TPW 8.13 Charlson Comorbidity Index as a Risk Assessment Tool for Breast Cancer Patients: A DGH Experience

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ID: 324026
2026
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Abstract
Abstract Aims This study aimed to assess the effectiveness in using the Charlson Comorbidity Index (CCI) for prediction of 10-year survival rate in patients who have been operatively treated for breast cancer, and the role of CCI to manage modifiable medical conditions. Methods The prospective study cohort consisted of 58 patients who had recently undergone curative surgery for localised breast cancer at a district general hospital (DGH) between January and July 2025. Clinical data was obtained from medical records to calculate CCI before the operation. Results The cohort consisted of all females, aged 75 to 92 (mean of 82.9). 32 (55%) were found to have comorbidities, of which 10 had modifiable medical conditions. The CCI calculated ranged from 5 to 7 (mean of 6). 5 of those with modifiable comorbidities were enrolled on a separate treatment programme, all of which showed marked improvement verified by formal clinical assessment. A total of 4 (7%) minor complications were identified and managed appropriately. Conclusion CCI aided in numerically stratifying patients into risk groups. This provided an opportunity to identify and optimise management of those with modifiable conditions, which contributed to improvement in prognosis and reduced complication rates. CCI served as a vital tool in the prediction of long-term survival rates, and to adapt management schemes based on modifiable comorbidities. Including CCI in treatment planning emphasised the importance of comprehensive patient assessments in the clinical practice, and for enhancing outpatient management.
Reference Key
openalex_W7172483513 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Neel Murthy, Krishnamurthy Murthy
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.400
URL
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