Management of prostate cancer in older patients: updated recommendations of a working group of the International Society of Geriatric Oncology

Summary In 2010, the International Society of Geriatric Oncology (SIOG) developed treatment guidelines for men with prostate cancer who are older than 70 years old. In 2013, a new multidisciplinary SIOG working group was formed to update these recommendations. The consensus of the task force is that...

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Veröffentlicht in:	The lancet oncology 2014-08, Vol.15 (9), p.e404-e414
Hauptverfasser:	Droz, Jean-Pierre, Prof, Aapro, Matti, MD, Balducci, Lodovico, MD, Boyle, Helen, MD, Van den Broeck, Thomas, MD, Cathcart, Paul, FRCS, Dickinson, Louise, MRCS, Efstathiou, Eleni, MD, Emberton, Mark, MD, Fitzpatrick, John M, MCh, Heidenreich, Axel, MD, Hughes, Simon, FRCR, Joniau, Steven, MD, Kattan, Michael, PhD, Mottet, Nicolas, MD, Oudard, Stéphane, MD, Payne, Heather, FRCR, Saad, Fred, MD, Sugihara, Toru, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Age Factors Aged Aged, 80 and over Androgen Antagonists - therapeutic use Antineoplastic Agents, Hormonal - therapeutic use Disease-Free Survival Geriatric Assessment Health Services for the Aged - standards Hematology, Oncology and Palliative Medicine Humans International Cooperation Male Men Older people Practice Guidelines as Topic Prognosis Prostate cancer Prostatectomy - methods Prostatectomy - mortality Prostatic Neoplasms - mortality Prostatic Neoplasms - pathology Prostatic Neoplasms - therapy Radiation therapy Radiotherapy, Conformal - methods Radiotherapy, Conformal - mortality Risk Assessment Societies, Medical Survival Analysis Treatment Outcome Watchful Waiting
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Zusammenfassung:	Summary In 2010, the International Society of Geriatric Oncology (SIOG) developed treatment guidelines for men with prostate cancer who are older than 70 years old. In 2013, a new multidisciplinary SIOG working group was formed to update these recommendations. The consensus of the task force is that older men with prostate cancer should be managed according to their individual health status, not according to age. On the basis of a validated rapid health status screening instrument and simple assessment, the task force recommends that patients are classed into three groups for treatment: healthy or fit patients who should have the same treatment options as younger patients; vulnerable patients with reversible impairment who should receive standard treatment after medical intervention; and frail patients with non-reversible impairment who should receive adapted treatment.
ISSN:	1470-2045 1474-5488
DOI:	10.1016/S1470-2045(14)70018-X