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Does Breast Cancer Surgery Impact Functional Status and Independence in Older Patients? A Narrative Review

Does Breast Cancer Surgery Impact Functional Status and Independence in Older Patients? A... Surgery is the recommended treatment modality for primary breast cancer. Breast cancer surgery is non-visceral; therefore, it is often assumed that the subsequent impact on functional status in older women is less significant compared to other cancer types such as colorectal cancer. Evidence for this however, is lacking. The definition of functional status varies amongst healthcare professionals and patients, making comparisons between studies difficult. From the literature, the two most common themes in relation to functional status following breast cancer surgery are activities of daily living and quality of life. Both of these elements of functional status are adversely impacted in patients following breast cancer surgery. A more significant decline is seen in patients with pre-existing comorbidities and with greater intensity of surgery, which includes more invasive breast and/or axillary surgery as well as additional reconstructive procedures. Identifying and optimising pre-existing factors which may predict post-operative decline in functional status, such as cognitive impairment and deteriorating functional decline over the preceding year, may help in reducing deterioration in functional status after breast cancer surgery. Methods which may be employed to detect and optimise these factors include geriatric assessment and exercise intervention. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Oncology and Therapy Springer Journals

Does Breast Cancer Surgery Impact Functional Status and Independence in Older Patients? A Narrative Review

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Publisher
Springer Journals
Copyright
Copyright © The Author(s) 2021
ISSN
2366-1070
eISSN
2366-1089
DOI
10.1007/s40487-021-00170-4
Publisher site
See Article on Publisher Site

Abstract

Surgery is the recommended treatment modality for primary breast cancer. Breast cancer surgery is non-visceral; therefore, it is often assumed that the subsequent impact on functional status in older women is less significant compared to other cancer types such as colorectal cancer. Evidence for this however, is lacking. The definition of functional status varies amongst healthcare professionals and patients, making comparisons between studies difficult. From the literature, the two most common themes in relation to functional status following breast cancer surgery are activities of daily living and quality of life. Both of these elements of functional status are adversely impacted in patients following breast cancer surgery. A more significant decline is seen in patients with pre-existing comorbidities and with greater intensity of surgery, which includes more invasive breast and/or axillary surgery as well as additional reconstructive procedures. Identifying and optimising pre-existing factors which may predict post-operative decline in functional status, such as cognitive impairment and deteriorating functional decline over the preceding year, may help in reducing deterioration in functional status after breast cancer surgery. Methods which may be employed to detect and optimise these factors include geriatric assessment and exercise intervention.

Journal

Oncology and Therapy – Springer Journals

Published: Dec 1, 2021

Keywords: Activities of Daily Living; Breast Cancer; Functional Status; Older Women; Quality of Life; Surgery

