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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v4i3.2345</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v4i3.2345</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Potential Risk Factors for Breast Carcinoma in Patients Presented in a Tertiary Care Hospital</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Qamar</surname>
            <given-names>Muhammad Zain</given-names>
          </name>
          <email>qamarzain79@gmail.com</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Fazal</surname>
            <given-names>Muhammad Ifran</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Asghar</surname>
            <given-names>Huria</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Naseem</surname>
            <given-names>Maha</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Qamar</surname>
            <given-names>Faiza</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Siddique</surname>
            <given-names>Muhammad</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>Mayo Hospital Lahore</institution>
      </aff>
      <aff id="aff2">
        <institution>Central Park Hospital Lahore</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Muhammad Zain Qamar (qamarzain79@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2023-09-25">
        <day>25</day>
        <month>09</month>
        <year>2023</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2023</year>
      </pub-date>
      <volume>4</volume>
      <issue>3</issue>
      <fpage>223</fpage>
      <lpage>227</lpage>
      <history>
        <date date-type="received" iso-8601-date="2023-05-22">
          <day>22</day>
          <month>05</month>
          <year>2023</year>
        </date>
        <date date-type="accepted" iso-8601-date="2023-06-26">
          <day>26</day>
          <month>06</month>
          <year>2023</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2023 The Author(s)</copyright-statement>
        <copyright-year>2023</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v4i3.2345" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v4i3.2345.pdf" content-type="application/pdf"/>
      <abstract>
        <sec>
          <title>Objective</title>
          <p>This study intended to investigate the elements that raise the likelihood of breast carcinoma risk in Pakistani females.</p>
        </sec>
        <sec>
          <title>Methodology</title>
          <p>This case-control design study included a total of 300 participants, consisting of 165 patients with breast carcinoma and 135 controls who are age-matched, were chosen to take part in the study at Mayo Hospital in Lahore, Pakistan.</p>
        </sec>
        <sec>
          <title>Results</title>
          <p>In addition, several risk factors were discovered to be linked to a higher likelihood of developing breast carcinoma in Pakistani females, including an elevated body mass index (BMI) exceeding 25 kg/m2 (OR = 1.57; OR = 1.60, 95% CI: 1.26-1.90), being unmarried (OR = 2.03; 95% CI, 1.26-2.03), not engaging in breastfeeding, smoking (current or past), insufficient physical activity, and being in the post-menopausal stage were identified as factors associated with the outcome (95% CI, 1.69-2.44). On the other hand, increased parity was found to lower breast carcinoma risk. Furthermore, the study established that the right breast was affected in a higher proportion of cases (58.1%) compared to other breast complications (22.8%).</p>
        </sec>
        <sec>
          <title>Conclusion</title>
          <p>In conclusion, this study highlights the various sociodemographic, reproductive, and lifestyle-related factors that are linked to breast carcinoma among females in Pakistan. These findings can aid in the development of preventative measures and awareness campaigns aimed at decreasing the rate of occurrence of breast carcinoma within this particular group.</p>
        </sec>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>Case-control study</kwd>
        <kwd>Breast carcinoma</kwd>
        <kwd>Risk factors</kwd>
        <kwd>lifestyle</kwd>
        <kwd>socio-demographic</kwd>
        <kwd>Pakistan</kwd>
        <kwd>and reproductive health.</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <!-- <body> omitted: no manuscript (.docx) on file -->
  <back>
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</article>
