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Results of a survey on elderly head and neck cancer patients on behalf of the Italian Association of Radiotherapy and Clinical Oncology (AIRO)
OBJECTIVE: Over the years, evidence-based data and technical improvements have consolidated the central role of radiation therapy (RT) in head and neck cancer (HNC) treatment, even in the elderly. This survey aimed to describe the management of the elderly HNC patients among Italian Radiation Oncolo...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Pacini Editore Srl
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7889254/ https://www.ncbi.nlm.nih.gov/pubmed/33558767 http://dx.doi.org/10.14639/0392-100X-N0618 |
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author | Belgioia, Liliana De Felice, Francesca Bacigalupo, Almalina Alterio, Daniela Argenone, Angela D’Angelo, Elisa Desideri, Isacco Franco, Pier Francesco Merlotti, Anna Musio, Daniela Orlandi, Ester Ursino, Stefano Paiar, Fabiola |
author_facet | Belgioia, Liliana De Felice, Francesca Bacigalupo, Almalina Alterio, Daniela Argenone, Angela D’Angelo, Elisa Desideri, Isacco Franco, Pier Francesco Merlotti, Anna Musio, Daniela Orlandi, Ester Ursino, Stefano Paiar, Fabiola |
author_sort | Belgioia, Liliana |
collection | PubMed |
description | OBJECTIVE: Over the years, evidence-based data and technical improvements have consolidated the central role of radiation therapy (RT) in head and neck cancer (HNC) treatment, even in the elderly. This survey aimed to describe the management of the elderly HNC patients among Italian Radiation Oncology Departments (RODs) and provide possible suggestions for improvement. METHODS: An online survey based on 43 questions was sent to RODs via email. For each RODs, a radiation oncologist with expertise in HNC was invited to answer questions addressing his/her demographic data, ROD multidisciplinary unit (MU) organisation and ROD management policy in elderly HNC patients. RESULTS: In total, 68 RODs answered, representing centres located in 16 Italian regions. MU was considered the core of HNC patient management in almost all the entire country. However, in many RODs, there was minimal access to a routinely comprehensive geriatric assessment at diagnosis. Most treatments were reported by respondents as curative (89% on average) and the preferred treatment technique was intensity modulated radiation therapy (IMRT). A considerable variation between RODs was found for RT target volumes. There was a relation between the specialist’s years of experience and type of concomitant systemic therapy prescribed. CONCLUSIONS: Substantial differences in elderly HNC management have been found, especially concerning patient clinical evaluation and target volume delineation. This survey shows the necessity to design a prospective national trial to provide a uniform treatment strategy and define an effective patient-centred approach. |
format | Online Article Text |
id | pubmed-7889254 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Pacini Editore Srl |
record_format | MEDLINE/PubMed |
spelling | pubmed-78892542021-02-25 Results of a survey on elderly head and neck cancer patients on behalf of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) Belgioia, Liliana De Felice, Francesca Bacigalupo, Almalina Alterio, Daniela Argenone, Angela D’Angelo, Elisa Desideri, Isacco Franco, Pier Francesco Merlotti, Anna Musio, Daniela Orlandi, Ester Ursino, Stefano Paiar, Fabiola Acta Otorhinolaryngol Ital Head and Neck OBJECTIVE: Over the years, evidence-based data and technical improvements have consolidated the central role of radiation therapy (RT) in head and neck cancer (HNC) treatment, even in the elderly. This survey aimed to describe the management of the elderly HNC patients among Italian Radiation Oncology Departments (RODs) and provide possible suggestions for improvement. METHODS: An online survey based on 43 questions was sent to RODs via email. For each RODs, a radiation oncologist with expertise in HNC was invited to answer questions addressing his/her demographic data, ROD multidisciplinary unit (MU) organisation and ROD management policy in elderly HNC patients. RESULTS: In total, 68 RODs answered, representing centres located in 16 Italian regions. MU was considered the core of HNC patient management in almost all the entire country. However, in many RODs, there was minimal access to a routinely comprehensive geriatric assessment at diagnosis. Most treatments were reported by respondents as curative (89% on average) and the preferred treatment technique was intensity modulated radiation therapy (IMRT). A considerable variation between RODs was found for RT target volumes. There was a relation between the specialist’s years of experience and type of concomitant systemic therapy prescribed. CONCLUSIONS: Substantial differences in elderly HNC management have been found, especially concerning patient clinical evaluation and target volume delineation. This survey shows the necessity to design a prospective national trial to provide a uniform treatment strategy and define an effective patient-centred approach. Pacini Editore Srl 2021-01-21 2020-12 /pmc/articles/PMC7889254/ /pubmed/33558767 http://dx.doi.org/10.14639/0392-100X-N0618 Text en Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en |
spellingShingle | Head and Neck Belgioia, Liliana De Felice, Francesca Bacigalupo, Almalina Alterio, Daniela Argenone, Angela D’Angelo, Elisa Desideri, Isacco Franco, Pier Francesco Merlotti, Anna Musio, Daniela Orlandi, Ester Ursino, Stefano Paiar, Fabiola Results of a survey on elderly head and neck cancer patients on behalf of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) |
title | Results of a survey on elderly head and neck cancer patients on behalf of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) |
title_full | Results of a survey on elderly head and neck cancer patients on behalf of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) |
title_fullStr | Results of a survey on elderly head and neck cancer patients on behalf of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) |
title_full_unstemmed | Results of a survey on elderly head and neck cancer patients on behalf of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) |
title_short | Results of a survey on elderly head and neck cancer patients on behalf of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) |
title_sort | results of a survey on elderly head and neck cancer patients on behalf of the italian association of radiotherapy and clinical oncology (airo) |
topic | Head and Neck |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7889254/ https://www.ncbi.nlm.nih.gov/pubmed/33558767 http://dx.doi.org/10.14639/0392-100X-N0618 |
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