Head and neck cancer in geriatric patients: Analysis of the pattern of care given at a tertiary cancer care center

Indian Journal of Cancer
S ThiagarajanS Balasubramanian

Abstract

The percentage of elderly people with head and neck cancers (HNC) is on the rise. This makes HNC in this group of patients an important issue for healthcare providers. The present study was planned to analyze the patterns of care given to the geriatric patients and to identify the factors influencing the decision making process. Data of all the elderly patients (≥65 years) registered in the year 2012, with histologically proven HNC (all sites, stages, histopathological types, except lymphoma, sarcoma and cervical metastasis of unknown origin) receiving treatment (definitive/palliative) were collected. A total of 270 patients were included in this study. The median age was 72 years (range: 65-101), with predominant male population (70%, n = 190). Oral cavity squamous cell carcinoma (SCC) was the most common cancer (57%, n = 154). Eastern Co-Operative Oncology Group performance status (PS) of 0-2 was seen in 91% of the patients. Co-morbidities were present in 139 (51.5%) patients. 50% (n = 134) of the patients received palliative intent treatment, 45% (n = 123) definitive treatment, whereas in 5% (n = 13) the intent was not mentioned. Age, a clinical stage and PS significantly influenced the decision making on the intent of treat...Continue Reading

References

Apr 1, 1990·International Journal of Radiation Oncology, Biology, Physics·A LusinchiF Eschwege
Sep 1, 1996·Annals of Epidemiology·J M Guralnik
Nov 1, 1996·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·T PignonP Scalliet
Feb 11, 1999·Journal of Clinical Epidemiology·L P FriedJ M Guralnik
Apr 14, 2000·The Laryngoscope·J F Piccirillo
Sep 15, 2001·Archives of Otolaryngology--head & Neck Surgery·J SariniB Coche-Dequéant
Mar 12, 2004·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·W DerksJ A M Winnubst
Apr 30, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Carol A TownsleyLillian L Siu
Nov 18, 2005·Lancet·K Srinath ReddyAnbumani Ramadoss
Dec 29, 2009·Oral Oncology·Pedro Ricardo MiletJean-Louis Lefebvre
Apr 17, 2010·International Journal of Radiation Oncology, Biology, Physics·Shao Hui HuangJolie Ringash
Mar 13, 2014·Journal of Surgical Oncology·Shivakumar ThiagarajanAnil K D'Cruz

❮ Previous
Next ❯

Citations

Sep 28, 2017·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·G B HalmosB A C van Dijk
Jun 7, 2019·Ear, Nose, & Throat Journal·Samuel J RubinScharukh Jalisi

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.