References

  • Bridging the age gap in breast cancer. Impacts of omission of breast cancer surgery in older women with oestrogen receptor positive early breast cancer. A risk stratified analysis of survival outcomes and quality of life
    Wyld, L; Reed, MWR; Morgan, J; Collins, K; Ward, S; Holmes, GR; Bradburn, M; Walters, S; Burton, M; Herbert, E; Lifford, K; Edwards, A; Ring, A; Robinson, T; Martin, C; Chater, T; Pemberton, K; Shrestha, A; Brennan, A; Cheung, KL; Todd, A; Audisio, R; Wright, J; Simcock, R; Green, T; Revell, D; Gath, J; Horgan, K; Holcombe, C; Winter, M; Naik, J; Parmeshwar, R; Patnick, J; Gosney, M; Hatton, M; Thomson, AM
  • Updated recommendations regarding the management of older patients with breast cancer: a joint paper from the European Society of Breast Cancer Specialists (EUSOMA) and the International Society of Geriatric Oncology (SIOG)
    Biganzoli, L; Battisti, N; Wildiers, H; McCartney, A; Colloca, G; Kunkler, I
  • The assessment and management of older cancer patients: a SIOG surgical task force survey on surgeons' attitudes
    Ghignone, F; van Leeuwen, B; Montroni, I; Huisman, M; Somasundar, P; Cheung, K
  • Factors associated with functional decline in elderly female breast cancer patients in Appalachia
    Singh, R; Ansinelli, H; Katz, H; Jafri, H; Gress, T; Tirona, MT
  • The impact of breast cancer surgery on functional status in older womens—a systematic review of the literature
    Harrison, CA; Parks, R; Cheung, KL
  • Functional status declines among cancer survivors: trajectory and contributing factors
    Petrick, JL; Reeve, BB; Kucharska-Newton, AM; Foraker, RE; Platz, EA; Stearns, SC
  • Frailty indicators and functional status in older patients after colorectal cancer surgery
    Rønning, B; Wyller, TB; Jordhøy, MS; Nesbakken, A; Bakka, A; Seljeflot, I
  • Functional status and survival after breast cancer surgery in nursing home residents
    Tang, V; Zhao, S; Boscardin, J; Sudore, R; Covinsky, K; Walter, LC
  • Sequelae of axillary lymph node dissection in older women with stage 1 and 2 breast carcinoma
    Mandelblatt, JS; Edge, SB; Meropol, NJ; Senie, R; Tsangaris, T; Grey, L
  • Breast reconstruction in the elderly: preserving excellent quality of life
    Girotto, JA; Schreiber, J; Nahabedian, MY
  • Functional status decline in older patients with breast and colorectal cancer after cancer treatment: a prospective cohort study
    van Abbema, D; van Vuuren, A; van den Berkmortel, F; van den Akker, M; Deckx, L; Buntinx, F
  • Bridging the age gap in breast cancer: evaluation of decision support interventions for older women with operable breast cancer: protocol for a cluster randomised controlled trial
    Collins, K; Reed, M; Lifford, K
  • Breast cancer surgery in older women: outcomes of the Bridging Age Gap in Breast Cancer study
    Morgan, JL; George, J; Holmes, G; Martin, C; Reed, MWR; Ward, S; Walters, SJ; Leung Cheung, K; Audisio, RA; Wyld, L
  • Bridging the age gap in breast cancer: cluster randomized trial of two decision support interventions for older women with operable breast cancer on quality of life, survival, decision quality, and treatment choices
    Wyld, L; Reed, M; Collins, K; Burton, M; Lifford, K; Edwards, A
  • The potential value of comprehensive geriatric assessment in evaluating older women with primary operable breast cancer undergoing surgery or non-operative treatment—a pilot study
    Parks, R; Hall, L; Tang, S; Howard, P; Lakshmanan, R; Winterbottom, L
  • Developing a cancer-specific geriatric assessment: a feasibility study
    Hurria, A; Gupta, S; Zauderer, M; Zuckerman, EL; Cohen, HJ; Muss, H
  • Impact of breast cancer surgery on functional status and independence
    Parks, R
  • Screening tools for multidimensional health problems warranting a geriatric assessment in older cancer patients: an update on SIOG recommendations
    Decoster, L; Van Puyvelde, K; Mohile, S; Wedding, U; Basso, U; Colloca, G
  • Effects of a physical activity programme to prevent physical performance decline in onco-geriatric patients: a randomized multicentre trial
    Arrieta, H; Astrugue, C; Regueme, S; Durrieu, J; Maillard, A; Rieger, A; Terrebonne, E; Laurent, C; Maget, B; Servent, V; Lavau-Denès, S; Dauba, J; Fonck, M; Thiébaut, R; Bourdel-Marchasson, I
  • A randomized trial of exercise on well-being and function following breast cancer surgery: the RESTORE trial
    Anderson, RT; Kimmick, GG; McCoy, TP; Hopkins, J; Levine, E; Miller, G; Ribisl, P; Mihalko, SL