{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:52:47Z","timestamp":1791298367536,"version":"4.1.0"},"reference-count":39,"publisher":"CAIRN.INFO","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,5]]},"abstract":"<jats:p>Introduction\u00a0: Le cancer du sein est fr\u00e9quent et souvent diagnostiqu\u00e9 \u00e0 un stade avanc\u00e9 au Mali. L\u2019objectif de cette \u00e9tude \u00e9tait de d\u00e9crire le stade au moment du diagnostic et d\u2019identifier les facteurs associ\u00e9s. M\u00e9thodes\u00a0: Dans le cadre du projet SENOVIE, une cohorte prospective multicentrique a \u00e9t\u00e9 men\u00e9e d\u2019octobre 2023 \u00e0 octobre 2024 dans cinq \u00e9tablissements de sant\u00e9 \u00e0 Bamako. Le stade clinique au diagnostic a \u00e9t\u00e9 d\u00e9fini selon la classification de l\u2019UICC. Une analyse univariable a \u00e9t\u00e9 r\u00e9alis\u00e9e, suivie d\u2019une r\u00e9gression logistique multinomiale multivariable. R\u00e9sultats\u00a0: Au total, 265 patientes ont \u00e9t\u00e9 incluses. Le diagnostic \u00e9tait pr\u00e9coce (stades I\u2013II) chez 13,6\u00a0% des patientes, tardif (stade III) chez 63,4\u00a0% et m\u00e9tastatique (stade IV) chez 23,0\u00a0%. En analyse univariable, le stade au diagnostic \u00e9tait associ\u00e9 \u00e0 la r\u00e9sidence hors de Bamako (p\u00a0=\u00a00,019), \u00e0 l\u2019absence de scolarisation (p\u00a0=\u00a00,005), \u00e0 un faible niveau socio-\u00e9conomique, \u00e0 l\u2019absence d\u2019assurance maladie (p\u00a0=\u00a00,012) et \u00e0 l\u2019absence de t\u00e9l\u00e9vision (p\u00a0=\u00a00,042). En analyse multivariable, seul l\u2019indice de masse corporelle restait significativement associ\u00e9 au stade au moment du diagnostic. Les patientes en surpoids \u00e9taient plus souvent diagnostiqu\u00e9es \u00e0 un stade pr\u00e9coce (ORa\u00a0=\u00a02,99\u00a0; IC95\u00a0%\u00a0: 1,19\u20137,48), tandis que celles en situation d\u2019ob\u00e9sit\u00e9 \u00e9taient moins fr\u00e9quemment diagnostiqu\u00e9es \u00e0 un stade m\u00e9tastatique (ORa\u00a0=\u00a00,26\u00a0; IC95\u00a0%\u00a0: 0,12\u20130,60). Discussion\u00a0: Ces r\u00e9sultats confirment la fr\u00e9quence \u00e9lev\u00e9e des diagnostics \u00e0 un stade avanc\u00e9 au Mali. Ils mettent en \u00e9vidence l\u2019influence de facteurs socio-\u00e9conomiques et des parcours de soins dans le retard diagnostique. Conclusion\u00a0: Au Mali, le cancer du sein est majoritairement diagnostiqu\u00e9 \u00e0 un stade tardif. L\u2019indice de masse corporelle est associ\u00e9 au stade au moment du diagnostic. Le renforcement du d\u00e9pistage et de l\u2019acc\u00e8s aux soins appara\u00eet essentiel pour am\u00e9liorer le diagnostic pr\u00e9coce.<\/jats:p>","DOI":"10.3917\/spub.263.0331","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:29:49Z","timestamp":1791296989000},"page":"331-345","source":"Crossref","is-referenced-by-count":0,"title":["Cancers du sein au Mali\u00a0: des diagnostics \u00e0 un stade avanc\u00e9, associ\u00e9s \u00e0 des indicateurs de pr\u00e9carit\u00e9"],"prefix":"10.3917","volume":"vol. 38","author":[{"given":"Ad\u00e9gn\u00e9","family":"Togo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e9mence","family":"Schantzs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamidou","family":"Niangaly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Terera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Robin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdrahamane","family":"Kon\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madani","family":"Ly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drissa","family":"Traore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamadou","family":"Sima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahima","family":"Teguet\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moussa Abdoulaye","family":"Ouattara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Issaka","family":"Sagara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bakary Abou","family":"Traor\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Teixeira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Larmarange","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1. 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