Evidence map›Paper›PMID 39678803›Full record

ArticleWorld journal of gastrointestinal oncology2024

Prognosis of radiotherapy for esophageal cancer in elderly patients exceeding seventy-five years old.

Li-Li Hu, Feng Rong, Lei Liu, Ling Zhang, Lei-Lei Zhang, Qun Yang, Zhao-Long Xia, Hui Wang

Abstract read
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Article in World journal of gastrointestinal oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Li-Li HuDepartment of Cancer Center, Lu'an Hospital of Anhui Medical University, Lu'an 237002, Anhui Province, China.
Feng RongDepartment of Cancer Center, Lu'an Hospital of Anhui Medical University, Lu'an 237002, Anhui Province, China.
Lei LiuCollege of Health and Elderly Care, Anhui Vocational College of City Management, Hefei 230012, Anhui Province, China.
Ling ZhangDepartment of Cancer Center, Lu'an Hospital of Anhui Medical University, Lu'an 237002, Anhui Province, China.
Lei-Lei ZhangDepartment of Cancer Center, Lu'an Hospital of Anhui Medical University, Lu'an 237002, Anhui Province, China.
Qun YangDepartment of Cancer Center, Lu'an Hospital of Anhui Medical University, Lu'an 237002, Anhui Province, China.
Zhao-Long XiaDepartment of Cancer Center, Lu'an Hospital of Anhui Medical University, Lu'an 237002, Anhui Province, China.
Hui WangDepartment of Oncology, The Second Affiliated Hospital of Anhui Medical University, Hefei 230601, Anhui Province, China. 1223556508@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsophageal cancer (EC) often occurs in the elderly, with approximately 33% of patients aged ≥ 75 years at the time of diagnosis.

aimTo evaluate the prognostic factors for radiotherapy (RT) in elderly patients with unresectable EC.

methodsWe retrospectively analyzed the clinical characteristics, toxic reactions, and survival information of EC patients aged ≥ 75 years who underwent intensity-modulated RT at Lu'an Hospital of Anhui Medical University between January 2016 and September 2023. Kaplan-Meier analysis was used to draw the overall survival (OS) curves, and Cox regression analysis was employed to evaluate the influence of various clinical factors on the prognosis.

resultsA total of 139 patients were enrolled. The median follow-up time was 52.0 months. The median OS was 20.0 months. The 1-year, 2-year, 3-year, and 5-year OS rates were 69.8%, 38.7%, 28.2%, and 17.5%, respectively. Univariate analysis showed that age, radiation dose, and chemotherapy had no significant impact on prognosis. Multivariate analysis indicated that clinical stage [III-IVa

conclusionOur results suggest that CCI and NRS2002 were independent prognostic factors of OS for unresectable elderly EC patients undergoing RT. For elderly patients with EC, full attention should be given to biological age-related indicators, such as comorbidities and nutrition, when formulating treatment protocols. These factors should be considered in future clinical practice.

Indexed as

ComorbidityElderly patientEsophageal cancerNutritional riskPrognosisRadiotherapy

Identifiers

PMID39678803
PMCPMC11577368

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