Older breast cancer patients defy survival models--SABCS
http://medicalxpress.com/news/2015-12-older-breast...
Women over 70 " with early-stage, invasive breast cancer had better survival rates than what was estimated by a popular online tool for predicting survival, according to researchers at the Duke Cancer Institute.".......
"Doctors and patients both need to understand the risks of cancer recurrence vs. chemotherapy and its side effects," she added. "Having an accurate estimation of the chances of survival in general is critical information for older patients when weighing risks and benefits of preventive therapies. From what we see in this study, the survival for breast cancer patients is actually better than what is predicted by this tool in ePrognosis."
Comments
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I'm confused by this. There was a difference between the ePrognosis predicted survival and actual survival in moderate and poor functioning women over 70. But they mention two studies, one with women who had chemo treatment and one with women who didn't. Were the ePrognosis predictions compared to the actual survival of both groups of women combined? Or was it comparing the survival of women who got treatment to those who didn't? Is this just saying ePrognosis is not such a great tool to predict survival in a lot of elderly breast cancer patients?
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Fallleaves, - my understanding is that ePrognosis predicts mortality (life expectancy) in elderly people without any major illness based on their age and answers to specific questions like does this person have difficulty walking a quarter mile or have they ever smoked, their BMI etc. The results can be used to help decide whether or not to treat an illness or test for it. For example, Is an elderly person more likely to die from something else? If so, testing for or treating a new specific illness might be something that person would decide against.
http://eprognosis.ucsf.edu/about.php
http://eprognosis.ucsf.edu/case-examples.php
http://newoldage.blogs.nytimes.com/2011/05/02/figu...
http://newoldage.blogs.nytimes.com/2011/05/13/a-li...
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Thanks for you response, Besa!
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