The G8 frailty screening tool and the decision‐making process in older breast cancer patients

Objective To assess the decision‐making process in fit and frail older breast cancer patients. Methods Breast cancer patients aged ≥70 years who completed the G8 frailty screening tool (G8) were included in this retrospective study. Socio‐demographic and clinical characteristics were collected, as w...

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Bibliographic Details
Published in:European journal of cancer care 2021-01, Vol.30 (1), p.e13357-n/a
Main Authors: Scheepers, Ellen R. M., Molen, Loes F., Bos, Frederiek, Burgmans, Josephine P., Huis‐Tanja, Lieke H., Hamaker, Marije E.
Format: Article
Language:English
Subjects:
aged
Breast cancer
Clinical decision making
Cognitive ability
Decision making
Decisions
Frailty
geriatric assessment
Guidelines
Life expectancy
Life span
Mortality
Nursing
Patients
Surgery
Survival
Survival analysis
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Summary:Objective To assess the decision‐making process in fit and frail older breast cancer patients. Methods Breast cancer patients aged ≥70 years who completed the G8 frailty screening tool (G8) were included in this retrospective study. Socio‐demographic and clinical characteristics were collected, as well as information from geriatric assessment (GA). Treatment decisions were compared with national guidelines. Results Of 177 patients, 85 patients were considered fit by the G8 (G8‐fit) and 92 patients frail (G8‐frail). All G8‐fit and 53 G8‐frail were proposed for surgery. GA was performed in 34 patients (9 G8‐fit; 25 G8‐frail) of whom 16 (2 G8‐fit;14 G8‐frail) were considered frail (GA‐frail). 28 out of these 34 patients were considered fit for surgery (including 11 GA‐frail); their impairments were unlikely to interfere with surgery or life expectancy. Reasons for adjusting treatment were physical/cognitive condition and patient preference. Ultimately, 123 patients underwent surgery in accordance with guidelines (81 G8‐fit;42 G8‐frail, p 
ISSN:0961-5423
1365-2354
DOI:10.1111/ecc.13357