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Erschienen in: Supportive Care in Cancer 4/2022

25.10.2021 | Review Article

The prevalence of frailty among breast cancer patients: a systematic review and meta-analysis

verfasst von: Shurui Wang, Ting Yang, Wanmin Qiang, Aomei Shen, Zihan Zhao, Huili Yang, Xiaofeng Liu

Erschienen in: Supportive Care in Cancer | Ausgabe 4/2022

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Abstract

Purpose

Coexistence of frailty and breast cancer (BC) is related to a higher risk of hospitalization, mortality, and falls. Given the potential reversibility of frailty, investigating its epidemiology in BC is of great importance. However, estimates of the prevalence of frailty in BC patients vary considerably. We synthesized the existing body of literature on the prevalence of frailty among BC patients.

Methods

We searched English databases (Cochrane Library, PubMed, Medline, CINAHL, Embase, Scopus, and Web of Science) and Chinese databases (CNKI, WanFang, CBM, and VIP database) from the inception to April 15, 2021, and collected observational studies about the prevalence of frailty among BC patients. The robustness of the pooled estimates was validated by analysis of different subgroups, meta-regression, and sensitivity. All data were analyzed using Stata 15.1.

Results

In total, 4645 articles were screened and data from 24 studies involving 13,510 subjects were used in the meta-analysis. The prevalence of frailty among BC patients in individual studies varied from 5 to 71%. The pooled prevalence of frailty was 43% (95% confidence intervals (CI): 36% to 50%, I2 = 98.4%, P < 0.05). Subgroup analyses revealed that the therapeutic method, frailty scales, age, frailty stage, regions, publication years, and study quality were associated with the prevalence of frailty among BC patients.

