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Rates of major complications during neoadjuvant and adjuvant chemotherapy for early breast cancer: An off study
1Breast Unit, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Objectives:
To determine the incidence and risk factors for thromboembolic events (TE) and febrile neutropenia (FN) in patients receiving systemic chemotherapy for early breast cancer (EBC).
Methods:
325 patients received FEC75, FEC100-T or ECaP for EBC in 2013.
Results:
TE occurred in 7.4% and FN in 19.1% of patients. Risk factors for TE were: central venous catheter (p = 0.011). Risk factors for FN were: FEC100-T treatment versus FEC75 and ECaP (p ≤ 0.001); lower pre-treatment neutrophil count (p = 0.009) and poorer performance status (p = 0.012). Two patients died from treatment-related toxicities.
Conclusion:
In real-world experience, the majority of patients completed adequate treatment, despite significant complications.
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