“…The reasons for therapy decline in older patients may include duration of therapy, perceived unclear benefit of therapy, concerns regarding the potential for therapies to exacerbate preexisting medical conditions and/or cause new problems, financial concerns, and communication barriers (e.g., hearing or visual impairments that make it difficult to understand the benefits of a given cancer treatment) [12,13]. While avoidance of potentially toxic therapies is often appropriate in BC P80+ as risks may outweigh benefits, some older BC patients do benefit from adjuvant chemotherapy [14,15]. The ADVANCE (ADjuVANt Chemotherapy in the Elderly) trial assessed the feasibility of two (neo)adjuvant chemotherapy regimens in parallel-enrolling cohorts of older persons (≥ 70 years) with human epidermal growth factor receptor 2 (HER2)-negative BC [16].…”