Outcomes and quality of life following breast cancer treatment in older women: when, why, how much, and what do women want?
Outcomes and quality of life following breast cancer treatment in older women: when, why, how much, and what do women want?
复制标题
老年女性乳腺癌治疗后的结果和生活质量：何时，为什么，多少女性想要什么？
DOI：
10.1186/1477-7525-1-45
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发表时间：
2003-09-17
影响因子：
3.6
通讯作者：
Cullen, Jennifer
中科院分区：
文献类型：
--
作者：
Mandelblatt, Jeanne;Figueiredo, Melissa;Cullen, Jennifer
对老年女性乳腺癌结局的综合评价很少。我们综合数据来描述有关该人群乳腺癌结果的主要发现和知识差距。我们回顾了 1995 年至 2003 年 6 月期间发表的关于 65 岁及以上接受乳腺癌治疗的女性的乳腺癌生活质量和结果的研究。结果包括沟通、满意度和多个生活质量领域。很少有专门针对老年女性测量治疗后生活质量的随机试验或队列研究。对老年女性的研究普遍指出，除了腋窝淋巴结清扫之外，手术治疗类型通常对长期结果没有影响。相比之下，护理过程，例如选择治疗、良好的医患沟通、接受符合身体形象偏好的治疗以及较低的偏见认知，与更好的生活质量和满意度相关。除了腋窝淋巴结清扫之外，护理过程而不是治疗本身似乎是老年女性长期生活质量的最重要决定因素。
There are few comprehensive reviews of breast cancer outcomes in older women. We synthesize data to describe key findings and gaps in knowledge about the outcomes of breast cancer in this population. We reviewed research published between 1995 and June 2003 on breast cancer quality of life and outcomes among women aged 65 and older treated for breast cancer. Outcomes included communication, satisfaction, and multiple quality of life domains. Few randomized trials or cohort studies that measured quality of life after treatment focused exclusively on older women. Studies from older women generally noted that, with the exception of axillary dissection, type of surgical treatment generally had no effect on long-term outcomes. In contrast, the processes of care, such as choosing therapy, good patient-physician communication, receiving treatment concordant with preferences about body image, and low perceptions of bias, were associated with better quality of life and satisfaction. With the exception of axillary dissection, the processes of care, and not the therapy itself, seem to be the most important determinants of long-term quality of life in older women.