ArticleJournal of cancer research and clinical oncology2017
Undertreatment trend in elderly lung cancer patients in Brazil.
Article in Journal of cancer research and clinical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Epidemiological trend comparison and incidence prediction for elderly lung cancer in 204 countries and territories: a retrospective study.Clinics (Sao Paulo, Brazil) · 2026Article
- Developing and validating a nomogram of suicide risk in lung cancer patients based on the SEER database.Discover oncology · 2025Article
- Age differences in the treatment of lung cancer-a cohort study among 42,000 patients from Germany.Journal of cancer research and clinical oncology · 2024Article
- Access to cancer clinical trials for racialised older adults: an equity-focused rapid scoping review protocol.BMJ open · 2024Article
- Is immunotherapy at reduced dose and radiotherapy for older patients with locally advanced non-small lung cancer feasible?-a narrative review by the international geriatric radiotherapy group.Translational cancer research · 2022Review
- Prospective Analysis of Health-Related Quality of Life in Older Adults With Cancer.Journal of patient experience · 2020Article
- Defining Undertreatment and Overtreatment in Older Adults With Cancer: A Scoping Literature Review.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020Article
- Life-long follow-up of second primary lung and extra-pulmonary cancer in lung cancer patients is needed.Journal of Cancer · 2020Article
- Diagnosis status and pathological diagnosis derived treatment of elderly lung cancer patients over 75 years old.Translational cancer research · 2019Article
- "Age matters"-German claims data indicate disparities in lung cancer care between elderly and young patients.PloS one · 2019Article
- Concurrent chemoradiotherapy for stage III non-small cell lung cancer: correct clinical management as the basis to move beyond.Annals of translational medicine · 2018Article
- Commentary on: undertreatment trend in elderly lung cancer patients in Brazil.Journal of cancer research and clinical oncology · 2017Article
- Response to "Commentary on: Undertreatment trend in elderly lung cancer patients in Brazil"-Jing-lan Tang, Chun-jie Hou.Journal of cancer research and clinical oncology · 2017Article
- Tumor-node-metastasis staging and treatment patterns of 73,167 patients with lung cancer in Brazil.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e TisilogiaArticle
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No grant is acknowledged in the PubMed record.
Abstract
purposeElderly patients with lung cancer tend to be undertreated in comparison to younger patients. The objective of this study is to compare treatment modalities offered to lung cancer patients from 70 years of age or more with patients under 70.
methodsFor this study, an analytical cross-sectional epidemiological study conducted with data from the Brazilian hospital-based cancer registries between the years 2000 and 2011. In addition, odds ratios (OR) were calculated, with a 95% confidence intervals (95% CI), in conjunction with the construction of a logistic regression model.
resultsBy analyzing the records of 40,403 patients with lung cancer, we found that overall, patients from 70 years of age or more corresponded to 28.6% of the study population. Squamous cell carcinoma was the most common histological type among patients ≥70 years of age, whereas adenocarcinoma was the more prevalent type among younger patients. In comparison to younger patients, the older ones were treated less often (OR = 0.57; 95% CI: 0.52-0.62). Moreover, older patients were less likely to undergo surgery (OR = 0.69; 95% CI: 0.64-0.75), radiotherapy (OR = 0.86; 95% CI: 0.81-0.92), chemotherapy (OR = 0.61; 95% CI: 0.57-0.64), or an association of two or more treatment modalities (OR = 0.58; 95% CI: 0.54-0.62).
conclusionThe study finds that Brazilian lung cancer patients ≥70 years of age are often undertreated and higher percentage of early death rates as compared to patients under 70. In regard to treatment, age alone should not determine whether patients with lung cancer are treated or not.
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