Do Elderly Cancer Patients Care about Cure? Attitudes to Radical Gynecologic Oncology Surgery in the Elderly

Nordin, Andy; Chinn, D. J.; Moloney, I.; Naik, Raj; Lopes, Alberto; Monaghan, John M.

doi:10.1006/gyno.2001.6178

Cited by 50 publications

(32 citation statements)

References 32 publications

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“…More extensive disease and the increased probability of perioperative complications and mortality due to comorbidity have been shown to often prevent radical surgery and result in decreased survival in old women [35,36,37]. In general, differences in treatment have been a major modifier of outcomes between age groups [14, 15, 21, 38]; however, age-related exclusions from radical surgical approaches are currently decreased, while recent experience shows that old women should not be excluded from aggressive first- or second-line treatments on the basis of age alone [20,38,39,40]. …”

Section: Discussionmentioning

confidence: 99%

Young Age Is Associated with Favorable Characteristics but Is Not an Independent Prognostic Factor in Patients with Epithelial Ovarian Cancer: A Single Institution Experience

Bozas

Dimopoulos²,

Efstathiou³

et al. 2006

Oncology

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Background: Young age has been reported to be a favorable prognostic factor in ovarian cancer. The aim of the present study was to investigate the characteristics of ovarian cancer presenting in patients aged ≤40 and assess the prognostic significance of young age. Methods: Data from 591 consecutive ovarian cancer patients, including 37 subjects (6.3%) aged ≤40, who were treated postoperatively with platinum-based chemotherapy in our institution were retrospectively reviewed. Results: In our series, age ≤40 did not show an independent association with overall (p = 0.542) or progression-free survival (p = 0.334). Nonetheless, it was correlated with low tumor grade (p = 0.009) and small volume of residual disease after primary surgery (p = 0.020), while there was a nonsignificant trend for correlation with performance status 0 (p = 0.052). Stratified analysis showed that age ≤40 was associated with improved overall survival in the subgroups of serous histology and stage IIC–IV disease; however, multivariate analyses failed to identify age as an independent predictor of survival within either subgroup (p = 0.079 and p = 0.585, respectively). Conclusions: Age ≤40 was not an independent prognostic factor in our analysis. The survival advantage of young patients may be attributed to the association with low tumor grade, more complete surgical debulking and better performance status.

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Section: Discussionmentioning

confidence: 99%

Young Age Is Associated with Favorable Characteristics but Is Not an Independent Prognostic Factor in Patients with Epithelial Ovarian Cancer: A Single Institution Experience

Bozas

Dimopoulos²,

Efstathiou³

et al. 2006

Oncology

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“…For instance, it is the second leading cause of death in the United States for those 65 and over (National Center for Health Statistics, 2000), with about 55% of cancer cases occurring in that group-a number that is growing (Nordin et al, 2001;Walker, Kohler, Heys, & Eremin, 1998). Older adults diagnosed with cancer are at increased risk for poor communication with health professionals (Adelman & Greene, 2000;Greene & Adelman, 2001).…”

Section: Communication and Cancermentioning

confidence: 99%

Social Identity and Health: An Intergroup Communication Approach to Cancer

Harwood¹,

Sparks²

2003

Health Communication

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This article describes the ways in which group identifications and stereotypes can inform our understanding of cancer prevention and treatment as well as more general social processes surrounding the experience of cancer. From a perspective grounded in social identity theory, we describe the ways in which understanding primary identities (i.e., those associated with large social collectives such as cultural groups), secondary identities (i.e., those associated with health behaviors), and tertiary identities (i.e., those associated with cancer) can help explain certain cancer-related social processes. We forward a series of propositions to stimulate further research on this topic.This article examines the role of social group memberships in health communication. Much work has focused on the ways in which individuals are influenced by their group memberships. People orient to one another in terms of not only individual characteristics but also group identifications. This occurs in terms of individuals' perceptions of their own groups (social identities), and their perceptions of others' group memberships (e.g., stereotypes). Identities and stereotypes influence how we communicate with others. We term this an intergroup approach, grounded in the pioneering work of Tajfel (Robinson, 1996;Tajfel & Turner, 1986). We contend that intergroup processes are relevant to health communication. Although HEALTH COMMUNICATION, 15(2),[145][146][147][148][149][150][151][152][153][154][155][156][157][158][159]

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“…In our study, there was evidence of collusion in over 10% of patients. Active collusion was twice as common in the over 65's, a group who are more vulnerable as they are less likely to question the doctors' decisions (Nordin et al, 2001). This is despite evidence that the elderly not only want to be given the same information as the young (Ganz, 1997), but also want access to the same radical treatment and same chance of disease cure (Nordin et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

How doctors record breaking bad news in ovarian cancer

et al. 2003

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Revealing the diagnosis of cancer to patients is a key event in their cancer journey. At present, there are no minimal legal recommendations for documenting such consultations. We reviewed the Hospital records of 359 patients with epithelial ovarian cancer in the Mersey Area between 1992 and 1994. We identified the following factors: age, hospital, postcode, surgeon, stage of disease and survival. These were compared to information recorded at the time of the interview such as person present, descriptive words used, prognosis, further treatment and emotional response. In 11.6%, there was no information recorded in the notes. The diagnosis was recorded in 304 (94.7%), prognosis in 66 (20.6%) and collusion with relatives in 33 (10.3%). A total of 42 separate words/phrases were identified relating to diagnosis; cancer was recorded in 60 (19.6%). Collusion was three times as common in the patients over 65 years (17.9 vs 5.7%, P ¼ 0.001). There was a reduction in the number of diagnostic words recorded in the patients over 65 years (90.3 vs 98.3%, P ¼ 0.002) and by type of surgeon (P ¼ 0.001). Information was often poorly recorded in the notes. We have shown that the quality of information varies according to patient age, surgeon and specialty.

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Do Elderly Cancer Patients Care about Cure? Attitudes to Radical Gynecologic Oncology Surgery in the Elderly

Cited by 50 publications

References 32 publications

Young Age Is Associated with Favorable Characteristics but Is Not an Independent Prognostic Factor in Patients with Epithelial Ovarian Cancer: A Single Institution Experience

Young Age Is Associated with Favorable Characteristics but Is Not an Independent Prognostic Factor in Patients with Epithelial Ovarian Cancer: A Single Institution Experience

Social Identity and Health: An Intergroup Communication Approach to Cancer

How doctors record breaking bad news in ovarian cancer

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