Conclusions

The prevalence of frailty among BC patients was relatively high, and the conditions of BC treatment can increase the risk of frailty. Understanding the effects of frailty on BC, especially in elderly patients, can provide the healthcare personnel with the theoretical basis for patients’ management and treatment.
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Literatur
6.
Zurück zum Zitat Sanoff HK, Deal AM, Krishnamurthy J, Torrice C, Dillon P, Sorrentino J, Ibrahim JG, Jolly TA, Williams G, Carey LA, Drobish A, Gordon BB, Alston S, Hurria A, Kleinhans K, Rudolph KL, Sharpless NE, Muss HB (2014) Effect of cytotoxic chemotherapy on markers of molecular age in patients with breast cancer. J Natl Cancer Inst 106(4):dju057. https://doi.org/10.1093/jnci/dju057CrossRefPubMedPubMedCentral Sanoff HK, Deal AM, Krishnamurthy J, Torrice C, Dillon P, Sorrentino J, Ibrahim JG, Jolly TA, Williams G, Carey LA, Drobish A, Gordon BB, Alston S, Hurria A, Kleinhans K, Rudolph KL, Sharpless NE, Muss HB (2014) Effect of cytotoxic chemotherapy on markers of molecular age in patients with breast cancer. J Natl Cancer Inst 106(4):dju057. https://​doi.​org/​10.​1093/​jnci/​dju057CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Alfano CM, Peng J, Andridge RR, Lindgren ME, Povoski SP, Lipari AM, Agnese DM, Farrar WB, Yee LD, Carson WE 3rd, Kiecolt-Glaser JK (2017) Inflammatory cytokines and comorbidity development in breast cancer survivors versus noncancer controls: evidence for accelerated aging? J Clin Oncol 35(2):149–156. https://doi.org/10.1200/JCO.2016.67.1883CrossRefPubMed Alfano CM, Peng J, Andridge RR, Lindgren ME, Povoski SP, Lipari AM, Agnese DM, Farrar WB, Yee LD, Carson WE 3rd, Kiecolt-Glaser JK (2017) Inflammatory cytokines and comorbidity development in breast cancer survivors versus noncancer controls: evidence for accelerated aging? J Clin Oncol 35(2):149–156. https://​doi.​org/​10.​1200/​JCO.​2016.​67.​1883CrossRefPubMed
9.
Zurück zum Zitat Guida JL, Ahles TA, Belsky D, Campisi J, Cohen HJ, DeGregori J, Fuldner R, Ferrucci L, Gallicchio L, Gavrilov L, Gavrilova N, Green PA, Jhappan C, Kohanski R, Krull K, Mandelblatt J, Ness KK, O'Mara A, Price N, Schrack J … Hurria A (2019) Measuring aging and identifying aging phenotypes in cancer survivors. J Natl Cancer Inst 111(12):1245 1254 https://doi.org/10.1093/jnci/djz136 Guida JL, Ahles TA, Belsky D, Campisi J, Cohen HJ, DeGregori J, Fuldner R, Ferrucci L, Gallicchio L, Gavrilov L, Gavrilova N, Green PA, Jhappan C, Kohanski R, Krull K, Mandelblatt J, Ness KK, O'Mara A, Price N, Schrack J … Hurria A (2019) Measuring aging and identifying aging phenotypes in cancer survivors. J Natl Cancer Inst 111(12):1245 1254 https://​doi.​org/​10.​1093/​jnci/​djz136
11.
Zurück zum Zitat Wildiers H, Heeren P, Puts M, Topinkova E, Janssen-Heijnen ML, Extermann M, Falandry C, Artz A, Brain E, Colloca G, Flamaing J, Karnakis T, Kenis C, Audisio RA, Mohile S, Repetto L, Van Leeuwen B, Milisen K, Hurria A (2014) International Society of Geriatric Oncology consensus on geriatric assessment in older patients with cancer. J Clin Oncol 32(24):2595–2603. https://doi.org/10.1200/JCO.2013.54.8347CrossRefPubMedPubMedCentral Wildiers H, Heeren P, Puts M, Topinkova E, Janssen-Heijnen ML, Extermann M, Falandry C, Artz A, Brain E, Colloca G, Flamaing J, Karnakis T, Kenis C, Audisio RA, Mohile S, Repetto L, Van Leeuwen B, Milisen K, Hurria A (2014) International Society of Geriatric Oncology consensus on geriatric assessment in older patients with cancer. J Clin Oncol 32(24):2595–2603. https://​doi.​org/​10.​1200/​JCO.​2013.​54.​8347CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Cohen HJ, Smith D, Sun CL, Tew W, Mohile SG, Owusu C, Klepin HD, Gross CP, Lichtman SM, Gajra A, Filo J, Katheria V, Hurria A, Cancer and Aging Research Group (2016) Frailty as determined by a comprehensive geriatric assessment-derived deficit-accumulation index in older patients with cancer who receive chemotherapy. Cancer 122(24):3865–3872. https://doi.org/10.1002/cncr.30269CrossRefPubMed Cohen HJ, Smith D, Sun CL, Tew W, Mohile SG, Owusu C, Klepin HD, Gross CP, Lichtman SM, Gajra A, Filo J, Katheria V, Hurria A, Cancer and Aging Research Group (2016) Frailty as determined by a comprehensive geriatric assessment-derived deficit-accumulation index in older patients with cancer who receive chemotherapy. Cancer 122(24):3865–3872. https://​doi.​org/​10.​1002/​cncr.​30269CrossRefPubMed
