Patterns of care for octogenarian patients with head and neck cancer.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-04-01 DOI:10.1017/S0022215121002991

M S Iqbal, C Navarro-Rodriguez, S Munro, B Ozalp, C Kelly

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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.

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八旬头颈癌患者的护理模式。

目的：探讨八旬高龄头颈癌患者的护理模式。方法：纳入2018年6月至2020年10月期间在我们中心就诊的所有80岁及以上的新诊断患者。结果：患者总数42例。Charlson共病指数中位数为5（范围4-9）。喉部是最常见的亚部位（n = 12）。29名患者（66%）被诊断为疾病第四阶段。鳞状细胞癌是最常见的组织学（86%）。26名患者（62%）接受根治性治疗，16名患者（38%）接受姑息性治疗。根治性和姑息性治疗组的估计6个月和1年总生存率分别为92.3%和42.9% (p = 0.001)， 65.4%和15.4% （p = 0.003）。结论：本研究为老年头颈癌患者提供了有用的信息。这些信息可能有助于开展前瞻性研究，特别是那些关注老年头颈癌患者的研究，以确定这一患者群体的理想护理。

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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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.