New research published in the Journal “Cancer” highlights some problems in the changing treatment options for patients and doctors. The study looked at the use of radiology in elderly patients with early stage breast cancer.
Some research indicates that most elderly women see no change in life expectancy after using radiology to treat their early stage breast cancer. The radiology treatments can be painful and in many cases, ultimately unnecessary. The research found that many doctors are continuing to follow treatment paths that are not providing any actual increase in the life expectancy of their patients.
The study looked at survival rates and cancer recurrence for women who had surgery and chemotherapy, then compared that to women who had surgery, chemotherapy and radiology. The women who undertook radiology saw no additional benefit in terms of survival rate.
The data from the research indicates that adjuvant radiotherapy could be safely omitted from the treatment program in elderly women with breast cancer. The research points out that — while there has been a large decrease in radiotherapy, almost two-thirds of women are still receiving radiotherapy unnecessarily.
68.6% of patients treated between 2000 and 2004 compared with 61.7% of patients who were treated between 2005 and 2009 received some form of adjuvant radiotherapy. There was an increase in the use of implant radiotherapy from 1.4% between 2000 and 2004 to 6.2% between 2005 to 2009 (P < .001). Radiology carries some significant side effects including nerve damage, swelling, blistering, lymphedema and tiredness. The fact that doctors are continuing to use radiology on elderly women indicates they are not aware of the latest research into survival rates. This highlights a disconnect between treatment practices and research that must be addressed.