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Physicians intitial impression of elderly breast cancer patients
Prichard, RS; Haren, A; Evoy, D; McDerrmott, E
The management of older women with breast cancer is often suboptimal based on perceived patient comorbidities. The aim of this study was to evaluate the choice of treatment modality based on clinicians gut-feeling compared to comorbidity scoring indices. A retrospective review of women over 70 presenting with breast cancer was performed. Presenting comorbidities (Charlson Comorbidity Index and Cumulative Illness Rating Scale) and the treatment received was documented. Sixty-six patients were identified. Forty-six had surgery while twenty patients had primary endocrine manipulation. The mean age of patients having surgery was 76.4 in comparison to 84.4 for the endocrine group (p = 0.001). The CCI scores for the surgical group and endocrine group were 6.62 and 9.26 respectively (p = 0.001). The scores for the CIRS were 8.93 and 22.68 (p=0.001). This study has demonstrated that physicians gut feelings are often correct in identifying patients who may benefit from primary hormone therapy.
Publication Date:
Type: Journal article
Peer-Reviewed: Unknown
Language(s): English
Institution: Lenus
Publisher(s): Irish Medical Journal
First Indexed: 2013-10-18 11:00:46 Last Updated: 2017-04-26 08:47:16