title: Multimorbidity and breast cancer.
abstract: OBJECTIVE
  To examine the significance of multimorbidity in breast cancer survivors, to explore multimorbidity in treatment decisions, and survivorship, and to consider multimorbidity assessment in clinical practice.
  
  
  METHODS
  Literature review; clinical practice guidelines.
  
  
  CONCLUSIONS
  Multimorbidity influences treatment decisions. Breast cancer survivors report greater multimorbidity compared with other cancer survivors. Multimorbidity increases with age; there may be racial and ethnic differences. Multimorbidity is associated with symptom burden, functional decline, low adherence to surveillance, and early retirement.
  
  
  CONCLUSIONS
  Clinical practice guidelines do not refer to multimorbidity and patient outcomes. Comprehensive geriatric assessment combined with survivorship care plan may be considered.
authors.forename: Karen
authors.initials: K
authors.lastname: Meneses
authors.forename: Rachel
authors.initials: R
authors.lastname: Benz
authors.forename: Andres
authors.initials: A
authors.lastname: Azuero
authors.forename: Rita
authors.initials: R
authors.lastname: Jablonski-Jaudon
authors.forename: Patrick
authors.initials: P
authors.lastname: McNees
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000453:epidemiology* / Q000628:therapy*; D015897:Comorbidity; D003266:Continuity of Patient Care / Q000592:standards*; D005006:Ethnicity; D005260:Female; D006801:Humans; D008875:Middle Aged; D009859:Oncology Nursing / Q000592:standards*; D010347:Patient Care Planning / Q000592:standards*; D017410:Practice Guidelines as Topic; D044469:Racial Groups; D012307:Risk Factors; D017741:Survivors
keywords: Breast cancer; comprehensive geriatric assessment; geroscience; multimorbidity; survivorship care plans