Ana Luiza Fassizoli da Fonte, Guilherme Jorge Costa, Adilis Stepple da Fonte Neto, Rodrigo Alves Pinto, Maria Júlia Gonçalves de Mello
{"title":"巴西老年喉癌患者治疗不足的倾向较高。","authors":"Ana Luiza Fassizoli da Fonte, Guilherme Jorge Costa, Adilis Stepple da Fonte Neto, Rodrigo Alves Pinto, Maria Júlia Gonçalves de Mello","doi":"10.1590/1980-549720250031","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study compared treatments and outcomes between patients younger than 70 years and those aged 70 years or older (elderly) with laryngeal cancer (LC).</p><p><strong>Methods: </strong>Data were collected from Brazilian hospital records between 2000 and 2017.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>Despite early diagnosis, elderly patients received fewer oncological treatments and more palliative care.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 ","pages":"e250031"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129238/pdf/","citationCount":"0","resultStr":"{\"title\":\"Higher tendency of undertreatment in older patients with laryngeal cancer in Brazil.\",\"authors\":\"Ana Luiza Fassizoli da Fonte, Guilherme Jorge Costa, Adilis Stepple da Fonte Neto, Rodrigo Alves Pinto, Maria Júlia Gonçalves de Mello\",\"doi\":\"10.1590/1980-549720250031\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study compared treatments and outcomes between patients younger than 70 years and those aged 70 years or older (elderly) with laryngeal cancer (LC).</p><p><strong>Methods: </strong>Data were collected from Brazilian hospital records between 2000 and 2017.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>Despite early diagnosis, elderly patients received fewer oncological treatments and more palliative care.</p>\",\"PeriodicalId\":74697,\"journal\":{\"name\":\"Revista brasileira de epidemiologia = Brazilian journal of epidemiology\",\"volume\":\"28 \",\"pages\":\"e250031\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-06-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129238/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista brasileira de epidemiologia = Brazilian journal of epidemiology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1590/1980-549720250031\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/1980-549720250031","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Higher tendency of undertreatment in older patients with laryngeal cancer in Brazil.
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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