Colon Cancer in Older Adults

被引:18
作者
Raftery, Laura [1 ]
Sanoff, Hanna Kelly [1 ]
Goldberg, Richard [1 ]
机构
[1] Univ N Carolina, Lineberger Comprehens Canc Ctr, Div Hematol & Oncol, Sch Med, Chapel Hill, NC 27599 USA
关键词
D O I
10.1053/j.seminoncol.2008.08.004
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Colorectal cancer (CRC) is a common malignancy in the elderly. Randomized trials have demonstrated that adjuvant and palliative chemotherapy for CRC improves survival and quality of life. Unfortunately, there is a lack of evidence-based data about elderly patients to guide decisions regarding therapy. Clinical trials have generally excluded the vulnerable elderly population commonly seen in practice and included the robust elderly, who seem to benefit from chemotherapy as much as younger patients. The existing literature consists of pooled datasets from large studies and a few small dedicated trials on chemotherapy and its toxicity in elderly patients with CRC. We present illustrative data in this article and summarize our recommendations for managing the disease in elderly patients in a variety of clinical circumstances. © 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:561 / 568
页数:8
相关论文
共 44 条
[1]   Oxaliplatin, fluorouracil, and leucovorin as adjuvant treatment for colon cancer [J].
Andre, T ;
Boni, C ;
Mounedji-Boudiaf, L ;
Navarro, M ;
Tabernero, J ;
Hickish, T ;
Topham, C ;
Zaninelli, M ;
Clingan, P ;
Bridgewater, J ;
Tabah-Fisch, I ;
de Gramont, A .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 350 (23) :2343-2351
[2]   Use of adjuvant chemotherapy and radiation therapy for colorectal cancer in a population-based cohort [J].
Ayanian, JZ ;
Zaslavsky, AM ;
Fuchs, CS ;
Guadagnoli, E ;
Creech, CM ;
Cress, RD ;
O'Connor, LC ;
West, DW ;
Allen, ME ;
Wolf, RE ;
Wright, WE .
JOURNAL OF CLINICAL ONCOLOGY, 2003, 21 (07) :1293-1300
[3]   Randomised trial of irinotecan plus supportive care versus supportive care alone after fluorouracil failure for patients with metastatic colorectal cancer [J].
Cunningham, D ;
Pyrhönen, S ;
James, RD ;
Punt, CJA ;
Hickish, TF ;
Heikkila, R ;
Johannesen, TB ;
Starkhammar, H ;
Topham, CA ;
Awad, L ;
Jacques, C ;
Herait, P .
LANCET, 1998, 352 (9138) :1413-1418
[4]   Leucovorin and fluorouracil with or without oxaliplatin as first-line treatment in advanced colorectal cancer [J].
de Gramont, A ;
Figer, A ;
Seymour, M ;
Homerin, M ;
Hmissi, A ;
Cassidy, J ;
Boni, C ;
Cortes-Funes, H ;
Cervantes, A ;
Freyer, G ;
Papamichael, D ;
Le Bail, N ;
Louvet, C ;
Hendler, D ;
de Braud, F ;
Wilson, C ;
Morvan, F ;
Bonetti, A .
JOURNAL OF CLINICAL ONCOLOGY, 2000, 18 (16) :2938-2947
[5]   Mortality associated with daily bolus 5-fluorouracil/leucovorin administered in combination with either irinotecan or oxaliplatin - Results from Intergroup Trial N09741 [J].
Delaunoit, T ;
Goldberg, RM ;
Sargent, DJ ;
Morton, RF ;
Fuchs, CS ;
Findlay, BP ;
Thomas, SP ;
Salim, M ;
Schaefer, PL ;
Stella, PJ ;
Green, E ;
Mailliard, JA .
CANCER, 2004, 101 (10) :2170-2176
[6]   Irinotecan combined with fluorouracil compared with fluorouracil alone as first-line treatment for metastatic colorectal cancer: a multicentre randomised trial [J].
Douillard, JY ;
Cunningham, D ;
Roth, AD ;
Navarro, M ;
James, RD ;
Karasek, P ;
Jandik, P ;
Iveson, T ;
Carmichael, J ;
Alakl, M ;
Gruia, G ;
Awad, L ;
Rougier, P .
LANCET, 2000, 355 (9209) :1041-1047
[7]   Impact of complete response to chemotherapy on overall survival in advanced colorectal cancer: Results from intergroup N9741 [J].
Dy, Grace K. ;
Krook, James E. ;
Green, Erin M. ;
Sargent, Daniel J. ;
Delaunoit, Thierry ;
Morton, Roscoe F. ;
Fuchs, Charles S. ;
Ramanathan, Ramesh K. ;
Williamson, Stephen K. ;
Findlay, Brian P. ;
Pockaj, Barbara A. ;
Sticca, Robert P. ;
Alberts, Steven R. ;
Pitot, Henry C. ;
Goldberg, Richard M. .
JOURNAL OF CLINICAL ONCOLOGY, 2007, 25 (23) :3469-3474
[8]   Comprehensive geriatric assessment for older patients with cancer [J].
Extermann, Martine ;
Hurria, Arti .
JOURNAL OF CLINICAL ONCOLOGY, 2007, 25 (14) :1824-1831
[9]   Capecitabine as first-line treatment for patients older than 70 years with metastatic colorectal cancer:: An Oncopaz Cooperative Group Study [J].
Feliu, J ;
Escudero, P ;
Llosa, F ;
Bolaños, M ;
Vicent, JM ;
Yubero, A ;
Sanz-Lacalle, JJ ;
Lopez, R ;
Lopez-Gómez, L ;
Casado, E ;
Gómez-Reina, MJ ;
González-Baron, M .
JOURNAL OF CLINICAL ONCOLOGY, 2005, 23 (13) :3104-3111
[10]   FOLFOX in patients aged between 76 and 80 years with metastatic colorectal cancer -: An exploratory cohort of the OPTIMOX1 study [J].
Figer, Ari ;
Perez-Staub, Nathalie ;
Carola, Elisabeth ;
Tournigand, Christophe ;
Lledo, Gerard ;
Flesch, Michel ;
Barcelo, Ramon ;
Cervantes, Andre ;
André, Thierry ;
Colin, Philippe ;
Louvet, Christophe ;
de Gramont, Aimery .
CANCER, 2007, 110 (12) :2666-2671