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Surgical Choices and Complications in Elderly Women: a Single Center Retrospective Analysis in Frail vs. Non Frail Breast Cancer Patients by Patrícia Machado e Costa; Márcio Debiasi; Bruna da Silva Reus; André Cardoso; David Pinto; Pedro Gouveia; Rogelio Andres-Luna; Carlos Mavioso; João Anacleto; Fátima Cardoso; Maria João Cardoso is a scholarly article available to read on EtoBox.

What is Surgical Choices and Complications in Elderly Women: a Single Center Retrospective Analysis in Frail vs. Non Frail Breast Cancer Patients about?

## Abstract ## Background Early breast cancer (EBC) in the elderly is a major public health problem and a risk factor for undertreatment. The authors aim to describe surgical patterns and outcomes of an elderly population diagnosed with EBC treated in a BC-dedicated reference center. ## Methods Retrospective study for all EBC patients ≥70 years old submitted to breast surgery from 2018 to 2021. Patients were included if submitted to the G8 screening tool. Data on standard demographics, surgery performed, and outcomes were collected. ## Results Overall, 192 patients were included. Frail patients were significantly older (__p__<0.01), had worse Charlson Comorbidity Index (__p__<0.01) and ASA (__p__<0.01) scores and more comorbidities (__p__=0.09). In total, 199 breasts were operated; 173 breast conservative surgeries (BCS) and 26 mastectomies. In the frail population, oncoplastic surgery after BCS was more frequently mammoplasty; no reconstruction was reported after mastectomy. In the fit group, more diversity was seen in oncoplastic procedures; 13 breasts underwent direct-to-implant breast reconstruction (BR) after mastectomy. Frail patients were less likely to be offered BR (__p__<

Author

Patrícia Machado e Costa; Márcio Debiasi; Bruna da Silva Reus; André Cardoso; David Pinto; Pedro Gouveia; Rogelio Andres-Luna; Carlos Mavioso; João Anacleto; Fátima Cardoso; Maria João Cardoso

Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN