Index · Artikel · Do too many older women get radiation for cancer?

Do too many older women get radiation for cancer?

2012-03-08 5
   
Advertisement
résuméNEW YORK (Reuters Health) - Some elderly women with early-stage breast cancer may be getting extra treatment that does them little good but comes with costs and possible side effects, according to a new study. Researchers found that about three-quart
Advertisement

Do too many older women get radiation for cancer?


NEW YORK (Reuters Health) - Some elderly women with early-stage breast cancer may be getting extra treatment that does them little good but comes with costs and possible side effects, according to a new study.

Researchers found that about three-quarters of women 70 and older with stage I breast cancer were treated with radiation to stave off recurrences, in addition to standard breast-conserving surgery.

Current guidelines say it's generally okay to skip radiation in those patients, as it hasn't been shown to help them live longer.

One of the main issues with radiation is not that it has a really high complication rate. The question is, are the benefits really there?" said Dr. Cary Gross, from the Yale School of Medicine in New Haven, who worked on the study.

Some women have skin irritation or discomfort after radiation, while lung, bone or heart problems near the site of the radiation are much more rare, Gross said.

In addition, there's the inconvenience of getting to appointments -- which may be more of a burden in the elderly. Radiation therapy costs about $7,000, paid for in older people by Medicare.

In one 2004 study, researchers including Dr. Kevin Hughes from the Harvard Medical School in Boston found that adding radiation on top of breast-conserving surgery didn't improve survival in elderly stage I breast cancer patients, probably because of differences in tumor characteristics in older women.

That prompted the no-radiation option to be added to guidelines from the National Comprehensive Cancer Network in 2005, meaning optimal treatment of that group could include or not include radiation.

To see whether those changes affected care, Gross and his team analyzed data from close to 13,000 women, age 70 and older, who were covered by Medicare and diagnosed with stage I breast cancer between 2001 and 2007.

Of those women, almost 77 percent were treated with radiation along with breast-conserving surgery, with only a slight decline before and after the 2004 report and subsequent guidelines change.

Among women expected to live less than five years based on their age and other diseases, 44 percent received radiation before the report, and 41 percent after, according to findings published in the Journal of Clinical Oncology.

MORE TREATMENT, SIMILAR OUTCOME

In the 2004 study, one percent of women who had breast-conserving surgery and radiation had a cancer recurrence by five years, compared to four percent of those who only received surgery, also known as lumpectomy.

Those women were all also prescribed the breast cancer drug tamoxifen.

That means you have to basically treat 33 women (with radiation) in order to prevent one recurrence at five years," Gross told Reuters Health, noting that recurrences are treatable.

The problem is this: you don't know which of the 33 women is the one you're going to help."

When Hughes' team tracked the same women from the original report out ten years, the researchers still didn't find a difference in deaths between the two treatment groups.

Still, even after the guideline change, Gross said, doctors may chose to treat older women with radiation to feel like they're doing everything they can for their patients.

Hughes told Reuters Health that it's “disappointing" more doctors haven't followed the evidence and stopped using radiation so far, but he expects that shift will come slowly.

As physicians we don't want to give any treatment to a patient that's not necessary," added Hughes, who didn't participate in the current study.

The researchers agreed that older women would gain from being more involved in decisions about their own cancer care.

We need to do a better job of allowing patients to make informed choices," Gross said.

Hughes said that older patients should also speak up and ask their doctors whether they really need radiation.

It's time to start decreasing the amount of treatment we're giving, if we're getting the same effect in the long run," he said.

SOURCE: bit.ly/xhxczy Journal of Clinical Oncology, online March 5, 2012.

  • Do too many older women get radiation for cancer?

    Do too many older women get radiation for cancer?
    NEW YORK (Reuters Health) - Some elderly women with early-stage breast cancer may be getting extra treatment that does them little good but comes with costs and possible side effects, according to a new study. Researchers found that about three-quart
    2012-03-08 WOMENRADIATION
  • Cervical cancer vaccine benefits older women: study

    Cervical cancer vaccine benefits older women: study
    WASHINGTON Older women can benefit just as much as younger women from Merck's Gardasil vaccine against cervical cancer, researchers in Colombia reported on Monday. They found that women ages 24 to 45 who had no history of cancer-causing genital warts
  • Common virus tied to earlier death in older women

    Common virus tied to earlier death in older women
    NEW YORK (Reuters Health) - Older women with high antibody levels to a common viral infection may be more vulnerable to frailty and die earlier than other women their age, a new study suggests. The virus in question is cytomegalovirus, or CMV, which
    2010-04-27 VIRUSDEATH
  • Soy may ease sleep problems in older women

    Soy may ease sleep problems in older women
    NEW YORK (Reuters Health) - The estrogen-like compounds found in soy could help postmenopausal women get a better night's sleep, according to a small study. These compounds, isoflavones, have been tested for a number of menopausal symptoms as well as
    2010-09-02 SLEEPSOY
  • Exercise has lasting benefits for older women

