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Challenges facing radiation oncologists in the management of older cancer patients: Consensus of the international geriatric radiotherapy group

  • Dades identificatives

    Identificador: imarina:5874039
    Autors:
    Popescu TKarlsson UVinh-Hung VTrigo LThariat JVuong TBaumert BMotta MZamagni ABonet MMyint ALara PNguyen NArenas M
    Resum:
    © 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.
  • Altres:

    Autor segons l'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
    Departament: Ciències Mèdiques Bàsiques
    Autor/s de la URV: Arenas Prat, Meritxell
    Paraules clau: 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
    Resum: © 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.
    Àrees temàtiques: Oncology Medicina iii Cancer research
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 20726694
    Adreça de correu electrònic de l'autor: meritxell.arenas@urv.cat
    Identificador de l'autor: 0000-0003-0815-2570
    Data d'alta del registre: 2023-02-18
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://www.mdpi.com/2072-6694/11/3/371
    Referència a l'article segons font original: Cancers. 11 (3):
    Referència de l'ítem segons les normes 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
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    DOI de l'article: 10.3390/cancers11030371
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2019
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Cancer Research,Oncology
    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
    Oncology
    Medicina iii
    Cancer research
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