The incidence of breast cancer is increasing globally; however, survival outcomes vary and are lower in developing countries.
We analyzed the 5- and 10-year survival rates for breast cancer according to the type of healthcare insurance (public
The 5- and 10-year breast cancer survival rates were as follows: private healthcare service survival rate of 80.6% (95% CI 75.0–85.0) and 71.5% (95% CI 65.4–77.1), respectively, and public healthcare service survival rate of 68.5% (95% CI 62.5–73.8) and 58.5% (95% CI 52.1–64.4), respectively. The main factors associated with the worst prognosis were lymph node involvement in both healthcare services and tumor size >2 cm only in public health services. The use of hormone therapy (private) and radiotherapy (public) was associated with the best survival rates.
The survival discrepancies found between health services can be explained mainly by the difference in the stage of the disease at the time of diagnosis, indicating inequalities in access to the early detection of breast cancer.