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01.12.2014 | Research | Ausgabe 1/2014 Open Access

World Journal of Surgical Oncology 1/2014

Patient age is related to decision-making, treatment selection, and perceived quality of life in breast cancer survivors

World Journal of Surgical Oncology > Ausgabe 1/2014
Terence T Sio, Kenneth Chang, Ritujith Jayakrishnan, Difu Wu, Mary Politi, Dominique Malacarne, James Saletnik, Maureen Chung
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-12-230) contains supplementary material, which is available to authorized users.
Terence T Sio, Kenneth Chang contributed equally to this work.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

TTS, DW, MP, and MC designed the study, collected the data, and drafted the manuscript. TTS, DW, KC, RJ, and DM performed the literature review. TTS, KC, RJ, MP, and JS performed the statistical analyses. KC, RJ, DM, and JS also participated in the drafting of the manuscript. All authors read and approved the final manuscript.



Patients with breast cancer must choose among a variety of treatment options when first diagnosed. Patient age, independent of extent of disease, is also related to quality of life. This study examined the impact of patient age on treatment selected, factors influencing this selection, and perceived quality of life.


A 62-question survey evaluating breast cancer treatment and quality of life was mailed to breast cancer survivors. Responses were stratified by age (<50, 50-65, >65 years) and extent of disease.


Of the 1,131 surveys mailed, 402 were included for analysis. There were 104, 179, and 119 women aged <50, 50-65, and >65 years, respectively. The median patient age was 58 years, and the average interval from diagnosis to survey participation was 31.5 months.


Young women were more likely to have undergone aggressive therapies and had better physical functioning than old women. Old patients reported good quality of life and body image. Clinicians should consider patient age when discussing breast cancer treatment options.
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