Patient age is related to decision-making, treatment selection, and perceived quality of life in breast cancer survivors
Identifieur interne : 001928 ( Pmc/Checkpoint ); précédent : 001927; suivant : 001929Patient 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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<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>
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<pmc article-type="research-article" xml:lang="en"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Surg Oncol</journal-id>
<journal-id journal-id-type="iso-abbrev">World J Surg Oncol</journal-id>
<journal-title-group><journal-title>World Journal of Surgical Oncology</journal-title>
</journal-title-group>
<issn pub-type="epub">1477-7819</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25052797</article-id>
<article-id pub-id-type="pmc">4113127</article-id>
<article-id pub-id-type="publisher-id">1477-7819-12-230</article-id>
<article-id pub-id-type="doi">10.1186/1477-7819-12-230</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Patient age is related to decision-making, treatment selection, and perceived quality of life in breast cancer survivors</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes" equal-contrib="yes" id="A1"><name><surname>Sio</surname>
<given-names>Terence T</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<xref ref-type="aff" rid="I2">2</xref>
<email>Sio.Terence@mayo.edu</email>
</contrib>
<contrib contrib-type="author" equal-contrib="yes" id="A2"><name><surname>Chang</surname>
<given-names>Kenneth</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>kennethchang0@gmail.com</email>
</contrib>
<contrib contrib-type="author" id="A3"><name><surname>Jayakrishnan</surname>
<given-names>Ritujith</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>ritujith@gmail.com</email>
</contrib>
<contrib contrib-type="author" id="A4"><name><surname>Wu</surname>
<given-names>Difu</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>difuwu@gmail.com</email>
</contrib>
<contrib contrib-type="author" id="A5"><name><surname>Politi</surname>
<given-names>Mary</given-names>
</name>
<xref ref-type="aff" rid="I3">3</xref>
<email>politim@wudosis.wustl.edu</email>
</contrib>
<contrib contrib-type="author" id="A6"><name><surname>Malacarne</surname>
<given-names>Dominique</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>droseanna@gmail.com</email>
</contrib>
<contrib contrib-type="author" id="A7"><name><surname>Saletnik</surname>
<given-names>James</given-names>
</name>
<xref ref-type="aff" rid="I4">4</xref>
<email>Saletnik@cox.net</email>
</contrib>
<contrib contrib-type="author" id="A8"><name><surname>Chung</surname>
<given-names>Maureen</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<xref ref-type="aff" rid="I5">5</xref>
<email>m.chung@cox.net</email>
</contrib>
</contrib-group>
<aff id="I1"><label>1</label>
Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI, USA</aff>
<aff id="I2"><label>2</label>
Department of Radiation Oncology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA</aff>
<aff id="I3"><label>3</label>
Department of Surgery, Washington University, St. Louis, MO, USA</aff>
<aff id="I4"><label>4</label>
Taubman Center for Public Policy and American Institutions, Brown University, Providence, RI, USA</aff>
<aff id="I5"><label>5</label>
Margie and Robert E. Petersen Breast Cancer Research Program, John Wayne Cancer Institute at Saint John’s Health Center, Santa Monica, CA, USA</aff>
<pub-date pub-type="collection"><year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>22</day>
<month>7</month>
<year>2014</year>
</pub-date>
<volume>12</volume>
<fpage>230</fpage>
<lpage>230</lpage>
<history><date date-type="received"><day>22</day>
<month>11</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>4</day>
<month>7</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2014 Sio et al.; licensee BioMed Central Ltd.</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder>Sio et al.; licensee BioMed Central Ltd.</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<self-uri xlink:href="http://www.wjso.com/content/12/1/230"></self-uri>
<abstract><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>
</abstract>
<kwd-group><kwd>Breast cancer</kwd>
<kwd>Oncology</kwd>
<kwd>Age</kwd>
<kwd>Decision-making</kwd>
<kwd>Quality of life</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<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>
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