Patient age is related to decision-making, treatment selection, and perceived quality of life in breast cancer survivors

World Journal of Surgical Oncology

Maureen Chung⁵  James Saletnik⁴  Dominique Malacarne³  Mary Politi²  Difu Wu³  Ritujith Jayakrishnan¹  Kenneth Chang¹  Terence T Sio¹ 

[1] Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA;Department of Surgery, Washington University, St. Louis, MO, USA;Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI, USA;Taubman Center for Public Policy and American Institutions, Brown University, Providence, RI, USA;Margie and Robert E. Petersen Breast Cancer Research Program, John Wayne Cancer Institute at Saint John’s Health Center, Santa Monica, CA, USA

关键词: Quality of life;    Decision-making;    Age;    Oncology;    Breast cancer;   

Others  :  1148580
DOI  :  10.1186/1477-7819-12-230

 received in 2013-11-22, accepted in 2014-07-04,  发布年份 2014

【 摘 要 】

Background

Patients with breast cancer must choose among a variety of treatment options when first diagnosed. Patient age, independent of extent of disease, is also related to quality of life. This study examined the impact of patient age on treatment selected, factors influencing this selection, and perceived quality of life.

Methods

A 62-question survey evaluating breast cancer treatment and quality of life was mailed to breast cancer survivors. Responses were stratified by age (<50, 50-65, >65 years) and extent of disease.

Results

Of the 1,131 surveys mailed, 402 were included for analysis. There were 104, 179, and 119 women aged <50, 50-65, and >65 years, respectively. The median patient age was 58 years, and the average interval from diagnosis to survey participation was 31.5 months.

Conclusions

Young women were more likely to have undergone aggressive therapies and had better physical functioning than old women. Old patients reported good quality of life and body image. Clinicians should consider patient age when discussing breast cancer treatment options.

【 授权许可】

   
2014 Sio et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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