Abstract
This study explored older women’s perceptions and expectations of the prospective Senior Women’s Breast Cancer Clinic (SWBCC) at Sunnybrook Odette Cancer Centre (SOCC) in Toronto, Ontario, Canada. In our previous studies, older breast cancer patients had expressed a greater need for informational, decisional, and post-treatment support. This study also assessed women’s perspectives on the involvement of geriatricians and incorporation of geriatric assessment in their cancer care. Twelve breast cancer patients aged 68 years or older who were treated at the SOCC participated in the study. We recorded and transcribed 11 interviews and analyzed them using qualitative thematic analysis methods to identify major themes; one interview was excluded due to recording defect. Eight major themes were identified: transportation issues, service, communication between patient and healthcare professionals, communication between healthcare professionals, support during treatment, support after treatment, informational resources, and patient suggestions. Important issues were raised by participants, such as difficulties in arranging transportation to the clinic, barriers in accessing family physician service, and communication breakdown that result in treatment delay and unaddressed complications. In conclusion, there were important gaps in the cancer care of older women with breast cancer that could be detected earlier and better addressed in the new multidisciplinary SWBCC. The participating women were highly supportive of the initiative and made several suggestions on how the clinic could better accommodate their specific needs during and after breast cancer treatment.
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References
Robb C, Haley WE, Balducci L et al (2007) Impact of breast cancer survivorship on quality of life in older women. Crit Rev Oncol Hematol 62(1):84–91
Wildiers H, Kunkler I, Biganzoli L et al (2007) Management of breast cancer in elderly individuals: recommendations of the International Society of GeriatricOncology. Lancet Oncol 8(12):1101–15
Lichtman SM, Balducci L, Aapro M (2007) Geriatric oncology: a field coming of age. J Clin Oncol 25(14):1821–3
Townsley C, Pond GR, Peloza B et al (2005) Analysis of treatment practices for elderly cancer patients in Ontario, Canada. J Clin Oncol 23(16):3802–10
Crivellari D, Aapro M, Leonard R et al (2007) Breast cancer in the elderly. J Clin Oncol 25(14):1882–90
Balducci L, Extermann M (2000) Management of cancer in the older person: a practical approach. Oncologist 5(3):224–37
Ferrucci L, Guralnik JM, Cavazzini C et al (2003) The frailty syndrome: a critical issue in geriatric oncology. Crit Rev Oncol Hematol 46(2):127–37
Kemeny MM, Peterson BL, Kornblith AB et al (2003) Barriers to clinical trial participation by older women with breast cancer. J Clin Oncol 21(12):2268–75
Albrand G, Terret C. Early breast cancer in the elderly assessment and management considerations. Drugs Aging 25(1):35–45.
Extermann M, Hurria A (2007) Comprehensive geriatric assessment for older patients with cancer. J Clin Oncol 25(14):1824–31
Grunfeld E, Coyle D, Whelan T (2004) Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. CMAJ 170(12):1795–801
Lkhoyaali S, El Haj MA, El Omrani F (2015) The burden among family caregivers of elderly cancer patients: prospective study in a Moroccan population. BMC Res Notes
Presutti R, D’Alimonte L, McGuffin M et al (2014) Decisional support throughout the cancer journey for older women diagnosed with early stage breast cancer: a single institutional study. J Cancer Educ 29(1):129–35
Wong JJ, D’Alimonte L, Angus J et al (2011) What do older patients with early breast cancer want to know while undergoing adjuvant radiotherapy? J Cancer Educ 26(2):254–61
Louwman WJ, Vulto JC, Verhoeven RH (2007) Clinical epidemiology of breast cancer in the elderly. Eur J Cancer 43(15):2242–52
Middlemiss T, Lloyd-Williams M, Laird BJ et al (2015) Symptom control trials in patients with advanced cancer: a qualitative study. J Pain Symptom Manage 50(5):642–649.e1
Diamond J, Luke JJ, Uttal DH (2009) Practical evaluation guide: tools for museums and other informal educational settings, 2nd edn
Pal SK, Katheria V, Hurria A (2010) Evaluating the older patient with cancer: understanding frailty and the geriatric assessment. CA Cancer J Clin 60(2):120–32
Extermann M, Meyer J, McGinnis M et al (2004) A comprehensive geriatric intervention detects multiple problems in older breast cancer patients. Crit Rev Oncol Hematol 49(1):69–7
Jolly TA, Deal AM, Nyrop KA et al. (2015) Geriatric assessment-identified deficits in older cancer patients with normal performance status oncologist
Chiang LY, Liu J, Flood KL (2015) Geriatric assessment as predictors of hospital readmission in older adults with cancer. J Geriatr Oncol 6(4):254–61
Mariano C, Williams G, Deal A (2015) Geriatric assessment of older adults with cancer during unplanned hospitalizations: an opportunity in disguise. Oncologist 20(7):767–72
Magnuson A, Dale W, Mohile S (2014) Models of care in geriatric oncology. Curr Geriatr Rep 3(3):182–189
Balducci L, Colloca G, Cesari M et al (2010) Assessment and treatment of elderly patients with cancer. Surg Oncol 19(3):117–23
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Tjong, M.C., Menjak, I., Trudeau, M. et al. The Perceptions and Expectations of Older Women in the Establishment of the Senior Women’s Breast Cancer Clinic (SWBCC): a Needs Assessment Study. J Canc Educ 32, 850–857 (2017). https://doi.org/10.1007/s13187-016-1042-1
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DOI: https://doi.org/10.1007/s13187-016-1042-1