Management of the toxicity of chemotherapy and targeted therapies in elderly cancer patients.


Journal

Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico
ISSN: 1699-3055
Titre abrégé: Clin Transl Oncol
Pays: Italy
ID NLM: 101247119

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 04 04 2019
accepted: 16 06 2019
pubmed: 27 6 2019
medline: 12 1 2021
entrez: 27 6 2019
Statut: ppublish

Résumé

The elderly form a very heterogeneous group in relation to their general health state, degree of dependence, comorbidities, performance status, physical reserve and geriatric situation, so cancer treatment in the older patient remains a therapeutic challenge. The physiological changes associated with aging increase the risk of developing a serious toxicity induced by chemotherapy treatment, as well as other undesirable consequences as hospitalizations, dependence and non-compliance with treatment, that can negatively affect survival, quality of life and treatment efficacy. The use of hematopoietic growth factors and other active supportive interventions in the elderly can help prevent and/or alleviate these toxicities. However, we have little data on the efficacy and tolerance of support treatments in the older patient. The objective of this work is to review the most frequent toxicities of oncological treatments in the elderly and their management.

Identifiants

pubmed: 31240462
doi: 10.1007/s12094-019-02167-y
pii: 10.1007/s12094-019-02167-y
doi:

Substances chimiques

Antineoplastic Agents 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

457-467

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Auteurs

J Feliu (J)

Medical Oncology Department, H. Universitario La Paz, CIBERONC, Paseo de la Castellana 261, 28046, Madrid, Spain. jaime.feliu@salud.madrid.org.

V Heredia-Soto (V)

Medical Oncology Department, H. Universitario La Paz, CIBERONC, Paseo de la Castellana 261, 28046, Madrid, Spain.

R Gironés (R)

Medical Oncology Department, H. Lluís Alcanyís. Xàtiva, Valencia, Spain.

B Jiménez-Munarriz (B)

Medical Oncology Department, H. Universitario Clara Campal, Madrid, Spain.

J Saldaña (J)

Medical Oncology Department, Instituto Catalán de Oncología, Hospitalet, Barcelona, Spain.

C Guillén-Ponce (C)

Medical Oncology Department, H. Universitario Ramón Y Cajal, Madrid, Spain.

M J Molina-Garrido (MJ)

Medical Oncology Department, H. Virgen de La Luz, Cuenca, Spain.

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Classifications MeSH