis.

Methods: We conducted a prospective cohort study of 474 women 40 years of age or younger diagnosed with nonmetastatic breast cancer in Mexico.

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Purpose: Breast cancer is the most prevalent cancer type in Mexico, with male breast cancer accounting for only 1% of all breast cancer cases. A limited number of studies have described the clinical-pathological profiles of males with breast cancer in low- and middle-income countries. This study presents an analysis of patients with breast cancer seen at three different institutions in México.

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  • Lifestyle, including things like diet and exercise, affects how our body stores fat and can lead to problems like obesity and breast cancer.
  • Inflammation and having too much fat can hurt our bodies and make health issues worse.
  • Scientists are looking at a measurement called phase angle (PhA) to help understand nutrition and health in cancer patients, as it could improve their treatment and quality of life.
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(1) Background: Somatic mutations may be connected to the exposome, potentially playing a role in breast cancer's development and clinical outcomes. There needs to be information regarding Latin American women specifically, as they are underrepresented in clinical trials and have limited access to somatic analysis in their countries. This study aims to systematically investigate somatic mutations in breast cancer patients from Latin America to gain a better understanding of tumor biology in the region.

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The growing cancer burden particularly among less developed countries requires local data to plan and evaluate cancer control measures. This article describes the development of a population-based cancer registry network (PBCRN) in Mexico that took place between 2017 and 2020 and present related data. The PBCRN, led by the National Cancer Institute (Incan), included nine registries representing 11.

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Objective: To estimate prostate cancer (PC) survival in Mexico and explore survival disparities according to the marginalization level of residence place.

Materials And Methods: A nationwide administrative claims database (4 110 men) whose PC treatment was financed by Seguro Popular between 2012-2016, was cross-linked to the National Mortality Registry up to December 2019. Patients were classified according to their oncological risk at diagnosis and the marginalization level of the residence municipality.

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Preventable risk factors are responsible of at least 40% of cases and almost 45% of all cancer deaths worldwide. Cancer is already the leading cause of death in almost half of the Latin American and the Caribbean countries constituting a public health problem. Cost-effective measures to reduce exposures through primary prevention and screening of certain types of cancers are critical in the fight against cancer but need to be tailored to the local needs and scenarios.

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Background: COVID-19 is associated with systemic inflammation. This inflammatory response is further deregulated by oncological treatments increasing mortality in this population. However, there is conflicting information regarding the clinical factors that increase mortality in patients with severe COVID-19.

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Background: Essential indicators of health system performance for breast cancer are lacking in Mexico. We estimated survival and clinical stage distribution for women without social insurance who were treated under a health financing scheme that covered 60% of the Mexican population.

Methods: We conducted a retrospective cohort study cross-linking reimbursement claims for 56,847 women treated for breast cancer between 2007 and 2016 to a mortality registry.

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  • The study examines the delays in cancer treatment initiation from symptom discovery among uninsured patients with breast, cervical, testicular, and prostate cancers in Mexico City.
  • It involved 1468 patients, revealing a median wait time of 6.6 months before treatment began, with most patients using private services initially and experiencing misdiagnosis.
  • The findings underscore the need for improved access and quality in early cancer diagnosis and treatment to enhance patient outcomes in lower-income settings.
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  • The study evaluates the impact of Mexico's Fund for Protection against Catastrophic Expenses (FPGC) on breast cancer treatment between 2007 and 2016, revealing a significant reduction in the treatment gap for uninsured women.
  • Data from 56,847 women showed that the treatment gap decreased from 0.71 in 2007 to 0.15 in 2016, indicating improved access to breast cancer care nationwide.
  • Despite progress in treatment access, high mortality rates persist, highlighting the need for earlier diagnosis and quality interventions alongside expanded treatment availability.
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In 2014, a partnership was established between the Univer-sity of California and Mexico, which subsequently catalyzed formation of collaborations between cancer researchers at University of California, San Francisco and in Mexico. Over the past two decades cancer burden has dramatically increased in Mexicans on both sides of the California - Mexico border. Together, we face a growing burden of cancer in the context of globalized economies, diverse migration patterns, and dynamic immigration policies.