    Exercise has lasting benefits for older women
    NEW YORK (Reuters Health) - Older women with thinning bones who exercise regularly have sustained improvements in their balance and walking speed that may protect them from fractures and even extend their lives, new research shows. The researchers fo
    2010-09-27 EXERCISEBENEFITS
  • Longer span between mammograms okay for older women

    Longer span between mammograms okay for older women
    NEW YORK (Reuters Health) - Screening women over 65 each year for breast cancer doesn't catch any more early tumors - but it does lead to more false positives - than screening every other year, according to a new study. The findings are based on more
    2013-02-07 HEALTHMAMMOGRAM
  • Heart disease could be tied to dementia for older women

    Heart disease could be tied to dementia for older women
    NEW YORK (Reuters Health) - Older women with a history of heart trouble were more likely to develop thinking and memory problems than those without heart disease, it was found in a new study. Women who'd had a heart attack, in particular, were twice
    2014-01-03 HEARTDISEASE
  • U.S. birth rate hits lows for teens, rises among older women

    U.S. birth rate hits lows for teens, rises among older women
    NEW YORK The birth rate among U.S. teens and young women dropped to record lows last year, while the rate among older women hit highs not seen in a half century, according to government statistics released on Thursday. The general fertility rate over
    2014-05-29 USABIRTHRATES
  • Pilates linked to better balance in older women with back pain

    Pilates linked to better balance in older women with back pain
    n">(Reuters Health) - Older women with lower back pain who add pilates to their physical therapy routine may see improvements in balance and reductions in fear of falling that don't result from other types of exercise, a Spanish study suggests. Re
  • Older women who take vitamin D3 may live longer

    Older women who take vitamin D3 may live longer
    NEW YORK (Reuters Health) - Elderly women who take vitamin D3 supplements may have a small survival advantage over those who don't, a new research review concludes, although they also raise their risk of kidney stones. The review of 50 clinical trial
    2011-07-07 WOMENOLDER
  • Soy foods may curb hip fracture risk in older women

    Soy foods may curb hip fracture risk in older women
    NEW YORK (Reuters Health) - Postmenopausal women may lessen their chances of fracturing a hip by adding soy-based foods to their diet, a study from Singapore hints. Women in the study were 21 to 36 percent less likely to fracture a hip when they repo
    2009-10-17 SOYFOODS
  • Low-dose vitamin D no help to older women: panel

    Low-dose vitamin D no help to older women: panel
    n">Postmenopausal women shouldn't take low doses of vitamin D and calcium to prevent broken bones since they have little positive effect and come with a slightly increased risk of side effects, according to a U.S. government-backed panel. In draft
    2012-06-13 VITAMIN
  • "Good" dietary fats trim body fat in diabetic women

    "Good" dietary fats trim body fat in diabetic women
    NEW YORK (Reuters Health) - Eating certain kinds of fats may actually help obese women with diabetes trim some body fat, a small study suggests. The study, of 35 older women with type 2 diabetes, found that supplements containing two types of fats --
    2009-10-09 WOMENDIABETIC
  • High-dose vitamin C may boost women's cataract risk

    High-dose vitamin C may boost women's cataract risk
    NEW YORK (Reuters Health) - Women who take high-dose vitamin C supplements may be increasing their risk of age-related cataracts, hint findings of a Swedish study. Among nearly 24,600 adult women followed for more than 8 years, those who reported reg
    2009-12-17 RISKCATARACT
  • Wine may help women keep weight in check

    Wine may help women keep weight in check
    NEW YORK (Reuters Health) - Light to moderate alcohol consumption, especially red wine, is not only good for a woman's heart, it's also good for her waistline, according to a study reported Monday. The study started out with nearly 20,000 trim middle
    2010-03-08 WEIGHTWINE
  • Women on the pill live longer: study

    Women on the pill live longer: study
    LONDON One of the world's largest studies of the contraceptive pill has found that women who have taken it can expect longer lives and are less likely to die from any cause, including cancer and heart disease. British researchers said their study, wh
  • Economy giving U.S. women pause about motherhood?

    Economy giving U.S. women pause about motherhood?
    CHICAGO U.S. birth rates in 2009 declined for the second straight year, a sign the economy may be causing some women to think twice about having children, U.S. health officials said on Friday. Estimates from the U.S. Centers for Disease Control and P
    2010-08-27 ECONOMYUSABIRTHS
  • Fish oil plus exercise may do older muscles good

    Fish oil plus exercise may do older muscles good
    NEW YORK (Reuters Health) - Older women may be able to boost their muscle strength by adding fish oil supplements to their exercise routine, a small clinical trial suggests. Researchers found that three months of strength training helped increase mus
    2012-01-17 FISHOIL
  • Aspirin tied to lower lung cancer risk in women