22.
Zurück zum Zitat Morgan JL, George J, Holmes G, Martin C, Reed M, Ward S, Walters SJ, Cheung KL, Audisio RA, Wyld L, Bridging the Age Gap Trial Management Team (2020) Breast cancer surgery in older women: outcomes of the Bridging Age Gap in Breast Cancer study. Br J Surg 107(11):1468–1479. https://doi.org/10.1002/bjs.11617CrossRefPubMed Morgan JL, George J, Holmes G, Martin C, Reed M, Ward S, Walters SJ, Cheung KL, Audisio RA, Wyld L, Bridging the Age Gap Trial Management Team (2020) Breast cancer surgery in older women: outcomes of the Bridging Age Gap in Breast Cancer study. Br J Surg 107(11):1468–1479. https://​doi.​org/​10.​1002/​bjs.​11617CrossRefPubMed
27.
28.
Zurück zum Zitat Brouwers B, Hatse S, Dal Lago L, Neven P, Vuylsteke P, Dalmasso B, Debrock G, Van Den Bulck H, Smeets A, Bechter O, Bailur JK, Kenis C, Laenen A, Schöffski P, Pawelec G, Journe F, Ghanem GE, Wildiers H (2016) The impact of adjuvant chemotherapy in older breast cancer patients on clinical and biological aging parameters. Oncotarget 7(21):29977–29988. https://doi.org/10.18632/oncotarget.8796CrossRefPubMedPubMedCentral Brouwers B, Hatse S, Dal Lago L, Neven P, Vuylsteke P, Dalmasso B, Debrock G, Van Den Bulck H, Smeets A, Bechter O, Bailur JK, Kenis C, Laenen A, Schöffski P, Pawelec G, Journe F, Ghanem GE, Wildiers H (2016) The impact of adjuvant chemotherapy in older breast cancer patients on clinical and biological aging parameters. Oncotarget 7(21):29977–29988. https://​doi.​org/​10.​18632/​oncotarget.​8796CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Hurria A, Soto-Perez-de-Celis E, Allred JB, Cohen HJ, Arsenyan A, Ballman K, Le-Rademacher J, Jatoi A, Filo J, Mandelblatt J, Lafky JM, Kimmick G, Klepin HD, Freedman RA, Burstein H, Gralow J, Wolff AC, Magrinat G, Barginear M, Muss H (2019) Functional decline and resilience in older women receiving adjuvant chemotherapy for breast cancer. J Am Geriatr Soc 67(5):920–927. https://doi.org/10.1111/jgs.15493CrossRefPubMed Hurria A, Soto-Perez-de-Celis E, Allred JB, Cohen HJ, Arsenyan A, Ballman K, Le-Rademacher J, Jatoi A, Filo J, Mandelblatt J, Lafky JM, Kimmick G, Klepin HD, Freedman RA, Burstein H, Gralow J, Wolff AC, Magrinat G, Barginear M, Muss H (2019) Functional decline and resilience in older women receiving adjuvant chemotherapy for breast cancer. J Am Geriatr Soc 67(5):920–927. https://​doi.​org/​10.​1111/​jgs.​15493CrossRefPubMed
30.
Zurück zum Zitat Kirkhus L, Šaltytė Benth J, Grønberg BH, Hjermstad MJ, Rostoft S, Harneshaug M, Selbæk G, Wyller TB, Jordhøy MS (2019) Frailty identified by geriatric assessment is associated with poor functioning, high symptom burden and increased risk of physical decline in older cancer patients: prospective observational study. Palliat Med 33(3):312–322. https://doi.org/10.1177/0269216319825972CrossRefPubMedPubMedCentral Kirkhus L, Šaltytė Benth J, Grønberg BH, Hjermstad MJ, Rostoft S, Harneshaug M, Selbæk G, Wyller TB, Jordhøy MS (2019) Frailty identified by geriatric assessment is associated with poor functioning, high symptom burden and increased risk of physical decline in older cancer patients: prospective observational study. Palliat Med 33(3):312–322. https://​doi.​org/​10.​1177/​0269216319825972​CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev 10(1), 89. https://doi.org/10.1186/s13643-021-01626-4 Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev 10(1), 89. https://​doi.​org/​10.​1186/​s13643-021-01626-4
37.
Zurück zum Zitat Hollenberg DC, Menjak IB, Mehta R, Bristow B, Trudeau ME, Gibson L, Neve M, Norris M, Pasetka M, Rice K, McCullock F, Wright FC, Szumacher E (2019) Gait speed vs. VES-13: a pilot study comparing screening tools to determine the need for a comprehensive geriatric assessment in senior women with breast cancer. J Med Imaging Radiat Sci 50(4):551–556. https://doi.org/10.1016/j.jmir.2019.06.053CrossRefPubMed Hollenberg DC, Menjak IB, Mehta R, Bristow B, Trudeau ME, Gibson L, Neve M, Norris M, Pasetka M, Rice K, McCullock F, Wright FC, Szumacher E (2019) Gait speed vs. VES-13: a pilot study comparing screening tools to determine the need for a comprehensive geriatric assessment in senior women with breast cancer. J Med Imaging Radiat Sci 50(4):551–556. https://​doi.​org/​10.​1016/​j.​jmir.​2019.​06.​053CrossRefPubMed
38.