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Objective: Describe the prevalence of breast cancer (BC)- associated germline pathogenic variants (PVs) among Mexican patients with triple-negative BC (TNBC).

Materials And Methods: The spectrum of PVs identified among patients with TNBC who were enrolled in a prospective registry and underwent genetic testing was analyzed.

Results: Of 387 patients with invasive TNBC and a median age at diagnosis of 39 years (range 21-72), 113 (29%) were carriers of PVs in BC-susceptibility genes: BRCA1 (79%), BRCA2 (15%), and other (6%: ATM, BRIP1, PALB2, PTEN, RAD51C, and TP53).

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  • The study aimed to assess exposure to aflatoxin B1 (AFB1) in southern Mexico and its link to liver cancer (HCC) mutations.
  • A survey of 100 individuals revealed an 85.5% prevalence of AFB1 in their serum, with a median concentration of 0.117 pg/μL.
  • In HCC tissue samples, 6.0% exhibited the aflatoxin-related TP53 mutation, suggesting AFB1 could significantly contribute to HCC cases in the region.
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Breast cancer (BC) is one of the most frequent cancer types in women worldwide. About 7% is diagnosed in young women (YBC) less than 40 years old. In Mexico, however, YBC reaches 15% suggesting a higher genetic susceptibility.

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The increasing burden of cancer represents a substantial problem for Latin America and the Caribbean. Two Lancet Oncology Commissions in 2013 and 2015 highlighted potential interventions that could advance cancer care in the region by overcoming existing challenges. Areas requiring improvement included insufficient investment in cancer control, non-universal health coverage, fragmented health systems, inequitable concentration of cancer services, inadequate registries, delays in diagnosis or treatment initiation, and insufficient palliative services.

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The prevalence and contribution of BRCA1/2 (BRCA) pathogenic variants (PVs) to the cancer burden in Latin America are not well understood. This study aims to address this disparity. BRCA analyses were performed on prospectively enrolled Latin American Clinical Cancer Genomics Community Research Network participants via a combination of methods: a Hispanic Mutation Panel (HISPANEL) on MassARRAY; semiconductor sequencing; and copy number variant (CNV) detection.

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Purpose: Genomic cancer risk assessment (GCRA) is standard-of-care practice that uses genomic tools to identify individuals with increased cancer risk, enabling screening for early detection and cancer prevention interventions. GCRA is not available in most of Mexico, where breast cancer (BC) is the leading cause of cancer death and ovarian cancer has a high mortality rate.

Methods: Guided by an implementation science framework, we piloted the Genomic Risk Assessment for Cancer Implementation and Sustainment (GRACIAS) intervention, combining GCRA training, practice support, and low-cost / () gene testing at four centers in Mexico.

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  • The "Joven & Fuerte" program enhances access to fertility-preservation (FP) strategies for young breast cancer patients in resource-limited areas like Mexico, addressing the gap in treatment-related infertility.
  • Out of 447 studied patients, only 12% preserved fertility, highlighting a significant need for better FP support despite 38% expressing a desire for future children.
  • Factors such as younger age, higher education, employment status, private healthcare, and fewer children increased the likelihood of utilizing FP methods like oocyte/embryo cryopreservation and ovarian suppression during chemotherapy.
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  • * Over the decade, the number of children treated doubled, but significant disparities in survival rates existed between different states, ranging from 43.7% to 74.7%.
  • * Factors such as receiving treatment at non-specialized hospitals or those without pediatric oncology specialists significantly increased the risk of mortality, highlighting areas for improvement in Mexico's healthcare system.
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Background: Breast cancer (BC) in young women is characterized by an unfavorable prognosis in hormone receptor-positive/HER2-negative tumors, which may be explained by low rates of tamoxifen adherence. In Mexico, up to 14% of all BC diagnoses occur in young women and no data on tamoxifen adherence has been reported.

Objective: To estimate the rate of adherence to adjuvant tamoxifen in Mexican young women with BC (YWBC).

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