PMID: 11898135Mar 20, 2002Paper

Patient age and cancer treatment decisions. Patient and physician views

Cancer Practice
J S KutnerT E Byers

Abstract

The purpose of this study was to examine patient and physician factors influencing the decision to use adjuvant chemotherapy for stage III colon cancer in elderly persons. A cross-sectional mailed population-based survey of patients 65 years of age and older who had undergone surgical resection of stage III colon cancer in Colorado between August 1995 and December 1997 were identified by the statewide cancer registry (n = 276) and their treating physicians (n = 232). A questionnaire about the determinants of colon cancer treatment decisions was mailed to all patients for whom physician permission was granted (n = 119). A similar questionnaire was sent to treating physicians. Ninety-two physicians (internal medicine 23%; family medicine 12%; surgery 37%; and oncology 24%) and 67 patients (mean age 75.8 years; 55% women) completed surveys. Fifty-four (80.6%) of the patients had received adjuvant chemotherapy. The major determinants of receiving adjuvant chemotherapy were having seen an oncologist (P = .003), being younger (P = .003), and being married (P = .021). After controlling for other potential influences, only having seen an oncologist (odds ratio 8.0; confidence interval 1.5-43.1) remained significantly associated with th...Continue Reading

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Citations

Jun 11, 2014·Cancer Epidemiology·Magdalena EstevaUNKNOWN DECCIRE GROUP
Jul 16, 2005·Leukemia & Lymphoma·Linda Mileshkin, H Miles Prince
Feb 19, 2016·CA: a Cancer Journal for Clinicians·Diana SarfatiChristopher Jackson
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Jul 1, 2021·World Journal of Surgical Oncology·Qianyun PangHongliang Liu
Oct 3, 2018·Asia-Pacific Journal of Oncology Nursing·Jeannette M Kates

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