Patient age is related to decision-making, treatment selection, and perceived quality of life in breast cancer survivors
Identifieur interne : 006885 ( Ncbi/Checkpoint ); précédent : 006884; suivant : 006886Patient age is related to decision-making, treatment selection, and perceived quality of life in breast cancer survivors
Auteurs : Terence T. Sio [États-Unis] ; Kenneth Chang [États-Unis] ; Ritujith Jayakrishnan [États-Unis] ; Difu Wu [États-Unis] ; Mary Politi [États-Unis] ; Dominique Malacarne [États-Unis] ; James Saletnik [États-Unis] ; Maureen Chung [États-Unis]Source :
- World Journal of Surgical Oncology [ 1477-7819 ] ; 2014.
Abstract
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.
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.
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.
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.
Url:
DOI: 10.1186/1477-7819-12-230
PubMed: 25052797
PubMed Central: 4113127
Affiliations:
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Sio</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI</wicri:regionArea><wicri:noRegion>RI</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905</wicri:regionArea><wicri:noRegion>MN 55905</wicri:noRegion></affiliation></author><author><name sortKey="Chang, Kenneth" sort="Chang, Kenneth" uniqKey="Chang K" first="Kenneth" last="Chang">Kenneth Chang</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905</wicri:regionArea><wicri:noRegion>MN 55905</wicri:noRegion></affiliation></author><author><name sortKey="Jayakrishnan, Ritujith" sort="Jayakrishnan, Ritujith" uniqKey="Jayakrishnan R" first="Ritujith" last="Jayakrishnan">Ritujith Jayakrishnan</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905</wicri:regionArea><wicri:noRegion>MN 55905</wicri:noRegion></affiliation></author><author><name sortKey="Wu, Difu" sort="Wu, Difu" uniqKey="Wu D" first="Difu" last="Wu">Difu Wu</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI</wicri:regionArea><wicri:noRegion>RI</wicri:noRegion></affiliation></author><author><name sortKey="Politi, Mary" sort="Politi, Mary" uniqKey="Politi M" first="Mary" last="Politi">Mary Politi</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Surgery, Washington University, St. Louis, MO, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Washington University, St. Louis, MO</wicri:regionArea><wicri:noRegion>MO</wicri:noRegion></affiliation></author><author><name sortKey="Malacarne, Dominique" sort="Malacarne, Dominique" uniqKey="Malacarne D" first="Dominique" last="Malacarne">Dominique Malacarne</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI</wicri:regionArea><wicri:noRegion>RI</wicri:noRegion></affiliation></author><author><name sortKey="Saletnik, James" sort="Saletnik, James" uniqKey="Saletnik J" first="James" last="Saletnik">James Saletnik</name><affiliation wicri:level="4"><nlm:aff id="I4">Taubman Center for Public Policy and American Institutions, Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Taubman Center for Public Policy and American Institutions, Brown University, Providence, RI</wicri:regionArea><orgName type="university">Université Brown</orgName><placeName><settlement type="city">Providence (Rhode Island)</settlement><region type="state">Rhode Island</region></placeName></affiliation></author><author><name sortKey="Chung, Maureen" sort="Chung, Maureen" uniqKey="Chung M" first="Maureen" last="Chung">Maureen Chung</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI</wicri:regionArea><wicri:noRegion>RI</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I5">Margie and Robert E. Petersen Breast Cancer Research Program, John Wayne Cancer Institute at Saint John’s Health Center, Santa Monica, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Margie and Robert E. Petersen Breast Cancer Research Program, John Wayne Cancer Institute at Saint John’s Health Center, Santa Monica, CA</wicri:regionArea><wicri:noRegion>CA</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25052797</idno><idno type="pmc">4113127</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4113127</idno><idno type="RBID">PMC:4113127</idno><idno type="doi">10.1186/1477-7819-12-230</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002B50</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002B50</idno><idno type="wicri:Area/Pmc/Curation">002B49</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002B49</idno><idno type="wicri:Area/Pmc/Checkpoint">001928</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001928</idno><idno type="wicri:Area/Ncbi/Merge">006885</idno><idno type="wicri:Area/Ncbi/Curation">006885</idno><idno type="wicri:Area/Ncbi/Checkpoint">006885</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Patient age is related to decision-making, treatment selection, and perceived quality of life in breast cancer survivors</title><author><name sortKey="Sio, Terence T" sort="Sio, Terence T" uniqKey="Sio T" first="Terence T" last="Sio">Terence T. Sio</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI</wicri:regionArea><wicri:noRegion>RI</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905</wicri:regionArea><wicri:noRegion>MN 55905</wicri:noRegion></affiliation></author><author><name sortKey="Chang, Kenneth" sort="Chang, Kenneth" uniqKey="Chang K" first="Kenneth" last="Chang">Kenneth Chang</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905</wicri:regionArea><wicri:noRegion>MN 55905</wicri:noRegion></affiliation></author><author><name