The evaluation of chemotherapy for patients over eighty-years-old

Koichiro Sato, Yasushi Ito, Takayuki Abe, Tetsuya Akada, Ryo Muto, Chikashi Nakanishi, Mami Dendo, Youhei Ozawa, Keita Sakashita, Hirotaka Kato

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: We investigated the effect and safety of chemotherapy for patients over eighty-year-old. Object: Ten patients with advanced or recurrent pancreas or biliary tract cancer who were over 80 years old and administered gemcitabine hydrochloride (GEM), were named as "the oldest group", and compared with the control group. Result: The overall response rate was 22.2% without a significant difference between those 2 groups. The mean duration of treatment and the mean period from the initial chemotherapy to death were 8.0 and 12 months, respectively, without a significant difference. There was a higher incidence of initial reduction of GEM in the oldest group. There was no significant difference at the DI ratio (actual drug intensity/ideal drug intensity) between 2 groups. Side effects found were 5 cases of neutropenia, 4 cases of anemia and appetite loss greater than grade 3. The dropout ratio (50%) in the oldest group was significantly higher. There was no death related with chemotherapy. Conclusion: Chemotherapy can be used safely and usefully, if appropriately reduced from first administration, for a patient over eighty years old.

Original languageEnglish
Pages (from-to)567-570
Number of pages4
JournalJapanese Journal of Cancer and Chemotherapy
Volume39
Issue number4
Publication statusPublished - 2012 Jan 1
Externally publishedYes

Keywords

  • Chemotherapy
  • Elderly over eighty
  • Side effect

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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