In the United States, the life expectancy of an 80-year-old woman is 9 more years; however, half of these women are likely to live more than 13 years, and the other half are likely to live less than 5 years.1 Given this, nursing home patients presumably have a life expectancy that is shorter than the average. In this issue of JAMA Surgery, Tang et al2 evaluated the 30-day and 1-year mortality and functional decline of nursing home patients after breast cancer surgery (mean [SD] age, 82  years). This cohort of patients had high levels of preoperative comorbidities and functional dependence. The authors found significantly higher rates of 30-day mortality, 1-year mortality, and functional decline in this cohort, and those who were the least functionally independent had the highest mortality rates.
Liu JY, Bilimoria KY. Surgical Decision Making in Elderly, Impaired Nursing Home Patients. JAMA Surg. 2018;153(12):1096–1097. doi:10.1001/jamasurg.2018.2737
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