Author, as appears in the article.: Popescu T; Karlsson U; Vinh-Hung V; Trigo L; Thariat J; Vuong T; Baumert B; Motta M; Zamagni A; Bonet M; Myint A; Lara P; Nguyen N; Arenas M

Department: Ciències Mèdiques Bàsiques

URV's Author/s: Arenas Prat, Meritxell

Keywords: Therapy Radiotherapy tolerance Prostate-cancer Older Lung-cancer Image-guided radiotherapy Frailty Experience Elderly-patients Discrimination Comorbidity Clinical-trials Care Breast-cancer Adults older frailty discrimination comorbidity

Abstract: © 2019 by the authors. Licensee MDPI, Basel, Switzerland. The management of older cancer patients remains difficult because of data paucity. Radiation oncologists need to identify potential issues which could affect treatment of those patients. A workshop was organized in Barcelona among international radiation oncologists with special interest in the management of older cancer patients on April 22, 2018. The following consensus was reached: 1. Older cancer patients often faced unconscious discriminating bias from cancer specialists and institutions because of their chronological age. 2. Advances in radiotherapy techniques have allowed patients with multiple co-morbidities precluding surgery or systemic therapy to achieve potential cure in early disease stages. 3. The lack of biomarkers for frailty remains an impediment to future research. 4. Access to healthcare insurance and daily transportation remains an issue in many countries; 5. Hypofractionation, brachytherapy, or stereotactic techniques may be ideally suited for older cancer patients to minimize transportation issues and to improve tolerance to radiotherapy. 6. Patients with locally advanced disease who are mentally and physically fit should receive combined therapy for potential cure. 7. The role of systemic therapy alone or combined with radiotherapy for frail patients needs to be defined in future clinical trials because of targeted agents or immunotherapy may be less toxic compared to conventional chemotherapy.

Thematic Areas: Oncology Medicina iii Cancer research

licence for use: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 20726694

Author's mail: meritxell.arenas@urv.cat

Author identifier: 0000-0003-0815-2570

Record's date: 2023-02-18

Papper version: info:eu-repo/semantics/publishedVersion

Link to the original source: https://www.mdpi.com/2072-6694/11/3/371

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Cancers. 11 (3):

APA: Popescu T; Karlsson U; Vinh-Hung V; Trigo L; Thariat J; Vuong T; Baumert B; Motta M; Zamagni A; Bonet M; Myint A; Lara P; Nguyen N; Arenas M (2019). Challenges facing radiation oncologists in the management of older cancer patients: Consensus of the international geriatric radiotherapy group. Cancers, 11(3), -. DOI: 10.3390/cancers11030371

Article's DOI: 10.3390/cancers11030371

Entity: Universitat Rovira i Virgili

Journal publication year: 2019

Publication Type: Journal Publications