Medical College of Wisconsin
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How we treat early systemic prostate cancer in older men. J Geriatr Oncol 2014 Oct 01;5(4):337-42

Date

09/25/2014

Pubmed ID

25248671

DOI

10.1016/j.jgo.2014.09.177

Scopus ID

2-s2.0-84908256130   6 Citations

Abstract

With the aging of our population, the prevalence of prostate cancer is anticipated to rise dramatically. Consequently, physicians will be confronted with the challenges of managing prostate cancer and treatment side effects in older men. The maintenance of mobility and functional independence, which are fundamental goals of the aging patient with cancer, should not be overlooked when choosing treatments and their toxicities focused on cancer control. Consistent with the SIOG (International Society of Geriatric Oncology) guidelines, we recommend standard approaches for older patients with prostate cancer who are fit. Vulnerable patients should also receive standard treatment, provided their health status can be maintained with appropriate interventions. Treatment for frail patients should be adapted to their health status and supportive care interventions should be considered. Individualized treatment plans should take into account patient's remaining life-expectancy from coexisting comorbidities and disability, aggressiveness of the prostate cancer, treatment preferences as well as potential adverse effects of treatment.

Author List

Kilari D, Dale W, Mohile SG

Author

Deepak Kilari MD Associate Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged
Aged, 80 and over
Health Services for the Aged
Humans
Male
Prostatic Neoplasms