Zurück zum Zitat Hamaker ME, Seynaeve C, Wymenga AN, van Tinteren H, Nortier JW, Maartense E, de Graaf H, de Jongh FE, Braun JJ, Los M, Schrama JG, van Leeuwen-Stok AE, de Groot SM, Smorenburg CH (2014) Baseline comprehensive geriatric assessment is associated with toxicity and survival in elderly metastatic breast cancer patients receiving single-agent chemotherapy: results from the OMEGA study of the Dutch breast cancer trialists’ group. Breast (Edinburgh, Scotland) 23(1):81–87. https://doi.org/10.1016/j.breast.2013.11.004CrossRef Hamaker ME, Seynaeve C, Wymenga AN, van Tinteren H, Nortier JW, Maartense E, de Graaf H, de Jongh FE, Braun JJ, Los M, Schrama JG, van Leeuwen-Stok AE, de Groot SM, Smorenburg CH (2014) Baseline comprehensive geriatric assessment is associated with toxicity and survival in elderly metastatic breast cancer patients receiving single-agent chemotherapy: results from the OMEGA study of the Dutch breast cancer trialists’ group. Breast (Edinburgh, Scotland) 23(1):81–87. https://​doi.​org/​10.​1016/​j.​breast.​2013.​11.​004CrossRef
40.
Zurück zum Zitat Mandelblatt, J. S., Small, B. J., Luta, G., Hurria, A., Jim, H., McDonald, B. C., Graham, D., Zhou, X., Clapp, J., Zhai, W., Breen, E., Carroll, J. E., Denduluri, N., Dilawari, A., Extermann, M., Isaacs, C., Jacobsen, P. B., Kobayashi, L. C., Holohan Nudelman, K., Root, J., … Ahles, T. (2018). Cancer-related cognitive outcomes among older breast cancer survivors in the thinking and living with cancer study. Journal of clinical oncology, 36(32), JCO1800140. Advance online publication. https://doi.org/10.1200/JCO.18.00140 Mandelblatt, J. S., Small, B. J., Luta, G., Hurria, A., Jim, H., McDonald, B. C., Graham, D., Zhou, X., Clapp, J., Zhai, W., Breen, E., Carroll, J. E., Denduluri, N., Dilawari, A., Extermann, M., Isaacs, C., Jacobsen, P. B., Kobayashi, L. C., Holohan Nudelman, K., Root, J., … Ahles, T. (2018). Cancer-related cognitive outcomes among older breast cancer survivors in the thinking and living with cancer study. Journal of clinical oncology36(32), JCO1800140. Advance online publication. https://​doi.​org/​10.​1200/​JCO.​18.​00140
43.
Zurück zum Zitat Mandelblatt, J. S., Zhou, X., Small, B. J., Ahn, J., Zhai, W., Ahles, T., Extermann, M., Graham, D., Jacobsen, P. B., Jim, H., McDonald, B. C., Patel, S., Root, J. C., Saykin, A. J., Cohen, H. J., & Carroll, J. E. (2021). Deficit accumulation frailty trajectories of older breast cancer survivors and Non-cancer controls: the thinking and living with cancer study. Journal of the National Cancer Institute, djab003. Advance online publication. https://doi.org/10.1093/jnci/djab003 Mandelblatt, J. S., Zhou, X., Small, B. J., Ahn, J., Zhai, W., Ahles, T., Extermann, M., Graham, D., Jacobsen, P. B., Jim, H., McDonald, B. C., Patel, S., Root, J. C., Saykin, A. J., Cohen, H. J., & Carroll, J. E. (2021). Deficit accumulation frailty trajectories of older breast cancer survivors and Non-cancer controls: the thinking and living with cancer study. Journal of the National Cancer Institute, djab003. Advance online publication. https://​doi.​org/​10.​1093/​jnci/​djab003
44.
Zurück zum Zitat Bellieni A, Fusco D, Sanchez AM, Franceschini G, Di Capua B, Allocca E, Di Stasio E, Marazzi F, Tagliaferri L, Masetti R, Bernabei R, Colloca GF (2021) Different impact of definitions of sarcopenia in defining frailty status in a population of older women with early breast cancer. Journal of personalized medicine 11(4):243. https://doi.org/10.3390/jpm11040243CrossRefPubMedPubMedCentral Bellieni A, Fusco D, Sanchez AM, Franceschini G, Di Capua B, Allocca E, Di Stasio E, Marazzi F, Tagliaferri L, Masetti R, Bernabei R, Colloca GF (2021) Different impact of definitions of sarcopenia in defining frailty status in a population of older women with early breast cancer. Journal of personalized medicine 11(4):243. https://​doi.​org/​10.​3390/​jpm11040243CrossRefPubMedPubMedCentral
46.
Zurück zum Zitat Guerard EJ, Deal AM, Chang Y, Williams GR, Nyrop KA, Pergolotti M, Muss HB, Sanoff HK, Lund JL (2017) Frailty index developed from a cancer-specific geriatric assessment and the association with mortality among older adults with cancer. Journal of the National Comprehensive Cancer Network : JNCCN 15(7):894–902. https://doi.org/10.6004/jnccn.2017.0122CrossRefPubMed Guerard EJ, Deal AM, Chang Y, Williams GR, Nyrop KA, Pergolotti M, Muss HB, Sanoff HK, Lund JL (2017) Frailty index developed from a cancer-specific geriatric assessment and the association with mortality among older adults with cancer. Journal of the National Comprehensive Cancer Network : JNCCN 15(7):894–902. https://​doi.​org/​10.​6004/​jnccn.​2017.​0122CrossRefPubMed
