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Are Older Patients with Cervical Cancer Managed Differently to Younger Patients? An International Survey

Although a quarter of cervical cancers occur after the age of 65 years, there is no treatment consensus for these patients. The aim of this work was to survey how physicians treat patients with advanced cervical cancer, focusing on treatment adjustments according to age and frailty status. Specialis...

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Autores principales: Frelaut, Maxime, De Glas, Nienke, Zapardiel, Ignacio, Kaidar-Person, Orit, Kfoury, Maria, You, Benoit, Banerjee, Susana, Brain, Etienne, Falandry, Claire, Rodrigues, Manuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966543/
https://www.ncbi.nlm.nih.gov/pubmed/31817566
http://dx.doi.org/10.3390/cancers11121955
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author Frelaut, Maxime
De Glas, Nienke
Zapardiel, Ignacio
Kaidar-Person, Orit
Kfoury, Maria
You, Benoit
Banerjee, Susana
Brain, Etienne
Falandry, Claire
Rodrigues, Manuel
author_facet Frelaut, Maxime
De Glas, Nienke
Zapardiel, Ignacio
Kaidar-Person, Orit
Kfoury, Maria
You, Benoit
Banerjee, Susana
Brain, Etienne
Falandry, Claire
Rodrigues, Manuel
author_sort Frelaut, Maxime
collection PubMed
description Although a quarter of cervical cancers occur after the age of 65 years, there is no treatment consensus for these patients. The aim of this work was to survey how physicians treat patients with advanced cervical cancer, focusing on treatment adjustments according to age and frailty status. Specialists were invited to an online survey. Data collected included information on respondent and treatment strategy in four cases (FIGO IIb, FIGO IVa, FIGO IVb, metastatic recurrence) with three age scenarios (45-year-old, 75-year-old and fit, 75-year-old and unfit). We received 237 responses of which 117 were fully completed. Thirty-four percent of respondents reported they had available access to a geriatric team and 25% used a frailty screening tool in routine. Therapeutic strategies did not differ between young and old fit patients. However, treatment modalities and intensity were different for old and unfit patients. Physicians answered that they would treat old fit patients as their younger counterparts but would reduce treatment intensity for old unfit patients. However, even if they were willing to adapt their treatment strategy based on frailty status, most of them do not use the tools that would allow distinguishing “fit” and “unfit” older patients, leaving room for improving accurate geriatric evaluation.
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spelling pubmed-69665432020-01-27 Are Older Patients with Cervical Cancer Managed Differently to Younger Patients? An International Survey Frelaut, Maxime De Glas, Nienke Zapardiel, Ignacio Kaidar-Person, Orit Kfoury, Maria You, Benoit Banerjee, Susana Brain, Etienne Falandry, Claire Rodrigues, Manuel Cancers (Basel) Article Although a quarter of cervical cancers occur after the age of 65 years, there is no treatment consensus for these patients. The aim of this work was to survey how physicians treat patients with advanced cervical cancer, focusing on treatment adjustments according to age and frailty status. Specialists were invited to an online survey. Data collected included information on respondent and treatment strategy in four cases (FIGO IIb, FIGO IVa, FIGO IVb, metastatic recurrence) with three age scenarios (45-year-old, 75-year-old and fit, 75-year-old and unfit). We received 237 responses of which 117 were fully completed. Thirty-four percent of respondents reported they had available access to a geriatric team and 25% used a frailty screening tool in routine. Therapeutic strategies did not differ between young and old fit patients. However, treatment modalities and intensity were different for old and unfit patients. Physicians answered that they would treat old fit patients as their younger counterparts but would reduce treatment intensity for old unfit patients. However, even if they were willing to adapt their treatment strategy based on frailty status, most of them do not use the tools that would allow distinguishing “fit” and “unfit” older patients, leaving room for improving accurate geriatric evaluation. MDPI 2019-12-06 /pmc/articles/PMC6966543/ /pubmed/31817566 http://dx.doi.org/10.3390/cancers11121955 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Frelaut, Maxime
De Glas, Nienke
Zapardiel, Ignacio
Kaidar-Person, Orit
Kfoury, Maria
You, Benoit
Banerjee, Susana
Brain, Etienne
Falandry, Claire
Rodrigues, Manuel
Are Older Patients with Cervical Cancer Managed Differently to Younger Patients? An International Survey
title Are Older Patients with Cervical Cancer Managed Differently to Younger Patients? An International Survey
title_full Are Older Patients with Cervical Cancer Managed Differently to Younger Patients? An International Survey
title_fullStr Are Older Patients with Cervical Cancer Managed Differently to Younger Patients? An International Survey
title_full_unstemmed Are Older Patients with Cervical Cancer Managed Differently to Younger Patients? An International Survey
title_short Are Older Patients with Cervical Cancer Managed Differently to Younger Patients? An International Survey
title_sort are older patients with cervical cancer managed differently to younger patients? an international survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966543/
https://www.ncbi.nlm.nih.gov/pubmed/31817566
http://dx.doi.org/10.3390/cancers11121955
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