ArticleAnnals of surgical oncology2026
Evaluation of Surgeon Attitudes Toward Frailty Screening in Breast Oncology Patients.
Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe American Society of Clinical Oncology recommends integration of geriatric-specific screening tools in the evaluation of older adults undergoing systemic therapy. How these data affect surgical oncology care is underexplored. We evaluated the effect of these data on preoperative surgical decision-making and communication.
methodsPatients ≥ 70 years, who presented to a breast surgical oncology clinic from October 2021 to May 2024 were screened for frailty using the Geriatric-8 (G8) and limited life expectancy using the Schonberg Index. Surgeons received the results prior to consultation with the patient. Post-visit surveys assessed whether the tools influenced treatment decisions or conversations. Semistructured interviews were conducted pre- and postimplementation to capture surgeon perspectives. Survey data were analyzed descriptively; interviews were analyzed by using a thematic analysis approach.
resultsThirteen surgeons participated; 92% were fellowship-trained. Among 233 patient encounters, results altered treatment plans a minority of the time (G8: 4%, Schonberg Index: 4%). However, approximately 30% of surgeons stated the results shifted discussion, and 10% discussed results explicitly with patients. Three themes emerged in interviews: (1) the tools often reinforced providers' subjective assessments and were most valuable in "borderline" cases; (2) surgeons desired better language to discuss frailty and life expectancy; and (3) structural factors affect tool utilization.
conclusionsRoutine frailty and limited life expectancy screening in an academic breast surgery clinic infrequently altered clinical management but did have the potential to inform conversations regarding tailoring locoregional therapy in older adults. Continued work on supporting surgeons in the integration of these tools into treatment conversations, and disseminating similar efforts in different clinical environments, is needed.
Indexed as
Identifiers
42329562What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.