Many older breast cancer patients receive unnecessary radiation

Many older breast cancer patients receive unnecessary radiation

Among women over the age of 70, the study found that 76.5 percent received radiation treatment.

Elderly breast cancer patients may be receiving unnecessary radiation treatment, reports Medical News Today.  A study published in the journal Cancer followed up on the findings of a 2004 randomized clinical trial.  The earlier research supported the omission of radiation treatment for elderly patients in an early stage of breast cancer.  Specifically, for patients that received surgery and the drug tamoxifen, radiation did not improve 5-year recurrence and survival rates.

Now, the new study has demonstrated that there has been no reduction in this treatment practice.  Among women over the age of 70, the study found that 76.5 percent received radiation treatment as compared to 68.6 percent at the time of the 2004 study.  There was a reduction between 2005 and 2009 to 61.7 percent, but that trend did not stick.  One important shift in treatment that was observed was less use of radiation to the whole breast and more use of treatment targeted at a specific area.

The American Society for Radiation Oncology has also been updating guidelines on use of radiation treatment.  Their guideline focuses on using radiation therapy on the whole breast sparingly.  However, when used on appropriate candidates, whole-breast radiation may help reduce the need for surgery.

The new study was based on data from the Surveillance, Epidemiology, and End Results (SEER) Program, supported by the National Cancer Institute.  The SEER Program aims to be an authoritative source of information on cancer incidence and survival in the U.S.  SEER currently houses cancer incidence and survival data from population-based cancer registries.  In total, the SEER Program has data that covers 28 percent of the U.S. population.

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