Javascript is not enabled.

Javascript must be enabled to use this site. Please enable Javascript in your browser and try again.

Skip to content
Content starts here


Leaving Website

You are now leaving and going to a website that is not operated by AARP. A different privacy policy and terms of service will apply.

Breast Cancer Surgery May Harm Older, Frailer Adults

It's more likely to cause death and reduced functioning among nursing home patients

spinner image Close-up of older female patient in nursing home holding hands with her nurse.
Getty Images

A study released yesterday in JAMA Surgery strongly suggests that the risks outweigh the benefits of breast cancer surgery for the majority of older women who reside in nursing homes.  

“Surgery often cures the cancer, but can have a negative impact on elderly patients’ everyday activities and worsen their quality of life,” said Victoria Tang, assistant professor of geriatrics and of hospital medicine at the University of California, San Francisco. Surgery of this type, the study authors noted in their conclusion, can even hasten death for such patients. In fact, up to 41 percent of the patients studied died after one year; that's significantly more than the 25 percent of nursing home residents who would typically die over a single year.

spinner image Image Alt Attribute

AARP Membership

Join AARP for $12 for your first year when you sign up for Automatic Renewal. Get instant access to members-only products and hundreds of discounts, a free second membership, and a subscription to AARP The Magazine

Join Now

“This study shows that for frail, elderly patients, breast cancer care should be individualized and goal-oriented, with the option of only providing hormonal therapy or symptom management, instead of surgery,” Tang noted. The researchers also recommended considering endocrine therapy or radiotherapy.

For expert tips to help feel your best, get AARP’s monthly Health newsletter.

To arrive at that conclusion, researchers analyzed data from 10 years of Medicare claims filed on behalf of nearly 6,000 women age 67 and older who lived in nursing homes. The women had undergone breast surgeries such as lumpectomy or mastectomy; many also had underlying conditions such as cognitive decline, diabetes or heart failure.

Following lumpectomy surgery, in particular, researchers found the highest rates of hospital readmission (26 percent) as well as the highest rates of death after both 30 days (8 percent) and one year (41 percent). They also saw significant functional impairment in carrying out daily activities such as eating, dressing and using the bathroom, and noted that cognitive impairment was significantly associated with this decline.

Tang explained that the striking results following lumpectomy likely stemmed from its being the procedure most likely to be performed in the sickest patients. Still, she noted, while a higher mortality rate would be somewhat expected with older nursing home patients who may have other health issues, “a 30-day mortality of 8 percent is much higher than would be anticipated for a surgical procedure that is generally considered very low risk.”

Discover AARP Members Only Access

Join AARP to Continue

Already a Member?

spinner image membership-card-w-shadow-192x134

Get instant access to members-only products and hundreds of discounts, a free second membership, and a subscription to AARP The Magazine.