Higher tendency of undertreatment in older patients with laryngeal cancer in Brazil.

Revista brasileira de epidemiologia = Brazilian journal of epidemiology Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI:10.1590/1980-549720250031

Ana Luiza Fassizoli da Fonte, Guilherme Jorge Costa, Adilis Stepple da Fonte Neto, Rodrigo Alves Pinto, Maria Júlia Gonçalves de Mello

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Abstract

Objective: This study compared treatments and outcomes between patients younger than 70 years and those aged 70 years or older (elderly) with laryngeal cancer (LC).

Methods: Data were collected from Brazilian hospital records between 2000 and 2017.

Results: A total of 38,978 patients were analysed, of whom 8,803 (22.6%) were ≥70 years old. Elderly patients were more frequently diagnosed at early stages (39.3% vs. 28.9%; p<0.001). However, these patients were 15% less likely to undergo surgery, 46% less likely to receive chemotherapy, and 33% less likely to receive combined treatments. In addition, elderly patients were 35% more likely to receive supportive care only.

Conclusions: Despite early diagnosis, elderly patients received fewer oncological treatments and more palliative care.

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巴西老年喉癌患者治疗不足的倾向较高。

目的：本研究比较70岁以下和70岁以上喉癌（LC）患者的治疗方法和预后。方法：收集2000年至2017年巴西医院记录的数据。结果：共分析38978例患者，其中8803例（22.6%）年龄≥70岁。老年患者早期确诊率更高(39.3%比28.9%；结论：尽管早期诊断，老年患者接受较少的肿瘤治疗和更多的姑息治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista brasileira de epidemiologia = Brazilian journal of epidemiology

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