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The authors aim to describe surgical patterns and outcomes of an elderly population diagnosed with EBC treated in a BC-dedicated reference center.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods\u00a0<\/jats:title>\n                <jats:p>Retrospective study for all EBC patients \u226570 years old submitted to breast surgery from 2018 to 2021. Patients were included if submitted to the G8 screening tool. Data on standard demographics, surgery performed, and outcomes were collected.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Overall, 192 patients were included. Frail patients were significantly older (<jats:italic>p<\/jats:italic>&lt;0.01), had worse Charlson Comorbidity Index (<jats:italic>p<\/jats:italic>&lt;0.01) and ASA (<jats:italic>p<\/jats:italic>&lt;0.01) scores and more comorbidities (<jats:italic>p<\/jats:italic>=0.09). In total, 199 breasts were operated; 173 breast conservative surgeries (BCS) and 26 mastectomies. In the frail population, oncoplastic surgery after BCS was more frequently mammoplasty; no reconstruction was reported after mastectomy. In the fit group, more diversity was seen in oncoplastic procedures; 13 breasts underwent direct-to-implant breast reconstruction (BR) after mastectomy. Frail patients were less likely to be offered BR (<jats:italic>p<\/jats:italic>&lt;0.01). There was no association between frailty and postoperative complications, in-hospital length of stay, readmission, or reintervention.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our results suggest that G8 frail patients are less likely to be offered BR. Even if there were no significant differences in surgical adverse outcomes between groups, this could have been masked by a higher proportion of BR among fit patients. G8 screening can be a useful instrument to support the surgeon\u2019s decision to whether or not to consider BR in elderly breast cancer patients.<\/jats:p>\n                <jats:p>Level of Evidence: Level IV, Risk\/Prognostic Study.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00238-023-02122-9","type":"journal-article","created":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T07:01:57Z","timestamp":1694847717000},"page":"1069-1080","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Surgical choices and complications in elderly women: a single center retrospective analysis in frail vs. non frail breast cancer patients"],"prefix":"10.1007","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4633-1665","authenticated-orcid":false,"given":"Patr\u00edcia","family":"Machado e Costa","sequence":"first","affiliation":[]},{"given":"M\u00e1rcio","family":"Debiasi","sequence":"additional","affiliation":[]},{"given":"Bruna","family":"da Silva Reus","sequence":"additional","affiliation":[]},{"given":"Andr\u00e9","family":"Cardoso","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7998-3366","authenticated-orcid":false,"given":"David","family":"Pinto","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5600-2783","authenticated-orcid":false,"given":"Pedro","family":"Gouveia","sequence":"additional","affiliation":[]},{"given":"Rogelio","family":"Andres-Luna","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7257-1115","authenticated-orcid":false,"given":"Carlos","family":"Mavioso","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5098-5771","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Anacleto","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6692-2249","authenticated-orcid":false,"given":"F\u00e1tima","family":"Cardoso","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8137-3700","authenticated-orcid":false,"given":"Maria Jo\u00e3o","family":"Cardoso","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2023,9,16]]},"reference":[{"key":"2122_CR1","doi-asserted-by":"publisher","first-page":"524","DOI":"10.3322\/caac.21754","volume":"72","author":"AN Giaquinto","year":"2022","unstructured":"Giaquinto AN, Sung H, Miller KD, Kramer JL, Newman LA, Minihan A, Jemal A, Siegel RL (2022) Breast cancer statistics, 2022. 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Breast Cancer Res Treat 182(2):429\u2013438","journal-title":"Breast Cancer Res Treat"}],"container-title":["European Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00238-023-02122-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00238-023-02122-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00238-023-02122-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T09:05:10Z","timestamp":1701507910000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00238-023-02122-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,16]]},"references-count":46,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["2122"],"URL":"https:\/\/doi.org\/10.1007\/s00238-023-02122-9","relation":{},"ISSN":["1435-0130"],"issn-type":[{"value":"1435-0130","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,16]]},"assertion":[{"value":"27 March 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 September 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 September 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Hereby, I Patr\u00edcia Machado e Costa consciously assure that for the manuscript \u201cSurgical choices and complications in elderly women: A single center retrospective analysis in frail vs. non frail breast cancer patients,\u201d the following is fulfilled:1)This material is the authors\u2019 own original work, which has not been previously published elsewhere.2)The paper is not currently being considered for publication elsewhere.3)The paper reflects the authors\u2019 own research and analysis in a truthful and complete manner.4)The paper properly credits the meaningful contributions of co-authors and co-researchers.5)The results are appropriately placed in the context of prior and existing research.6)All sources used are properly disclosed (correct citation).7)All authors have been personally and actively involved in substantial work leading to the paper, and will take public responsibility for its content.8)The manuscript has been read and approved by all named authors.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical statement"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Ethical approval was not necessary for this retrospective study according to the portuguese law and ethical guidelines.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Patr\u00edcia Machado e Costa, M\u00e1rcio Debiasi, Bruna da Silva Reus, Andr\u00e9 Cardoso, David Pinto, Pedro Gouveia, Rogelio Andres-Luna, Carlos Mavioso, Jo\u00e3o Anacleto, F\u00e1tima Cardoso, Maria Jo\u00e3o Cardoso declare no conflict of interest.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}