Ontology type: schema:ScholarlyArticle Open Access: True
2017-06
AUTHORSClothilde Poupon, Sofiane Bendifallah, Lobna Ouldamer, Geoffroy Canlorbe, Emilie Raimond, Nina Hudry, Charles Coutant, Olivier Graesslin, Cyril Touboul, Pierre Collinet, Alexandre Bricou, Cyrille Huchon, Emile Daraï, Marcos Ballester, Jean Levêque, Vincent Lavoue
ABSTRACTBACKGROUND: Little data exist about the clinical management and survival of elderly patients with endometrial cancer. This study aimed to evaluate the management of elderly and very elderly patients with endometrial cancer as well as the overall survival (OS) rate, disease-free survival (DFS) rate, and cancer-specific survival (CSS) rate in a multicenter cohort. METHODS: Data from 1228 patients with endometrial cancer who received primary treatment between January 2001 and December 2012 were collected from a multicenter database. Clinical management, DFS, CSS, and OS were analyzed. RESULTS: Based on the international endometrial cancer risk classification, 36% (212/582) of women age 65 years or younger, 42% (220/526) of women ages 65-80 years, and 48% (58/120) of women older than 80 years showed high-risk endometrial cancer (p < 0.001). Pelvic lymphadenectomy was performed for 85% (230/271) of the women age 65 years or younger and 46% (33/71) of the women older than 80 years (p < 0.001). Radiotherapy was performed for 27% (33/120) of the very elderly and 40% (233/582) of the young patients (p = 0.009). The 3-year CSS rates were 95% (95% confidence interval [CI], 93-97%) for the women age 65 years or younger, 90% (95% CI, 87-94%) for the women ages 65-80 years, and 82% (95% CI, 73-93%) for the women older than 80 years (p < 0.001). CONCLUSIONS: The elderly and very elderly patients with endometrial cancer showed poorer prognosis than young patients. The significant lower CSS rate for the elderly patients could have be due to both the higher rate of high-risk endometrial cancer and undertreatment. Specific guidelines for the management of elderly and very elderly patients with endometrial cancer are needed to improve their prognosis. More... »
PAGES1667-1676
http://scigraph.springernature.com/pub.10.1245/s10434-016-5735-9
DOIhttp://dx.doi.org/10.1245/s10434-016-5735-9
DIMENSIONShttps://app.dimensions.ai/details/publication/pub.1001210909
PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/28008573
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"description": "BACKGROUND: Little data exist about the clinical management and survival of elderly patients with endometrial cancer. This study aimed to evaluate the management of elderly and very elderly patients with endometrial cancer as well as the overall survival (OS) rate, disease-free survival (DFS) rate, and cancer-specific survival (CSS) rate in a multicenter cohort.\nMETHODS: Data from 1228 patients with endometrial cancer who received primary treatment between January 2001 and December 2012 were collected from a multicenter database. Clinical management, DFS, CSS, and OS were analyzed.\nRESULTS: Based on the international endometrial cancer risk classification, 36% (212/582) of women age 65\u00a0years or younger, 42% (220/526) of women ages 65-80\u00a0years, and 48% (58/120) of women older than 80\u00a0years showed high-risk endometrial cancer (p\u00a0<\u00a00.001). Pelvic lymphadenectomy was performed for 85% (230/271) of the women age 65\u00a0years or younger and 46% (33/71) of the women older than 80\u00a0years (p\u00a0<\u00a00.001). Radiotherapy was performed for 27% (33/120) of the very elderly and 40% (233/582) of the young patients (p\u00a0=\u00a00.009). The 3-year CSS rates were 95% (95% confidence interval [CI], 93-97%) for the women age 65\u00a0years or younger, 90% (95% CI, 87-94%) for the women ages 65-80\u00a0years, and 82% (95% CI, 73-93%) for the women older than 80\u00a0years (p\u00a0<\u00a00.001).\nCONCLUSIONS: The elderly and very elderly patients with endometrial cancer showed poorer prognosis than young patients. The significant lower CSS rate for the elderly patients could have be due to both the higher rate of high-risk endometrial cancer and undertreatment. Specific guidelines for the management of elderly and very elderly patients with endometrial cancer are needed to improve their prognosis.",
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