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Should Elderly Patients Undergo Standard Treatment Protocols?

Arch Otolaryngol Head Neck Surg. 1999;125:1402-1404.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hypothesis:

The treatment of a T3, N1, M0 supraglottic carcinoma should be the same in an otherwise healthy 80-year-old patient as in an otherwise healthy 40-year-old patient.

Figure appears in full text version. Jeffrey M. Bumpous, MD

Otolaryngologists are increasingly faced with challenges presented by the "graying" of our patient population. The fastest growing element of our population comprises individuals who are older than 65 years. Furthermore, the proportion of deaths due to cancer in the aged has been increasing in developed countries, including the United States.¹ There has been debate among oncologists regarding the need to modify aggressive treatment protocols with regard to patient age. The intention of this article is to bring into focus the impact of aging on the treatment of locoregionally advanced squamous cell carcinoma of the supraglottic larynx.

LONGEVITY

It is pertinent to examine longevity, or life expectancy, when considering the treatment of supraglottic cancer in elderly vs younger patients. According to the . . . [Full Text of this Article]

EVIDENCE SUPPORTING THE AGGRESSIVE TREATMENT
OF SUPRAGLOTTIC CARCINOMA IN THE ELDERLY

EVIDENCE ADVOCATING THE MODIFICATION OF TREATMENT REGIMENS FOR THE ELDERLY

SYNTHESIS AND CONCLUSIONS

Jeffrey M. Bumpous, MD
From the Division of Otolaryngology, Department of Surgery, University of Louisville School of Medicine, Louisville, Ky.

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