To the Editor In their recent Viewpoint in JAMA Oncology, Chowdhary et al1 provide a thorough overview on radiotherapeutic considerations for older adults with early-stage breast cancer. The authors suggest that shorter radiotherapy options could alter our recommendations in the spirit of “patient-centric care.” I respectfully disagree, and I believe that the authors are taking a paternalistic view without considering all the inputs of the decision-making process. While such options will change the calculus for individual patient decision-making, I do not believe that these emerging data will change our approach.
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Chowdhry VK. Omission of Radiotherapy in Older Adults With Early-Stage Breast Cancer. JAMA Oncol. 2021;7(9):1397–1398. doi:10.1001/jamaoncol.2021.2404
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