Audisio Riccardo A, Osman Nadir, Audisio Matilde M, Montalto Fabrizio
Department of General Surgery, Whiston Hospital - Prescot, University of Liverpool, Liverpool College, Merseyside L35 5DR, UK; University of Liverpool, UK.
Crit Rev Oncol Hematol. 2004 Nov;52(2):135-41. doi: 10.1016/j.critrevonc.2004.08.002.
To frame the attitude and perception of breast surgeons in the UK toward the increasing number of older breast cancer patients.
A 15-item questionnaire was designed to inquire on the definition of elderly, clinical management, age-related differences in surgical treatment, interaction with geriatricians, operative risk assessment, and surveyed identification/descriptive data. The questionnaire was sent to all 350 ABS associates (Association of Breast Surgery) at the British Association of Surgical Oncology (BASO).
A 150 questionnaires were returned (compliance 43%) providing the largest sample of breast surgical specialist overview on this topic. The major part of the surveyed (44%) stated age does not stand as the most relevant factor on its own in identifying a patient as "elderly", nor in offering surgical management (98%) and in dealing with the axilla (75%). The surveyed are aware of the burden of this epidemiological problem and would rather finalise the decision-making process based on multiple factors. This is to tailor the most appropriate treatment aiming to improving quality of life (42%) and quality adjusted survival (40%). Although most breast surgeons are inclined to discuss their onco-geriatric patients with geriatricians on a regular (32%) or occasional (42%) basis, no geriatric assessment is routinely utilised (82%) and the operative risk is predicted with ASA (45%). These figures confirm the surveyed breast surgeons in the UK are not biased by an ageistic approach, and aim to achieve a global well-being to the older patients with breast cancer.
This survey confirms our lack of knowledge in the management of elderly patients affected by breast cancer. Taken into account the limitations of a survey, we are pleased to confirm the performance of the largest part of breast surgeons at BASO is not biased by an ageist mentality.
阐述英国乳腺外科医生对老年乳腺癌患者数量不断增加的态度和看法。
设计了一份包含15个条目的问卷，以询问老年人的定义、临床管理、手术治疗中的年龄相关差异、与老年病医生的互动、手术风险评估以及被调查者的身份识别/描述性数据。该问卷被发送给英国外科肿瘤学会（BASO）的所有350名乳腺外科协会（ABS）会员。
共收回150份问卷（回收率43%），提供了关于该主题的最大样本的乳腺外科专家概述。大部分被调查者（44%）表示，年龄本身并非将患者认定为“老年人”、提供手术治疗（98%）和处理腋窝情况（75%）时最相关的因素。被调查者意识到这一流行病学问题的负担，更倾向于基于多种因素做出决策。这是为了制定最恰当的治疗方案，旨在提高生活质量（42%）和质量调整生存期（40%）。尽管大多数乳腺外科医生倾向于定期（32%）或偶尔（42%）与老年病医生讨论他们的老年肿瘤患者，但常规不进行老年评估（82%），手术风险通过美国麻醉医师协会（ASA）分级来预测（45%）。这些数据证实，英国被调查的乳腺外科医生没有受到年龄歧视方法的影响，旨在为老年乳腺癌患者实现全面的健康。
这项调查证实了我们在老年乳腺癌患者管理方面缺乏知识。考虑到调查的局限性，我们很高兴地确认，BASO的大部分乳腺外科医生的表现没有受到年龄歧视心态的影响。
