P-146: Early breast cancer among women ≥ 70 in Denmark 2012-2017: characterization, surgical treatment choice and the potential benefit of comprehensive geriatric care

摘要

Background: Women ≥ 70 years, especially women with a high level of comorbidity, have not experienced the same increase in survival as younger women with early breast cancer. Older patients with and without comorbidity do not receive primary surgical treatment as often as younger women. We aimed to describe characteristics in a cohort of older women with non-surgically treated early breast cancer and to evaluate if they may benefit from Comprehensive Geriatric Care (CGC). Materials and methods: A descriptive cross-sectional study including 781 women ≥ 70 years with biopsy verified early breast cancer stages I-II, diagnosed in Denmark 2012-2017. Results: Women C 70 years with early breast cancer and no surgical treatment constitute a group of frail patients with the characteristics of a geriatric population. Patients in the same age-group undergoing surgery are more fit, have less comorbidity and in general receive more support from relatives. A total of 86% of the women ≥ 70 years without primary surgery were found to potentially benefit from CGC according to receiving surgery. Conclusion: Women ≥ 70 years with early breast cancer who did not receive primary surgical treatment, represent a group of frail patients characterized by a high burden of comorbidity and could potentially benefit from special care. CGC may be a way to provide this special care.