Publications by authors named "D K Revell"
Article Synopsis
- Breast cancer treatment options include mastectomy and breast-conserving surgery, each with different implications for recovery and quality of life.
- Older women often face unique challenges and considerations when choosing between these surgical options.
- Post-mastectomy reconstruction can significantly impact the quality of life for older women, aiming to improve both physical appearance and emotional well-being after surgery.
Article Synopsis
- The study looked for ways to help older women with breast cancer make better treatment choices by testing two decision support tools.
- The tools included an online risk predictor, a decision guide, and an information booklet to help with choices like surgery or chemotherapy.
- Researchers found that many doctors and patients didn’t always use the online tools due to reasons like lack of internet access or patients already having made decisions.
Background: Radiotherapy reduces in-breast recurrence risk in early breast cancer (EBC) in older women. This benefit may be small and should be balanced against treatment effect and holistic patient assessment. This study described treatment patterns according to fitness and impact on health-related quality-of-life (HRQoL).
View Article and Find Full Text PDFBridging The Age Gap: observational cohort study of effects of chemotherapy and trastuzumab on recurrence, survival and quality of life in older women with early breast cancer.
Br J Cancer
July 2021
Background: Chemotherapy improves outcomes for high risk early breast cancer (EBC) patients but is infrequently offered to older individuals. This study determined if there are fit older patients with high-risk disease who may benefit from chemotherapy.
Methods: A multicentre, prospective, observational study was performed to determine chemotherapy (±trastuzumab) usage and survival and quality-of-life outcomes in EBC patients aged ≥70 years.
Background: Rates of surgery and adjuvant therapy for breast cancer vary widely between breast units. This may contribute to differences in survival. This cluster RCT evaluated the impact of decision support interventions (DESIs) for older women with breast cancer, to ascertain whether DESIs influenced quality of life, survival, decision quality, and treatment choice.
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