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Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Natl+Cancer+Inst 2021 ; 113 (4): 355-359 Nephropedia Template TP
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Weathering the Storm: Managing Older Adults With Breast Cancer Amid COVID-19 and Beyond #MMPMID32449757
Freedman RA; Sedrak MS; Bellon JR; Block CC; Lin NU; King TA; Minami C; VanderWalde N; Jolly TA; Muss HB; Winer EP
J Natl Cancer Inst 2021[Apr]; 113 (4): 355-359 PMID32449757show ga
Caring for older patients with breast cancer presents unique clinical considerations because of preexisting and competing comorbidity, the potential for treatment-related toxicity, and the consequent impact on functional status. In the context of the COVID-19 pandemic, treatment decision making for older patients is especially challenging and encourages us to refocus our treatment priorities. While we work to avoid treatment delays and maintain therapeutic benefit, we also need to minimize the risk for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) exposures, myelosuppression, general chemotherapy toxicity, and functional decline. Herein, we propose multidisciplinary care considerations for the aging patient with breast cancer, with the goal to promote a team-based, multidisciplinary treatment approach during the COVID-19 pandemic and beyond. These considerations remain relevant as we navigate the "new normal" for the approximately 30% of breast cancer patients aged 70 years and older who are diagnosed in the United States annually and for the thousands of older patients living with recurrent and/or metastatic disease.