Management of elderly patients with head and neck cancer

Author:

Ishii Ryo1ORCID,Ohkoshi Akira1,Kiyota Naomi2,Matsuura Kazuto3,Yasuda Koichi4,Imamura Yoshinori2ORCID,Saito Yuki5,Homma Akihiro6,

Affiliation:

1. Department of Otolaryngology-Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan

2. Department of Medical Oncology and Hematology, Kobe University Hospital, Kobe, Japan

3. Department of Head and Neck Surgery, National Cancer Center Hospital East, Kashiwa, Japan

4. Department of Radiation Oncology, Hokkaido University Hospital, Sapporo, Japan

5. Department of Otolaryngology, Head and Neck Surgery, University of Tokyo, Tokyo, Japan

6. Department of Otolaryngology – Head & Neck Surgery, Faculty of Medicine and Graduate School of Medicine, Sapporo, Japan

Abstract

Abstract There are no established guidelines for managing older patients with head and neck cancer. Most clinical trials that define current standard therapy included few elderly patients. On the other hand, there is great variability in patients’ comorbidities, physical functions, cognitive function, familial and financial background and values. The key point appears to be appropriate geriatric assessment, clarifying the patients’ outcomes and a multidisciplinary team approach, including the treatment decision-making policy. Although these processes should be scientific in nature, the evidence for the treatment of elderly head and neck patients is very limited. This review summarizes the evidence available regarding the management of geriatric assessment, each treatment modality and the multidisciplinary team approach for older patients with head and neck cancers.

Publisher

Oxford University Press (OUP)

Subject

Cancer Research,Radiology, Nuclear Medicine and imaging,Oncology,General Medicine

Cited by 5 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Treatment of elderly patients with head and neck cancer in an aging society: Focus on geriatric assessment and surgical treatment;Auris Nasus Larynx;2024-08

2. Geriatric oncology in the most aged societies;Japanese Journal of Clinical Oncology;2024-07-22

3. Message from the Editor-in-Chief;Japanese Journal of Clinical Oncology;2024-01

4. Message from the Editor-in-Chief;Japanese Journal of Clinical Oncology;2023-01

5. Long-term prognosis of vertical partial laryngectomy in elderly patients;JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY;2022

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