title: Short-term, postoperative breast cancer outcomes in patients with advanced age.
abstract: BACKGROUND
  This study compares early postoperative breast cancer outcomes between patients 80 years and older (older patients) and those younger than 80 years (<80 years).
  
  
  METHODS
  The National Surgical Quality Improvement Program database was used to identify patients who had breast surgery between 2005 and 2013 for malignancy.
  
  
  RESULTS
  Older patients had a significantly higher percentage of comorbidities and partial mastectomies. Postoperatively, they had higher rates of pneumonia, urinary tract infection, cardiac arrest, and mortality but had lower rates of wound dehiscence, deep wound, and organ space infections. Thirty-day mortality is independently associated with hypertension, coronary artery disease, American Society of Anesthesiology class IV, and older age.
  
  
  CONCLUSIONS
  The overall perioperative morbidity and mortality after breast surgery, regardless of age, is low. Older patients had a significantly higher rate of mortality and systemic complications but a lower rate of wound complications, likely because of less invasive surgical procedures.
authors.affiliation: Department of Surgery, Mount Sinai St. Luke's and Mount Sinai West Hospitals, 1000 10th Ave Suite 2B, New York, NY, USA. Electronic address: epettke@chpnet.org.
authors.forename: Erica
authors.initials: E
authors.lastname: Pettke
authors.affiliation: Department of Surgery, Mount Sinai St. Luke's and Mount Sinai West Hospitals, 1000 10th Ave Suite 2B, New York, NY, USA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Ilonzo
authors.affiliation: Department of Surgery, Mount Sinai St. Luke's and Mount Sinai West Hospitals, 1000 10th Ave Suite 2B, New York, NY, USA.
authors.forename: Martha
authors.initials: M
authors.lastname: Ayewah
authors.affiliation: Department of Surgery, Mount Sinai St. Luke's and Mount Sinai West Hospitals, 1000 10th Ave Suite 2B, New York, NY, USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Tsantes
authors.affiliation: Department of Surgery, Mount Sinai St. Luke's and Mount Sinai West Hospitals, 1000 10th Ave Suite 2B, New York, NY, USA.
authors.forename: Alison
authors.initials: A
authors.lastname: Estabrook
authors.affiliation: Department of Surgery, Mount Sinai St. Luke's and Mount Sinai West Hospitals, 1000 10th Ave Suite 2B, New York, NY, USA.
authors.forename: Aye Moe Thu
authors.initials: AMT
authors.lastname: Ma
mesh_terms: D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000401:mortality* / Q000601:surgery*; D015897:Comorbidity; D003324:Coronary Artery Disease / Q000453:epidemiology; D016208:Databases, Factual; D005260:Female; D006323:Heart Arrest / Q000453:epidemiology; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D015412:Mastectomy, Segmental; D008875:Middle Aged; D011014:Pneumonia / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology*; D013529:Surgical Wound Dehiscence / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D014552:Urinary Tract Infections / Q000453:epidemiology; D020246:Venous Thrombosis / Q000453:epidemiology
keywords: Breast cancer; Elderly; National Surgical Quality Improvement Program (NSQIP); Outcomes