Gregorio Marañón University Hospital

An international team has analysed data on the incidence and mortality of breast cancer in 185 countries. In 2022, 2.3 million new cases and 670,000 deaths were recorded and, with this trend, it is predicted that by 2050 these figures will increase by 38% and 68% respectively, particularly affecting low-income countries. Although the mortality rate fell in 30 of the 46 countries studied over the last ten years, only seven of them met the WHO targets of reducing it by at least 2.5% each year. The results are published in the journal Nature Medicine.

World Cancer Day is celebrated on 4 February. Behind the cases of this disease there are people who, although they have overcome it, bear the burden of the diagnosis years after the end of their treatment. Survivors demand the right to be forgotten so as not to suffer financial, employment and social discrimination.

A team of researchers from the United Kingdom has conducted a phase 2/3 clinical trial in people with a psychotic disorder to study the efficacy of interaction with a digital avatar in alleviating the discomfort generated by hearing voices. After analyzing it in 345 people, they conclude that it can reduce the frequency of occurrence at 16 and 28 weeks. The discomfort provoked is reduced at 16 weeks, but not at 28 weeks. The team publishes the results in the journal Nature Medicine.

The U.S. FDA has approved a new drug—called Cobenfy—to treat the symptoms of schizophrenia. Unlike traditional treatments, which are based on blocking the effects of dopamine, its mechanism of action simulates the effects of another neurotransmitter, acetylcholine. It is the first drug to be approved with a different mechanism of action in over 70 years.

The number of people who suffer a stroke, die from it or live with a subsequent disability has risen sharply worldwide between 1990 and 2021, according to a study published in The Lancet Neurology. The contribution of high temperatures to ill health and premature death from stroke has increased by 72% since 1990. For the first time, the study reveals the high contribution (on par with smoking) of particulate air pollution to subarachnoid haemorrhage (fatal brain haemorrhage).

A team of researchers at Stanford University (USA) has developed a technique that makes animal tissues transparent in vivo and reversibly. Based on a food dye, they have tested it topically on mice. According to the authors, who publish their research in the journal Science, “this technology could make veins more visible for blood collection or help in the early detection and treatment of cancer”.

The mental health of young people has deteriorated over the last two decades and is entering a dangerous phase, according to a new Commission by The Lancet Psychiatry. Several global factors are involved, including inaction on climate change, intergenerational inequality, and adversity linked to the COVID-19 pandemic. 

Although breast cancer mortality has reduced by more than 40% in most high-income countries, a Lancet commission warns that one million people will die from the disease by 2040, especially in low- and middle-income countries. The authors highlight some of the knowledge gaps that persist about the disease, such as the lack of knowledge about the number of patients living with metastatic breast cancer and their needs, or the costs associated with breast cancer - including physical, psychological, social and economic costs - which, according to the authors, are immense but underestimated, and not adequately reflected in global health indicators. 

A study published in JAMA Network Open has followed 1,340 women with high-risk operable breast cancer. Analysing their lifestyles before, during and after treatment, the researchers conclude that those who followed a healthier pattern - including physical activity, no smoking, high fruit and vegetable intake, and low consumption of meat and sugary drinks - had a 37% lower risk of relapse and a 58% higher chance of survival than those who followed a worse pattern. Although the improvements in absolute risk were much smaller, the authors conclude that "lifestyle interventions may be a safe, inexpensive and feasible adjuvant strategy to delay and prevent recurrence and death from the world's most common cancer".

A study published today in the NEJM examines the risk of relapse in breast cancer patients who decide to pause endocrine therapy to try to become pregnant. The results show that temporarily stopping treatment does not confer an increased risk in the long term, but the authors warn of the need for further follow-up.