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An age bias in treatment of breast cancer has been reported in a number of studies.¹,²Alternative explanations for different treatment of older patients have been suggested, including presentation for treatment at a later stage of disease and higher levels of comorbidity among the old.²Greenfield et al³reported that older patients are more likely to be provided inadequate treatment for breast cancer, even when controlling for stage of disease, comorbidity, and functional status. What then are the reasons for systematic denial of optimal care for this important segment of the population? Is age an inadequate and inappropriate criterion on which to make treatment decisions? Although geriatricians have argued that the approach to elderly patients should be different from that for younger patients,⁴it is imperative that alterations in care of patients due to age be based on science and data, not on misinformation and mistaken
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Terrie Wetle (1987) studied this question.
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