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Effect of nurse case management on the treatment of older women with breast cancer
Author(s)James S Goodwin, Shiva Satish, Elizabeth T Anderson
Journal titleJournal of the American Geriatrics Society, vol 51, no 9, September 2003
Pagespp 1252-1259
KeywordsOlder women ; Cancer ; Therapeutics ; Nursing ; Case work ; Management [care] ; United States of America.
Annotation335 women aged 65+ newly diagnosed with breast cancer were randomly assigned to control (166) and intervention (169) groups. The intervention group received the services of a nurse case manager for 12 months after diagnosis. More women in the intervention group received breast-conserving surgery (28.6% vs 18.7%) and radiation therapy (36% vs 19%); they were more likely to receive breast reconstruction (9.3% vs 23.6%); and in the case of those with advanced cancer, were more likely to receive chemotherapy (72.7% vs 30%). 2 months after surgery, higher percentages of women in the case management group had normal arm function (93% vs 84%) and were more likely to state that they had a real choice in their treatment (82.2% vs 69.9%). Women with indicators of poor social support were more likely to benefit from nurse case management, which overall results in more appropriate management of women with breast cancer. (RH).
Accession NumberCPA-031106210 A
ClassmarkBD: CK: LL: LQ: IGA: QA: 7T

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