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Stine Brændegaard Winther1, Gabor Liposits2, Trine L Jørgensen1

  • 1Onkologisk Afdeling, Odense Universitetshospital.

Ugeskrift for Laeger
|February 2, 2024
PubMed
Summary
This summary is machine-generated.

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The number of older cancer patients is rising, but clinical trials often exclude them, especially frail individuals. More research is needed to guide cancer treatment for this growing population.

Area of Science:

  • Geriatric Oncology
  • Clinical Trial Design
  • Cancer Therapeutics

Background:

  • Demographic shifts are increasing the incidence of cancer in older adults.
  • Current systemic cancer treatments are complex and evolving.
  • Older patients, particularly those who are frail, are underrepresented in clinical trials.

Approach:

  • This review synthesizes existing knowledge on treating older cancer patients.
  • It highlights the limitations of current data, often derived from fit older patients in pooled analyses.
  • The review emphasizes the scarcity of randomized trials specifically including frail older patients.

Key Points:

  • Older adults with cancer are a growing population with unique treatment needs.
  • Clinical trials frequently fail to include diverse older populations, especially frail individuals.

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  • Evidence for optimal cancer treatment in frail older patients is limited.
  • Conclusions:

    • There is a critical unmet need for clinical trials focused on older and frail cancer patients.
    • Current treatment strategies for older cancer patients lack robust evidence due to trial underrepresentation.
    • Future research must prioritize the inclusion and study of vulnerable older populations in oncology trials.