ArticlePsycho-oncology2015
Why are older women not having surgery for breast cancer? A qualitative study.
Article in Psycho-oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Older women's experience with breast cancer treatment: A systematic review of qualitative literature.Breast (Edinburgh, Scotland) · 2020Pooled it
- Living with and beyond cancer with comorbid illness: a qualitative systematic review and evidence synthesis.Journal of cancer survivorship : research and practice · 2019Pooled it
- Acceptance and results of cryoablation for the treatment of early breast cancer in non-surgical patients.The British journal of radiology · 2024Article
- Omission of surgery, primary endocrine therapy adherence, and effect of comorbidity in older women with estrogen receptor positive breast cancer.Journal of geriatric oncology · 2024Article
- Impact of diabetes on surgery and radiotherapy for breast cancer.Breast cancer research and treatment · 2023Article
- Evaluation of overall survival and barriers to surgery for patients with breast cancer treated without surgery: a National Cancer Database analysis.NPJ breast cancer · 2021Article
- The Relationship of Age and Postoperative Pain in Women after Surgery for Breast Cancer.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2018Article
- Why are older women not having surgery for breast cancer? A qualitative study.Psycho-oncology · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveSurgery is the mainstay of treatment for breast cancer. However, there is evidence that older women are not receiving this treatment. This study explores reasons why older women are not having surgery.
methodsTwenty eight in-depth interviews were conducted with women over 70 years old with operable breast cancer receiving primary endocrine therapy (PET) as their primary treatment. The interviews focused on their perceptions of why they were being treated with PET rather than surgery. Transcripts were analysed using the Framework method.
resultsBased on reasons for PET, patients were divided into three groups: 'Patient Declined', 'Patient Considered' or 'Surgeon Decided'. The first group 'Patient Declined' absolutely ruled out surgery to treat their breast cancer. These patients were not interested in maximising their survival and rejected surgery citing their age or concerns about impact of treatment on their level of functioning. The second group 'Patient Considered' considered surgery but chose to have PET most specifying if PET failed then they could have the operation. Patients viewed this as offering them two options of treatment. The third group 'Surgeon Decided' was started by the surgeon on PET. These patients had comorbidities and in most cases the surgeon asserted that the comorbidities were incompatible with surgery.
conclusionsOlder women represent a diverse group and have multifaceted reasons for foregoing surgery. Discussions about breast cancer treatment should be patient centred and adapted to differing patient priorities.
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