47.
Zurück zum Zitat Mandelblatt JS, Clapp JD, Luta G, Faul LA, Tallarico MD, McClendon TD, Whitley JA, Cai L, Ahles TA, Stern RA, Jacobsen PB, Small BJ, Pitcher BN, Dura-Fernandis E, Muss HB, Hurria A, Cohen HJ, Isaacs C (2016) Long-term trajectories of self-reported cognitive function in a cohort of older survivors of breast cancer: CALGB 369901 (Alliance). Cancer 122(22):3555–3563. https://doi.org/10.1002/cncr.30208CrossRefPubMed Mandelblatt JS, Clapp JD, Luta G, Faul LA, Tallarico MD, McClendon TD, Whitley JA, Cai L, Ahles TA, Stern RA, Jacobsen PB, Small BJ, Pitcher BN, Dura-Fernandis E, Muss HB, Hurria A, Cohen HJ, Isaacs C (2016) Long-term trajectories of self-reported cognitive function in a cohort of older survivors of breast cancer: CALGB 369901 (Alliance). Cancer 122(22):3555–3563. https://​doi.​org/​10.​1002/​cncr.​30208CrossRefPubMed
50.
Zurück zum Zitat Jauhari Y, Dodwell D, Gannon MR, Horgan K, Clements K, Medina J, Cromwell DA (2021) The influence of age, comorbidity and frailty on treatment with surgery and systemic therapy in older women with operable triple negative breast cancer (TNBC) in England: a population-based cohort study. Eur J Surg Oncol 47(2):251–260. https://doi.org/10.1016/j.ejso.2020.09.022CrossRefPubMed Jauhari Y, Dodwell D, Gannon MR, Horgan K, Clements K, Medina J, Cromwell DA (2021) The influence of age, comorbidity and frailty on treatment with surgery and systemic therapy in older women with operable triple negative breast cancer (TNBC) in England: a population-based cohort study. Eur J Surg Oncol 47(2):251–260. https://​doi.​org/​10.​1016/​j.​ejso.​2020.​09.​022CrossRefPubMed
52.
Zurück zum Zitat Middelburg JG, Mast ME, de Kroon M, Jobsen JJ, Rozema T, Maas H, Baartman EA, Geijsen D, van der Leest AH, van den Bongard DJ, van Loon J, Budiharto T, Coebergh JW, Aarts MJ, Struikmans H, LPRO (Dutch National Organization for Radiotherapy in the Elderly) (2017) Timed Get Up and Go test and Geriatric 8 scores and the association with (chemo-)radiation therapy noncompliance and acute toxicity in elderly cancer patients. Int J Radiat Oncol Biol Phys 98(4):843–849. https://doi.org/10.1016/j.ijrobp.2017.01.211CrossRefPubMed Middelburg JG, Mast ME, de Kroon M, Jobsen JJ, Rozema T, Maas H, Baartman EA, Geijsen D, van der Leest AH, van den Bongard DJ, van Loon J, Budiharto T, Coebergh JW, Aarts MJ, Struikmans H, LPRO (Dutch National Organization for Radiotherapy in the Elderly) (2017) Timed Get Up and Go test and Geriatric 8 scores and the association with (chemo-)radiation therapy noncompliance and acute toxicity in elderly cancer patients. Int J Radiat Oncol Biol Phys 98(4):843–849. https://​doi.​org/​10.​1016/​j.​ijrobp.​2017.​01.​211CrossRefPubMed
53.
Zurück zum Zitat Speigl L, Grieb A, Janssen N, Hatse S, Brouwers B, Smeets A, Floris G, Bailur JK, Kenis C, Neven P, Wildiers H, Pawelec G, Shipp C (2018) Low levels of intra-tumoural T cells in breast cancer identify clinically frail patients with shorter disease-specific survival. Journal of geriatric oncology 9(6):606–612. https://doi.org/10.1016/j.jgo.2018.03.021CrossRefPubMed Speigl L, Grieb A, Janssen N, Hatse S, Brouwers B, Smeets A, Floris G, Bailur JK, Kenis C, Neven P, Wildiers H, Pawelec G, Shipp C (2018) Low levels of intra-tumoural T cells in breast cancer identify clinically frail patients with shorter disease-specific survival. Journal of geriatric oncology 9(6):606–612. https://​doi.​org/​10.​1016/​j.​jgo.​2018.​03.​021CrossRefPubMed
70.
Zurück zum Zitat Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP (1982) Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 5(6):649–655CrossRefPubMed Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP (1982) Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 5(6):649–655CrossRefPubMed
Metadaten
Titel
The prevalence of frailty among breast cancer patients: a systematic review and meta-analysis
verfasst von
Shurui Wang
Ting Yang
Wanmin Qiang
Aomei Shen
Zihan Zhao
Huili Yang
Xiaofeng Liu
Publikationsdatum
25.10.2021
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 4/2022
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-021-06641-8

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