Physician's initial impression of elderly breast cancer patients allows appropriate treatment stratification despite lack of quantitative assessment.

Hdl Handle:
http://hdl.handle.net/10147/207591
Title:
Physician's initial impression of elderly breast cancer patients allows appropriate treatment stratification despite lack of quantitative assessment.
Authors:
Prichard, R S; Haren, A; Evoy, D; McDermott, E
Affiliation:
St Vincent's University Hospital, Elm Park, Dublin 4. ruthprichard@rcsi.ie
Citation:
Ir Med J. 2010 Nov-Dec;103(10):314-6.
Journal:
Irish medical journal
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207591
PubMed ID:
21560506
Abstract:
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 physician's "gut feelings' are often correct in identifying patients who may benefit from primary hormone therapy.
Language:
eng
MeSH:
Aged; Breast Neoplasms/epidemiology/pathology/*therapy; Comorbidity; Decision Making; Female; Frail Elderly; Humans; *Physician's Practice Patterns
ISSN:
0332-3102 (Print); 0332-3102 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorPrichard, R Sen_GB
dc.contributor.authorHaren, Aen_GB
dc.contributor.authorEvoy, Den_GB
dc.contributor.authorMcDermott, Een_GB
dc.date.accessioned2012-02-01T10:32:17Z-
dc.date.available2012-02-01T10:32:17Z-
dc.date.issued2012-02-01T10:32:17Z-
dc.identifier.citationIr Med J. 2010 Nov-Dec;103(10):314-6.en_GB
dc.identifier.issn0332-3102 (Print)en_GB
dc.identifier.issn0332-3102 (Linking)en_GB
dc.identifier.pmid21560506en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207591-
dc.description.abstractThe 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 physician's "gut feelings' are often correct in identifying patients who may benefit from primary hormone therapy.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.meshBreast Neoplasms/epidemiology/pathology/*therapyen_GB
dc.subject.meshComorbidityen_GB
dc.subject.meshDecision Makingen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshFrail Elderlyen_GB
dc.subject.meshHumansen_GB
dc.subject.mesh*Physician's Practice Patternsen_GB
dc.titlePhysician's initial impression of elderly breast cancer patients allows appropriate treatment stratification despite lack of quantitative assessment.en_GB
dc.contributor.departmentSt Vincent's University Hospital, Elm Park, Dublin 4. ruthprichard@rcsi.ieen_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceLeinster-

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