Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-19T10:21:03.245Z Has data issue: false hasContentIssue false
  • English
  • Français

Patterns of care for octogenarian patients with head and neck cancer

Published online by Cambridge University Press:  26 November 2021

M S Iqbal ,
C Navarro-Rodriguez ,
S Munro ,
B Ozalp  and
C Kelly
M S Iqbal*
Affiliation:
Department of Clinical Oncology, Northern Centre for Cancer Care, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
C Navarro-Rodriguez
Affiliation:
Department of Clinical Oncology, Northern Centre for Cancer Care, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
S Munro
Affiliation:
Department of Medicine, Newcastle University, Newcastle upon Tyne, UK
B Ozalp
Affiliation:
Department of Geriatric Medicine, Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, UK
C Kelly
Affiliation:
Department of Clinical Oncology, Northern Centre for Cancer Care, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
*
Author for correspondence: Dr M S Iqbal, Department of Clinical Oncology, Northern Centre for Cancer Care, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne NE7 7DN, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To examine the patterns of care for octogenarian head and neck cancer patients.

Methods

All newly diagnosed patients aged 80 years or older, who presented at our centre between June 2018 and October 2020, were included.

Results

The total number of patients was 42. The median Charlson Comorbidity Index was 5 (range, 4–9). The larynx was the most common subsite (n = 12). Twenty-nine patients (66 per cent) were diagnosed at disease stage IV. Squamous cell carcinoma was the most common histology (86 per cent). Twenty-six patients (62 per cent) had radical treatment and 16 (38 per cent) had palliative treatment. The estimated six-month and one-year overall survival rates for the radical and palliative treatment cohorts were 92.3 per cent and 42.9 per cent (p = 0.001) and 65.4 per cent and 15.4 per cent (p = 0.003), respectively.

Conclusion

This study provides useful information on octogenarian patients with head and neck cancer. This information may help in conducting prospective studies, especially those focusing on older patients with head and neck cancer, in order to define the ideal care of this patient population.

Keywords

OctogenariansHead Neck CancerElderlyPatterns Of Care
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 5 , May 2022 , pp. 461 - 463
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr M S Iqbal takes responsibility for the integrity of the content of the paper

References

World Population Prospects 2019: Highlights. In: https://population.un.org/wpp/Publications/Files/WPP2019_Highlights.pdf [23 March 2021]Google Scholar
Abbasi, J. Older patients (still) left out of cancer clinical trials. JAMA 2019;322:1751–3CrossRefGoogle ScholarPubMed
Grenman, R, Chevalier, D, Gregoire, V, Myers, E, Rogers, S. Treatment of head and neck cancer in the elderly: European consensus (panel 6) at the EUFOS congress in Vienna 2007. Eur Arch Otorhinolaryngol 2010;267:1619–21CrossRefGoogle ScholarPubMed
Lacas, B, Carmel, A, Landais, C, Wong, SJ, Licitra, L, Tobias, JS et al. Meta-analysis of chemotherapy in head and neck cancer (MACH-NC): an update on 107 randomized trials and 19,805 patients, on behalf of MACH-NC Group. Radiother Oncol 2021;156:281–93CrossRefGoogle Scholar
Derks, W, de Leeuw, JR, Hordijk, GJ, Winnubst, JA. Reasons for non-standard treatment in elderly patients with advanced head and neck cancer. Eur Arch Otorhinolaryngol 2005;262:21–6CrossRefGoogle ScholarPubMed
Desai, PA, Saksena, A, Miller, FR, Karnad, AB, Cervantez, SR. Head and neck cancer in octogenarians: a single center experience. J Clin Oncol 2018;36(suppl):e18044CrossRefGoogle Scholar
Iqbal, MS, Dua, D, Kelly, C, Bossi, P. Managing older patients with head and neck cancer: the non-surgical curative approach. J Geriatr Oncol 2018;9:411–17CrossRefGoogle ScholarPubMed