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[Lung cancer in the elderly: what about surgery?]
C Rivera1, M Gisselbrecht2, C Pricopi1
1Service de chirurgie thoracique, université Paris 5, hôpital européen Georges-Pompidou, AP-HP, 20-40, rue Leblanc, 75015 Paris, France.
Revue De Pneumologie Clinique
|March 4, 2014
Summary
Curative surgery offers the best survival for elderly lung cancer patients aged 75+. Tailored preoperative assessments are crucial for optimizing surgical outcomes in this population.
Area of Science:
- Geriatric oncology
- Thoracic oncology
- Epidemiology of aging populations
Context:
- Aging population driving growth in geriatric oncology.
- Lung cancer treatment in patients 75+ presents unique challenges.
- Elderly patients exhibit significant physiological variability and comorbidities.
Purpose:
- To highlight the importance of tailored preoperative assessments for elderly lung cancer patients.
- To evaluate the safety and efficacy of surgical treatment in older adults.
- To identify gaps in knowledge regarding multimodal treatments for this demographic.
Summary:
- Curative surgery provides superior survival rates for elderly lung cancer patients (75+).
- Preoperative evaluation must account for individual aging physiology and comorbidities.
- Current data suggest acceptable morbidity and mortality for surgical treatment in the elderly.
Impact:
- Informs clinical decision-making for thoracic surgeons and oncologists.
- Emphasizes the need for personalized treatment strategies in geriatric oncology.
- Guides future research into multimodal treatment benefits for elderly cancer patients.
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