Functional Status and Survival After Breast Cancer Surgery in Nursing Home Residents

JAMA Surgery
Victoria TangEmily Finlayson

Abstract

Breast cancer surgery, the most common cancer operation performed in nursing home residents, is viewed as a low-risk surgical intervention. However, outcomes in patients with high functional dependence and limited life expectancy are poorly understood. To assess the overall survival and functional status changes after breast cancer surgery in female nursing home residents stratified by surgery type. This study used Medicare claims from 2003 to 2013 to identify 5969 US nursing home residents who underwent inpatient breast cancer surgery. Using the Minimum Data Set Activities of Daily Living (MDS-ADL) summary score, this study examined preoperative and postoperative function and identified patient characteristics associated with 30-day and 1-year mortality and 1-year functional decline after surgery. Cox proportional hazards regression was used to estimate unadjusted and adjusted hazard ratios (HRs) of mortality. Fine-Gray competing risks regression was used to estimate unadjusted and adjusted subhazard ratios (sHRs) of functional decline. Statistical analysis was performed from January 2016 to January 2018. Functional status and death. From 2003 to 2013, a total of 5969 female nursing home residents (mean [SD] age, 82 [7] years;...Continue Reading

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Citations

Apr 7, 2020·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Clark DuMontierWilliam Dale
Jun 4, 2020·The British Journal of Surgery·J L MorganUNKNOWN Bridging the Age Gap Trial Management Team
Sep 9, 2020·Journal of the American Geriatrics Society·Victoria L TangSharon K Inouye
Oct 14, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Jenna L MorganUNKNOWN Bridging the Age Gap Trial Management TeamKaren Collins
Mar 13, 2021·The British Journal of Surgery·Y JauhariD A Cromwell
Apr 14, 2020·Journal of the American Medical Directors Association·Aaron M OgletreeDeborah Perfetto
Apr 6, 2021·Journal of the American Geriatrics Society·Anne M SuskindEmily Finlayson
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May 28, 2021·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Clark DuMontierWilliam Dale
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Jul 13, 2021·The Journal of Trauma and Acute Care Surgery·Matthew P GuttmanBarbara Haas

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