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Treatment Patterns and Outcomes Among Elderly Glioblastoma Patients in Riyadh, Saudi Arabia
Amal Marie1,2, Ahmed Maklad1,3, Abdullah AlTwairgi4
1Department of Radiation Oncology, Comprehensive Cancer Centre, King Fahad Medical City, Riyadh, Saudi Arabia.
Oncotargets and Therapy
|February 10, 2022
Summary
For elderly glioblastoma patients, conventional radiotherapy and completing adjuvant chemotherapy significantly improve overall survival. Earlier treatment initiation and completion of chemotherapy are linked to better progression-free survival.
Area of Science:
- Neuro-oncology
- Geriatric oncology
- Radiation oncology
Background:
- Management of glioblastoma (GBM) in elderly patients presents treatment challenges.
- Treatment decisions involve balancing aggressive therapies against palliative approaches.
Purpose of the Study:
- To evaluate treatment patterns and outcomes in elderly GBM patients.
- To identify factors influencing overall survival (OS) and progression-free survival (PFS).
Main Methods:
- Retrospective analysis of 59 elderly GBM patients treated at KFMC, Riyadh.
- Assessment of radiotherapy fractionation, surgery, and chemotherapy (CTR) in relation to OS and PFS.
Main Results:
- Conventional radiotherapy and completion of adjuvant chemotherapy were significant factors for improved OS.
- Earlier initiation of adjuvant treatment and completion of chemotherapy were associated with better PFS.
- Median OS was 12 months; median PFS was 9 months.
Conclusions:
- Conventional radiotherapy and completion of adjuvant chemotherapy are recommended for better OS in elderly GBM patients.
- Timely initiation and completion of adjuvant chemotherapy are crucial for improving PFS.
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