sortKey="Jayakrishnan, Ritujith" sort="Jayakrishnan, Ritujith" uniqKey="Jayakrishnan R" first="Ritujith" last="Jayakrishnan">Ritujith Jayakrishnan</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905</wicri:regionArea><wicri:noRegion>MN 55905</wicri:noRegion></affiliation></author><author><name sortKey="Wu, Difu" sort="Wu, Difu" uniqKey="Wu D" first="Difu" last="Wu">Difu Wu</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI</wicri:regionArea><wicri:noRegion>RI</wicri:noRegion></affiliation></author><author><name sortKey="Politi, Mary" sort="Politi, Mary" uniqKey="Politi M" first="Mary" last="Politi">Mary Politi</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Surgery, Washington University, St. Louis, MO, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Washington University, St. Louis, MO</wicri:regionArea><wicri:noRegion>MO</wicri:noRegion></affiliation></author><author><name sortKey="Malacarne, Dominique" sort="Malacarne, Dominique" uniqKey="Malacarne D" first="Dominique" last="Malacarne">Dominique Malacarne</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI</wicri:regionArea><wicri:noRegion>RI</wicri:noRegion></affiliation></author><author><name sortKey="Saletnik, James" sort="Saletnik, James" uniqKey="Saletnik J" first="James" last="Saletnik">James Saletnik</name><affiliation wicri:level="4"><nlm:aff id="I4">Taubman Center for Public Policy and American Institutions, Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Taubman Center for Public Policy and American Institutions, Brown University, Providence, RI</wicri:regionArea><orgName type="university">Université Brown</orgName><placeName><settlement type="city">Providence (Rhode Island)</settlement><region type="state">Rhode Island</region></placeName></affiliation></author><author><name sortKey="Chung, Maureen" sort="Chung, Maureen" uniqKey="Chung M" first="Maureen" last="Chung">Maureen Chung</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI</wicri:regionArea><wicri:noRegion>RI</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I5">Margie and Robert E. Petersen Breast Cancer Research Program, John Wayne Cancer Institute at Saint John’s Health Center, Santa Monica, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Margie and Robert E. Petersen Breast Cancer Research Program, John Wayne Cancer Institute at Saint John’s Health Center, Santa Monica, CA</wicri:regionArea><wicri:noRegion>CA</wicri:noRegion></affiliation></author></analytic><series><title level="j">World Journal of Surgical Oncology</title><idno type="eISSN">1477-7819</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>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.</p></sec><sec><title>Methods</title><p>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.</p></sec><sec><title>Results</title><p>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.</p></sec><sec><title>Conclusions</title><p>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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Siegel, R" uniqKey="Siegel R">R Siegel</name></author><author><name sortKey="Ward, E" uniqKey="Ward E">E Ward</name></author><author><name sortKey="Brawley, O" uniqKey="Brawley O">O Brawley</name></author><author><name sortKey="Jemal, A" uniqKey="Jemal A">A Jemal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Petrisek, Ac" uniqKey="Petrisek A">AC Petrisek</name></author><author><name sortKey="Laliberte, Ll" uniqKey="Laliberte L">LL Laliberte</name></author><author><name sortKey="Allen, Sm" uniqKey="Allen S">SM Allen</name></author><author><name sortKey="Mor, V" uniqKey="Mor V">V Mor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bleicher, Rj" uniqKey="Bleicher R">RJ Bleicher</name></author><author><name 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Ganz</name></author><author><name sortKey="Rowland, Jh" uniqKey="Rowland J">JH Rowland</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Rhode Island</li></region><settlement><li>Providence (Rhode Island)</li></settlement><orgName><li>Université Brown</li></orgName></list><tree><country name="États-Unis"><noRegion><name sortKey="Sio, Terence T" sort="Sio, Terence T" uniqKey="Sio T" first="Terence T" last="Sio">Terence T. Sio</name></noRegion><name sortKey="Chang, Kenneth" sort="Chang, Kenneth" uniqKey="Chang K" first="Kenneth" last="Chang">Kenneth Chang</name><name sortKey="Chung, Maureen" sort="Chung, Maureen" uniqKey="Chung M" first="Maureen" last="Chung">Maureen Chung</name><name sortKey="Chung, Maureen" sort="Chung, Maureen" uniqKey="Chung M" first="Maureen" last="Chung">Maureen Chung</name><name sortKey="Jayakrishnan, Ritujith" sort="Jayakrishnan, Ritujith" uniqKey="Jayakrishnan R" first="Ritujith" last="Jayakrishnan">Ritujith Jayakrishnan</name><name sortKey="Malacarne, Dominique" sort="Malacarne, Dominique" uniqKey="Malacarne D" first="Dominique" last="Malacarne">Dominique Malacarne</name><name sortKey="Politi, Mary" sort="Politi, Mary" uniqKey="Politi M" first="Mary" last="Politi">Mary Politi</name><name sortKey="Saletnik, James" sort="Saletnik, James" uniqKey="Saletnik J" first="James" last="Saletnik">James Saletnik</name><name sortKey="Sio, Terence T" sort="Sio, Terence T" uniqKey="Sio T" first="Terence T" last="Sio">Terence T. Sio</name><name sortKey="Wu, Difu" sort="Wu, Difu" uniqKey="Wu D" first="Difu" last="Wu">Difu Wu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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