Influence of Age on Guideline-Concordant Cancer Care for Elderly Patients in the United States

Purpose To examine the frequency of guideline-concordant cancer care in elderly patients, including “older” elderly (age ≥80 years). Methods and Materials Using the Surveillance, Epidemiology and End Results–Medicare dataset in patients aged ≥66 years diagnosed with nonmetastatic breast cancer (n=55...

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Veröffentlicht in:	International journal of radiation oncology, biology, physics biology, physics, 2017-07, Vol.98 (4), p.748-757
Hauptverfasser:	Fang, Penny, MD, He, Weiguo, PhD, Gomez, Daniel R., MD, Hoffman, Karen E., MD, MPH, Smith, Benjamin D., MD, Giordano, Sharon H., MD, MPH, Jagsi, Reshma, MD, DPhil, Smith, Grace L., MD, PhD, MPH
Format:	Artikel
Sprache:	eng
Schlagworte:	Age Factors Aged Aged, 80 and over Antineoplastic Agents - therapeutic use Benchmarking Breast Neoplasms - chemistry Breast Neoplasms - pathology Breast Neoplasms - therapy Carcinoma, Non-Small-Cell Lung - pathology Carcinoma, Non-Small-Cell Lung - therapy Chi-Square Distribution Combined Modality Therapy - standards Combined Modality Therapy - statistics & numerical data Female Guideline Adherence - standards Guideline Adherence - statistics & numerical data Hematology, Oncology and Palliative Medicine Humans Kaplan-Meier Estimate Life Expectancy Logistic Models Lung Neoplasms - pathology Lung Neoplasms - therapy Male Mastectomy Medicare Pneumonectomy - standards Pneumonectomy - statistics & numerical data Prostatectomy - standards Prostatic Neoplasms - pathology Prostatic Neoplasms - therapy Quality of Health Care - standards Quality of Health Care - statistics & numerical data Radiology Radiotherapy - standards Radiotherapy - statistics & numerical data Radiotherapy Dosage - standards SEER Program Severity of Illness Index United States Watchful Waiting - standards Watchful Waiting - statistics & numerical data
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Zusammenfassung:	Purpose To examine the frequency of guideline-concordant cancer care in elderly patients, including “older” elderly (age ≥80 years). Methods and Materials Using the Surveillance, Epidemiology and End Results–Medicare dataset in patients aged ≥66 years diagnosed with nonmetastatic breast cancer (n=55,094), non–small cell lung (NSCLC) (n=36,203), or prostate cancer (n=86,544) from 2006 to 2011, chemotherapy, surgery, and radiation (RT) treatments were identified using claims. Pearson χ2 tested associations between age and guideline concordance. Results Older patients were less likely to receive guideline-concordant curative treatment: in stage III breast cancer, receipt of postmastectomy RT (70%, 46%, and 21% in patients aged 66-79, 80-89, and ≥90 years, respectively; P
ISSN:	0360-3016 1879-355X
DOI:	10.1016/j.ijrobp.2017.01.228