Breast Cancer in the Elderly: Retrospective Study on Diagnosis and Treatment According to National Guidelines
: We set out to investigate the level of accordance of diagnosis and treatment of elderly breast cancer patients with national guidelines and to study predictors of deviation. Data on patient and tumor variables were collected from charts of 166 patients aged 70 years and older, diagnosed at our ho...
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| Veröffentlicht in: | The breast journal 2009-01, Vol.15 (1), p.26-33 |
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| container_end_page | 33 |
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| container_title | The breast journal |
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| creator | Hamaker, Marije E. Schreurs, W. H. Uppelschoten, Jeroen M. Smorenburg, Carolien H. |
| description | : We set out to investigate the level of accordance of diagnosis and treatment of elderly breast cancer patients with national guidelines and to study predictors of deviation. Data on patient and tumor variables were collected from charts of 166 patients aged 70 years and older, diagnosed at our hospital in 2002–2004. Diagnostic work‐up and treatment were compared with guidelines and reasons for deviation were recorded; 122 (74%) patients were diagnosed and treated in accordance with guidelines. Diagnosis was incomplete in 19 patients (11%). Surgery, radiotherapy, and hormonal therapy were withheld in 19 (11%), 11 (7%), and 9 (5%) patients, respectively. Guideline deviation was motivated in 18 patients (11%) (comorbidity n = 11, patients’ preferences n = 5, age n = 2), unmotivated in 18 (11%), and undeliberate in 8 (5%). Our study demonstrates that deviation from guidelines in elderly breast cancer patients mainly occurs due to a deliberate adjustment to patient’s comorbidity and preference. |
| doi_str_mv | 10.1111/j.1524-4741.2008.00667.x |
| format | Article |
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Guideline deviation was motivated in 18 patients (11%) (comorbidity n = 11, patients’ preferences n = 5, age n = 2), unmotivated in 18 (11%), and undeliberate in 8 (5%). 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H.</creatorcontrib><creatorcontrib>Uppelschoten, Jeroen M.</creatorcontrib><creatorcontrib>Smorenburg, Carolien H.</creatorcontrib><title>Breast Cancer in the Elderly: Retrospective Study on Diagnosis and Treatment According to National Guidelines</title><title>The breast journal</title><addtitle>Breast J</addtitle><description>: We set out to investigate the level of accordance of diagnosis and treatment of elderly breast cancer patients with national guidelines and to study predictors of deviation. Data on patient and tumor variables were collected from charts of 166 patients aged 70 years and older, diagnosed at our hospital in 2002–2004. Diagnostic work‐up and treatment were compared with guidelines and reasons for deviation were recorded; 122 (74%) patients were diagnosed and treated in accordance with guidelines. Diagnosis was incomplete in 19 patients (11%). Surgery, radiotherapy, and hormonal therapy were withheld in 19 (11%), 11 (7%), and 9 (5%) patients, respectively. Guideline deviation was motivated in 18 patients (11%) (comorbidity n = 11, patients’ preferences n = 5, age n = 2), unmotivated in 18 (11%), and undeliberate in 8 (5%). Our study demonstrates that deviation from guidelines in elderly breast cancer patients mainly occurs due to a deliberate adjustment to patient’s comorbidity and preference.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>breast cancer</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - mortality</subject><subject>Breast Neoplasms - therapy</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>diagnosis</subject><subject>elderly</subject><subject>Female</subject><subject>guidelines</subject><subject>Humans</subject><subject>Practice Guidelines as Topic</subject><subject>Retrospective Studies</subject><subject>treatment</subject><issn>1075-122X</issn><issn>1524-4741</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1v1DAQhi0EoqXwF5BP3BJsx84H4tLudretqiKVRVRcLCeeFC-Js7Ud2P33dbqrcq0vHmneZ8Z-EMKUpDSez-uUCsYTXnCaMkLKlJA8L9LtK3T83Hgda1KIhDJ2d4Teeb8mhLCK8LfoiFaUU5rRY9SfOVA-4JmyDThsLA6_AZ93Gly3-4JvIbjBb6AJ5i_g72HUOzxYPDfq3g7eeKysxqs4IvRgAz5tmsFpY-9xGPCNCmawqsPL0WjojAX_Hr1pVefhw-E-QT8W56vZRXL9bXk5O71OGk54kVR5W4mc5iojGa9FW8aHc9VmjdAV0IpBVtQlLakua1ID0yBEwQifIN3yvM1O0Kf93I0bHkbwQfbGN9B1ysIwepnnJc1YmcVguQ828ZveQSs3zvTK7SQlclIt13IyKiejclItn1TLbUQ_HnaMdQ_6P3hwGwNf94F_poPdiwfL1dlVLCKe7HHjA2yfceX-yNgthPx5s5Tz-a_FQtzeyVn2COtDnAM</recordid><startdate>200901</startdate><enddate>200901</enddate><creator>Hamaker, Marije E.</creator><creator>Schreurs, W. H.</creator><creator>Uppelschoten, Jeroen M.</creator><creator>Smorenburg, Carolien H.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200901</creationdate><title>Breast Cancer in the Elderly: Retrospective Study on Diagnosis and Treatment According to National Guidelines</title><author>Hamaker, Marije E. ; Schreurs, W. H. ; Uppelschoten, Jeroen M. ; Smorenburg, Carolien H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4047-96f95616a3034b5f80024af3c5d9e192e37b8181d8b0be2de557204f956df46f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>breast cancer</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Breast Neoplasms - mortality</topic><topic>Breast Neoplasms - therapy</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>diagnosis</topic><topic>elderly</topic><topic>Female</topic><topic>guidelines</topic><topic>Humans</topic><topic>Practice Guidelines as Topic</topic><topic>Retrospective Studies</topic><topic>treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hamaker, Marije E.</creatorcontrib><creatorcontrib>Schreurs, W. H.</creatorcontrib><creatorcontrib>Uppelschoten, Jeroen M.</creatorcontrib><creatorcontrib>Smorenburg, Carolien H.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The breast journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hamaker, Marije E.</au><au>Schreurs, W. 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Diagnostic work‐up and treatment were compared with guidelines and reasons for deviation were recorded; 122 (74%) patients were diagnosed and treated in accordance with guidelines. Diagnosis was incomplete in 19 patients (11%). Surgery, radiotherapy, and hormonal therapy were withheld in 19 (11%), 11 (7%), and 9 (5%) patients, respectively. Guideline deviation was motivated in 18 patients (11%) (comorbidity n = 11, patients’ preferences n = 5, age n = 2), unmotivated in 18 (11%), and undeliberate in 8 (5%). Our study demonstrates that deviation from guidelines in elderly breast cancer patients mainly occurs due to a deliberate adjustment to patient’s comorbidity and preference.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19141131</pmid><doi>10.1111/j.1524-4741.2008.00667.x</doi><tpages>8</tpages></addata></record> |
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| ispartof | The breast journal, 2009-01, Vol.15 (1), p.26-33 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Age Factors Aged Aged, 80 and over breast cancer Breast Neoplasms - diagnosis Breast Neoplasms - mortality Breast Neoplasms - therapy Cohort Studies Comorbidity diagnosis elderly Female guidelines Humans Practice Guidelines as Topic Retrospective Studies treatment |
| title | Breast Cancer in the Elderly: Retrospective Study on Diagnosis and Treatment According to National Guidelines |
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