Implementation of an Oncogeriatric Unit for Frail Older Patients with Breast Cancer: Preliminary Results
2024

Oncogeriatric Unit for Older Patients with Breast Cancer

Sample size: 123 publication Evidence: moderate

Author Information

Author(s): Hipólito-Reis Helena, Santos Joana, Almeida Paulo, Teixeira Luciana, Rodrigues Fernando, Tavares Nuno Teixeira, Rodrigues Darlene, Almeida Jorge, Osório Fernando

Primary Institution: São João University Hospital

Hypothesis

This study aims to characterize frail older adults (≥70 years) with breast cancer based on a comprehensive geriatric assessment to guide individualized treatment decision-making.

Conclusion

The comprehensive oncogeriatric strategy promotes personalized oncologic treatment, improves outcomes by addressing frailty, and enhances treatment tolerability in older patients with breast cancer.

Supporting Evidence

  • Most patients had functional dependence, with 69.9% showing moderate-to-total dependence in daily activities.
  • 76.4% of patients had a moderate-to-high risk of falling.
  • 55.3% of cases led to adapted treatment based on prehabilitation strategies.

Takeaway

This study helps older people with breast cancer get the right treatment by looking at their overall health and needs, making sure they get the best care possible.

Methodology

A descriptive analysis of older adults with breast cancer treated from January 2021 to December 2022 was performed using anonymized electronic medical records.

Potential Biases

The study may not represent all older cancer patients as it focuses only on frail and vulnerable patients.

Limitations

The study only includes patients with breast cancer, primarily women, and lacks systematic assessment of quality of life.

Participant Demographics

99.2% of participants were women, with a mean age of 84.0 years.

Digital Object Identifier (DOI)

10.3390/curroncol31120575

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