Radiotherapy of primary or recurrent bladder cancer in the very elderly

Stefan Janssen, Lisa Manig, Steven E. Schild, Dirk Rades

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Aim: The number of very elderly patients with cancer is growing and requires particular attention. The role of organ-sparing irradiation in patients with bladder cancer aged ≥80 years was investigated. Patients and Methods: In 29 very elderly (≥80 years) patients irradiated for bladder cancer, 12 characteristics were analysed for survival: indication, gender, age, Karnofsky performance score (KPS), T-/N-category, tumour grade, pack years, smoking during irradiation, radiation dose, interruption of irradiation >5 days and concurrent chemotherapy. Results: On univariate analysis, primary treatment (p=0.001), KPS >70 (p=0.026) and not smoking during radiotherapy (p<0.001) were associated with better survival. A strong trend for such association was observed for female gender (p=0.054), <40 pack years (p=0.064) and concurrent chemotherapy (p=0.061), and a trend for no interruption of irradiation (p=0.09). On multivariate analysis, primary treatment (p=0.006) and not smoking during radiotherapy (p=0.038) maintained significance. Conclusion: Very elderly patients irradiated for bladder cancer may benefit from concurrent chemotherapy. Smoking during irradiation and interruptions of irradiation should be avoided.

Original languageEnglish (US)
Pages (from-to)3287-3290
Number of pages4
JournalAnticancer research
Volume37
Issue number6
DOIs
StatePublished - Jun 2017

Keywords

  • Bladder cancer
  • Organ preservation
  • Radio-chemotherapy
  • Radiotherapy
  • Very elderly patients

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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