{"id":546036,"date":"2023-01-31T22:21:03","date_gmt":"2023-01-31T19:21:03","guid":{"rendered":"https:\/\/en.buradabiliyorum.com\/study-finds-large-gap-in-breast-cancer-treatment-recommendations-for-patients-aged-70-vs-69\/"},"modified":"2023-01-31T22:21:03","modified_gmt":"2023-01-31T19:21:03","slug":"study-finds-large-gap-in-breast-cancer-treatment-recommendations-for-patients-aged-70-vs-69","status":"publish","type":"post","link":"https:\/\/buradabiliyorum.com\/en\/study-finds-large-gap-in-breast-cancer-treatment-recommendations-for-patients-aged-70-vs-69\/","title":{"rendered":"#Study finds large gap in breast cancer treatment recommendations for patients aged 70 vs. 69"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_84 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6a25556562294\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #dd3333;color:#dd3333\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #dd3333;color:#dd3333\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6a25556562294\" checked aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/buradabiliyorum.com\/en\/study-finds-large-gap-in-breast-cancer-treatment-recommendations-for-patients-aged-70-vs-69\/#%E2%80%9CStudy_finds_large_gap_in_breast_cancer_treatment_recommendations_for_patients_aged_70_vs_69%E2%80%9D\" >&#8220;Study finds large gap in breast cancer treatment recommendations for patients aged 70 vs. 69&#8221;<\/a><\/li><\/ul><\/nav><\/div>\n<h1><span class=\"ez-toc-section\" id=\"%E2%80%9CStudy_finds_large_gap_in_breast_cancer_treatment_recommendations_for_patients_aged_70_vs_69%E2%80%9D\"><\/span>&#8220;Study finds large gap in breast cancer treatment recommendations for patients aged 70 vs. 69&#8221;<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<div>\n<div class=\"article-gallery lightGallery\">\n<div data-thumb=\"https:\/\/scx1.b-cdn.net\/csz\/news\/tmb\/2022\/breast-cancer-3.jpg\" data-src=\"https:\/\/scx2.b-cdn.net\/gfx\/news\/hires\/2022\/breast-cancer-3.jpg\" data-sub-html=\"Credit: Unsplash\/CC0 Public Domain\">\n<figure class=\"article-img\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/scx1.b-cdn.net\/csz\/news\/800a\/2022\/breast-cancer-3.jpg\" alt=\"breast cancer\" title=\"Credit: Unsplash\/CC0 Public Domain\" width=\"800\" height=\"530\"\/><figcaption class=\"text-darken text-low-up text-truncate-js text-truncate mt-3\">\n                Credit: Unsplash\/CC0 Public Domain<br \/>\n            <\/figcaption><\/figure>\n<\/div>\n<\/div>\n<p>Age-based heuristics can lead to large differences in breast cancer treatment based on small differences in chronologic age, according to a new analysis of more than 500,000 patient records.\n                                                <\/p>\n<p>Radiation therapy often is given after breast-conserving surgery to help prevent a patient&#8217;s cancer from returning. While post-surgical radiation may be omitted for certain patients with early-stage breast cancer\u2014including older patients with lower-risk disease\u2014it remains standard-of-care for patients with a higher risk of cancer recurrence.<\/p>\n<p>In this analysis of nationwide data, however, researchers found that patients in this higher-risk subset who were age 70 at the time of diagnosis &#8220;were nearly twice as likely to be passed over for radiation&#8221; as those age 69.<\/p>\n<p>Patients diagnosed at age 70 were 53% less likely to be recommended post-operative radiation and 39% less likely to receive it, compared to patients age 69. There were no similar gaps between other year-over-year age groups (68 vs. 69, 70 vs. 71, etc.). The study, which is published in the <i>International Journal of Radiation Oncology<\/i><i>\u2022Biology<\/i><i>\u2022Physics<\/i>, is among &#8220;the first to demonstrate an age cutoff heuristic in oncology.&#8221;<\/p>\n<p>&#8220;Our findings suggest that cognitive heuristics, or &#8216;rules of thumb,&#8217; play a greater role in physician decision-making than we previously realized. It&#8217;s important that we center individual patients, with the unique characteristics of their cancer, as well as their individual preferences, in treatment decisions,&#8221; said Suzanne B. Evans, MD, MPH, FASTRO, senior author of the study and a professor of therapeutic radiology at Yale Cancer Center.<\/p>\n<p>&#8220;While we would expect recommendations for this treatment to decline gradually as expected lifespan shortens, there seems to be a steep cliff when a patient moves from their 60s to their 70s. In breast oncology, physicians seem to anchor on a patient entering their 70s as a signal to de-escalate care, even in situations where evidence does not support this practice,&#8221; said Wesley J. Talcott, MD, MBA, lead author of the study and a radiation oncologist with Northwell Health.<\/p>\n<p>&#8220;Our study indicates that physicians should be mindful of how we factor age into treatment decisions and adopt a more nuanced <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/download-scripts-themes-apps\/\" data-internallinksmanager029f6b8e52c=\"9\" title=\"Download Scripts &amp; Themes &amp; Apps\" target=\"_blank\" rel=\"noopener\">app<\/a>roach, extending beyond defining patients as simply &#8216;young&#8217; or &#8216;elderly.'&#8221;<\/p>\n<div class=\"article-main__more p-4\">\n<p><strong>More information:<\/strong><br \/>\n                                                    Aging a Decade in a Day: Age cutoff bias in adjuvant therapy allocation for early-stage breast cancer, <i>International Journal of Radiation Oncology*Biology*Physics<\/i> (2023). <a rel=\"nofollow noopener\" target=\"_blank\" data-doi=\"1\" href=\"https:\/\/dx.doi.org\/10.1016\/j.ijrobp.2022.12.057\">DOI: 10.1016\/j.ijrobp.2022.12.057<\/a><\/p><\/div>\n<div class=\"d-inline-block text-medium my-4\">\n                                                Provided by<br \/>\n                                                                                                    American Society for Radiation Oncology<br \/>\n                                                                                                        <a rel=\"nofollow noopener\" target=\"_blank\" class=\"icon_open\" href=\"http:\/\/www.astro.org\/\"><br \/>\n                                                        <svg><use href=\"https:\/\/medx.b-cdn.net\/tmpl\/v6\/img\/svg\/sprite.svg#icon_open\" x=\"0\" y=\"0\"\/><\/svg><\/a><\/p><\/div>\n<p>                                        <!-- print only --><\/p>\n<div class=\"d-none d-print-block\">\n<p>                                                 <strong>Citation<\/strong>:<br \/>\n                                                 Study finds large gap in breast cancer treatment recommendations for patients aged 70 vs. 69 (2023, January 31)<br \/>\n                                                 retrieved 31 January 2023<br \/>\n                                                 from https:\/\/medicalxpress.com\/<a href=\"https:\/\/buradabiliyorum.com\/en\/category\/news\/\" data-internallinksmanager029f6b8e52c=\"2\" title=\"News\" target=\"_blank\" rel=\"noopener\">news<\/a>\/2023-01-large-gap-breast-cancer-treatment.html<\/p>\n<p>                                            This document is subject to copyright. 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