Physicians intitial impression of elderly breast cancer patients

Hdl Handle:
http://hdl.handle.net/10147/122314
Title:
Physicians intitial impression of elderly breast cancer patients
Authors:
Prichard, RS; Haren, A; Evoy, D; McDerrmott, E
Publisher:
Irish Medical Journal
Issue Date:
2009
URI:
http://hdl.handle.net/10147/122314
Item Type:
Article
Language:
en
Description:
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.
Keywords:
BREAST CANCER; OLDER PEOPLE

Full metadata record

DC FieldValue Language
dc.contributor.authorPrichard, RSen
dc.contributor.authorHaren, Aen
dc.contributor.authorEvoy, Den
dc.contributor.authorMcDerrmott, Een
dc.date.accessioned2011-02-18T13:06:31Z-
dc.date.available2011-02-18T13:06:31Z-
dc.date.issued2009-
dc.identifier.urihttp://hdl.handle.net/10147/122314-
dc.descriptionThe 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.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectBREAST CANCERen
dc.subjectOLDER PEOPLEen
dc.titlePhysicians intitial impression of elderly breast cancer patientsen
dc.typeArticleen
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