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Prognostic factors in elderly patients with unresectable non-small cell lung cancer
1Division of Respiratory Medicine, Department of Medicine, Graduate School of Osaka City University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan. kimutats@med.osaka-cu.ac.jp
Background:
The number of elderly patients with lung cancer is rapidly increasing and their management is an important issue.
Patients And Methods:
109 patients aged over 75 years with unresectable non-small cell lung cancer were assessed to define the prognostic factors. The median age was 80 years in a range of 76 to 95. The overall median survival time was 6.3 months. Fifty-one patients underwent chemotherapy and/or thoracic radiotherapy whilst the others received best supportive care.
Results:
Multivariate Cox regression model showed performance status (PS) (p = 0.0063) and stage of disease (p = 0.0158) to be independent prognostic factors for survival. In seventy-six patients with a good PS of 0-1, choice of treatment (p = 0.0225) and hyponatremia (p = 0.0302) were the predictors for survival.
Conclusions:
PS, treatment and serum sodium level were important factors for survival, and most patients with good PS were able to undergo the treatment and have a good outcome.