    Aspirin tied to lower lung cancer risk in women
    NEW YORK (Reuters Health) - In a new study of more than 1,200 Asian women, those who took aspirin at least a couple of times a week had a much lower risk of developing lung cancer -- whether or not they had ever smoked. The findings, which link regul
    2012-04-23 CANCERAspirin
  • Life expectancy gap growing between rich/poor world women: WHO

    Life expectancy gap growing between rich/poor world women: WHO
    GENEVA Life expectancy for women at 50 has improved, but the gap between poor and rich countries is growing and could worsen without better detection and treatment of cardiovascular disease and cancers, the World Health Organization (WHO) said on Mon
    2013-09-01 WOMEN

TOP

  • Day/
  • Week/
  • Original/
  • Recommand

Updated

  • Dank meiner Frage zu antworten, aber ich denke, ich brauche weitere Informationen zu geben. Im Pass habe ich gemacht?

    ... Lisinopril, und jetzt nehme ich Glyburide / Metformin zwei zweimal am Tag. Ich bin auch ein Trinker. Ich erlebe jetzt sexuelle Nebenwirkung. Bitte sagen Sie mir, wenn die Medikamente dieses Problem verursachen. Dinge tun, brechen ein bisschen meh
  • MetLife to stop writing long-term care policies

    MetLife to stop writing long-term care policies
    NEW YORK MetLife Inc will stop writing insurance policies to cover long-term medical care for the chronically ill, as the largest U.S. life insurer becomes the latest to concede the business is not a viable proposition on its own. Carriers faced with
  • Sie fragen sich, wenn Sie den Kinderarzt anrufen?

    Sie fragen sich, wenn Sie den Kinderarzt anrufen?
    Die Debatte über die bei den Kinderarzt zu nennen, ist ein vertrautes für neue Eltern, vor allem im ersten Jahr. Sie fragen sich vielleicht: Bin ich übermäßig vorsichtig? Oder ist es wirklich notwendig, den Arzt über mein Kind Krankheit oder Gesundhe
  • Ich habe Fibromyalgie und ich currenly von extremer Müdigkeit leide, jeden Rat willkommen?

    Ich bekomme kaum von meiner Couch ... jede Beratung ist willkommen! ----schneiden---- In Antwort auf Macintos ... bei 2013.05.26 20.33 Hallo Oceanside, Es gibt zwei Medikamente, die ich kenne, für Patienten mit chronischer Müdigkeit. Provigil und Nuv
  • Warum Glucosamin und Chrondritin nicht getroffen zu werden, wenn Sie übergewichtig sind?

    Ich würde sagen, ich bin übergewichtig, aber zwei Bedingungen haben, in meinem Rücken in meinem Knie und nehme dies mit meinem Zustand zu unterstützen. Aber auf die Informationen über diese Medikamente zu lesen, heißt es nicht nehmen, wenn Sie überge
  • Das Töten der Athleten

    Das Töten der Athleten
    Lust und Unlust Sport bieten uns, die im Delirium Euphorien, die reine Freude, den menschlichen Körper zu sehen, zu tun, was es gebaut zu tun. Sport auch töten und uns zu verstümmeln. Zweitausend junge Amerikaner sterben an akutem Herzstillstand jede
  • xkcd auf der Kalte Wahrheit über Warming

    xkcd auf der Kalte Wahrheit über Warming
    Itâ € ™ s nicht , wie mein Kumpel Randall den Verkehr von mir braucht, aber seine xkcd Comic auf die neue Normalität von der globalen Erwärmung ist einfach perfekt, so Iâ € ™ m hier setzen. Klicken Sie hier um stickfigurenate. Wenn Sie dona € ™ t ber
  • Delusions of Grandeur - Wahre Geschichten von Bipolar Menschen

    Delusions of Grandeur - Wahre Geschichten von Bipolar Menschen
    Grandiose Täuschungen sind in der Schizophrenie allgemein gesehen, und sie sind auch häufig bei Menschen mit bipolarer Manie während gesehen. Sie können auch dann auftreten, gelegentlich in anderen Bedingungen wie bestimmten Fällen von Demenz. Sie be
  • Schwimmdock: die ultimative Entspannung Erfahrung

    Schwimmdock: die ultimative Entspannung Erfahrung
    Sobald ich das Wort hörte, schwimmen, war ich süchtig. Ich war beim Abendessen mit meiner Freundin Laura an einem Freitag Abend, als ich mit ihr über ihre kommenden Wochenende Pläne gefragt. "Am Sonntag werde ich schwimmen" war eine ihrer Antwor
  • Was ist meine Chance, schwanger zu werden?

    ok so mich und mein Mann Freund hatte Sex am Samstag und Dienstag und er verwendet, um beide mal ein Kondom und ejakulieren nicht in mir und im auf der Depo Schuss. Im Stressen, dass im schwanger. ----schneiden---- In Antwort auf kaismama bei 2014.11