Adjuvant Chemotherapy in Older Adults With Colon Cancer

作者: Grant R. Williams , Hanna K. Sanoff

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摘要: Colorectal cancer (CRC) is predominately a disease of older adults, with the median age diagnosis 68 years; 59% all cases are diagnosed in persons 65 years or older. Although patients have been underrepresented clinical trials, pooled analysis suggests similar treatment benefits fluorouracil and leucovorin (5FU/LV) for compared younger patients, while evidence benefit from oxaliplatin-containing regimens less compelling. Many helpful tools that provide estimates prognosis, risk recurrence, severe toxicity chemotherapy, functional can aid decisions. In this review, we present adjuvant chemotherapy discuss decision making, suggested approach to adults CRC.

参考文章(37)
G R Boss, J E Seegmiller, Age-Related Physiological Changes and Their Clinical Significance Western Journal of Medicine. ,vol. 135, pp. 434- 440 ,(1981)
Arti Hurria, Geriatric assessment in oncology practice. Journal of the American Geriatrics Society. ,vol. 57, pp. 246- 249 ,(2009) , 10.1111/J.1532-5415.2009.02503.X
Jeremy Walston, Evan C. Hadley, Luigi Ferrucci, Jack M. Guralnik, Anne B. Newman, Stephanie A. Studenski, William B. Ershler, Tamara Harris, Linda P. Fried, Research Agenda for Frailty in Older Adults: Toward a Better Understanding of Physiology and Etiology: Summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults Journal of the American Geriatrics Society. ,vol. 54, pp. 991- 1001 ,(2006) , 10.1111/J.1532-5415.2006.00745.X
Riccardo A. Audisio, Demetris Papamichael, Treatment of colorectal cancer in older patients. Nature Reviews Gastroenterology & Hepatology. ,vol. 9, pp. 716- 725 ,(2012) , 10.1038/NRGASTRO.2012.196
Luigi Ferrucci, Jack M. Guralnik, Chiara Cavazzini, Stefania Bandinelli, Fulvio Lauretani, Benedetta Bartali, Lazzaro Repetto, Dan L. Longo, The frailty syndrome: a critical issue in geriatric oncology Critical Reviews in Oncology Hematology. ,vol. 46, pp. 127- 137 ,(2003) , 10.1016/S1040-8428(02)00177-4
Daniel J. Sargent, Richard M. Goldberg, Stacy D. Jacobson, John S. Macdonald, Roberto Labianca, Daniel G. Haller, Lois E. Shepherd, Jean François Seitz, Guido Francini, A pooled analysis of adjuvant chemotherapy for resected colon cancer in elderly patients. The New England Journal of Medicine. ,vol. 345, pp. 1091- 1097 ,(2001) , 10.1056/NEJMOA010957
Sharlene Gill, Charles Loprinzi, Hagen Kennecke, Axel Grothey, Garth Nelson, Ryan Woods, Caroline Speers, Steven R. Alberts, Aditya Bardia, Michael J. O'Connell, Daniel J. Sargent, Prognostic Web-based Models for Stage II and III Colon Cancer: a Population and Clinical Trials-based Validation of Numeracy and Adjuvant! Online Cancer. ,vol. 117, pp. 4155- 4165 ,(2011) , 10.1002/CNCR.26003
Stacy D'Andre, Daniel J. Sargent, Stephen S. Cha, Thomas R. Buroker, John W. Kugler, Richard M. Goldberg, Michael J. O'Connell, Michael A. Poon, 5-Fluorouracil–Based Chemotherapy for Advanced Colorectal Cancer in Elderly Patients: A North Central Cancer Treatment Group Study Clinical Colorectal Cancer. ,vol. 4, pp. 325- 331 ,(2005) , 10.3816/CCC.2005.N.005
Lindsey C. Yourman, Sei J. Lee, Mara A. Schonberg, Eric W. Widera, Alexander K. Smith, Prognostic Indices for Older Adults: A Systematic Review JAMA. ,vol. 307, pp. 182- 192 ,(2012) , 10.1001/JAMA.2011.1966
Deirdre P. Cronin, Linda C. Harlan, Arnold L. Potosky, Limin X. Clegg, Jennifer L. Stevens, Margaret M. Mooney, Patterns of care for adjuvant therapy in a random population-based sample of patients diagnosed with colorectal cancer. The American Journal of Gastroenterology. ,vol. 101, pp. 2308- 2318 ,(2006) , 10.1111/J.1572-0241.2006.00775.X