Autor según el artículo: 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
Departamento: Ciències Mèdiques Bàsiques
Autor/es de la URV: Arenas Prat, Meritxell
Palabras clave: 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
Resumen: © 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.
Áreas temáticas: Oncology Medicina iii Cancer research
Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 20726694
Direcció de correo del autor: meritxell.arenas@urv.cat
Identificador del autor: 0000-0003-0815-2570
Fecha de alta del registro: 2023-02-18
Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
Enlace a la fuente original: https://www.mdpi.com/2072-6694/11/3/371
URL Documento de licencia: http://repositori.urv.cat/ca/proteccio-de-dades/
Referencia al articulo segun fuente origial: Cancers. 11 (3):
Referencia 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
DOI del artículo: 10.3390/cancers11030371
Entidad: Universitat Rovira i Virgili
Año de publicación de la revista: 2019
Tipo de publicación: Journal Publications
Repositori URV