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Treatment patterns in older patients with locally advanced head and neck squamous cell carcinoma
- Source :
- Journal of Geriatric Oncology, 12(8), 1261-1265. ELSEVIER SCIENCE BV
- Publication Year :
- 2021
-
Abstract
- OBJECTIVES: We aimed to assess patterns of care delivered to older patients with locally advanced head and neck squamous cell carcinoma (LA-HNSCC), and to analyze the use of geriatric assessment (GA) and assessment of quality of life (QoL).MATERIALS AND METHODS: Members of the head and neck cancer group and the older task force of the European Organisation for Research and Treatment of Cancer (EORTC), members the European Head and Neck Society and members of national groups in Europe were asked to complete a questionnaire about treatment delivered, use of GA, and QoL assessment in older patients with LA-HNSCC.RESULTS: Investigators from 111 centers replied, including 90 (81.1%) academic centers, 16 (14.4%) community hospitals, and 5 (4.5%) private clinics. Large differences in treatment patterns were found. For instance, for oropharyngeal carcinoma, one third of the centers indicated that they treat 40% of older patients with chemoradiation. Fourteen centers (12.6%) routinely perform GA, while 43 centers (38.7%) never do, and 39 centers (35.1%) sometimes do. QoL is assessed on a routine basis in one fifth of the centers.CONCLUSIONS: Large differences exist across institutions in the patterns of care delivered to older patients with LA-HNSCC. Prospective studies are required to learn how GA can guide treatment decisions, and how QoL and treatment outcome can be improved. For that, consensus on standard of care is essential.
- Subjects :
- medicine.medical_specialty
Locally advanced
MEDLINE
03 medical and health sciences
0302 clinical medicine
Quality of life
Surveys and Questionnaires
medicine
Humans
030212 general & internal medicine
Prospective cohort study
Aged
business.industry
Squamous Cell Carcinoma of Head and Neck
Head and neck cancer
Cancer
medicine.disease
Head and neck squamous-cell carcinoma
CANCER
humanities
Oncology
Oropharyngeal Carcinoma
Head and Neck Neoplasms
030220 oncology & carcinogenesis
Physical therapy
Carcinoma, Squamous Cell
Quality of Life
Geriatrics and Gerontology
business
Subjects
Details
- Language :
- English
- ISSN :
- 18794068
- Volume :
- 12
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- Journal of Geriatric Oncology
- Accession number :
- edsair.doi.dedup.....665c9623e4d84d5890dec4cb1af4f920