Non-standard management of breast cancer increases with age in the UK: a population based cohort of women > or =65 years.
Lavelle, K Todd, Chris Moran, Anthony Bundred, Nigel J Campbell, Malcolm
Lavelle, K
Todd, Chris
Moran, Anthony
Bundred, Nigel J
Campbell, Malcolm
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Abstract
Evidence suggests that compared to younger women, older women are less likely to receive standard management for breast cancer. Whether this disparity persists once differences in tumour characteristics have been adjusted for has not been investigated in the UK. A retrospective cohort study involving case note review was undertaken, based on the North Western Cancer Registry database of women aged > or =65 years, resident in Greater Manchester with invasive breast cancer registered over a 1-year period (n=480). Adjusting for tumour characteristics associated with age by logistic regression analyses, older women were less likely to receive standard management than younger women for all indicators investigated. Compared to women aged 65-69 years, women aged > or =80 years with operable (stage 1-3a) breast cancer have increased odds of not receiving triple assessment (OR=5.5, 95% confidence interval (CI): 2.1-14.5), not receiving primary surgery (OR=43.0, 95% CI: 9.7-191.3), not undergoing axillary node surgery (OR=27.6, 95% CI: 5.6-135.9) and not undergoing tests for steroid receptors (OR=3.0, 95% CI: 1.7-5.5). Women aged 75-79 years have increased odds of not receiving radiotherapy following breast-conserving surgery compared to women aged 65-69 years (OR=11.0, 95% CI: 2.0-61.6). These results demonstrate that older women in the UK are less likely to receive standard management for breast cancer, compared to younger women and this disparity cannot be explained by differences in tumour characteristics.
Description
Date
2007-04-23
Publisher
Collections
Keywords
Breast Cancer
Type
Article
Citation
Non-standard management of breast cancer increases with age in the UK: a population based cohort of women > or =65 years. 2007, 96 (8):1197-203 Br. J. Cancer