Higher tendency of undertreatment in older patients with laryngeal cancer in Brazil
ABSTRACT Objective This study compared treatments and outcomes between patients younger than 70 years and those aged 70 years or older (elderly) with laryngeal cancer (LC). Methods: Data were collected from Brazilian hospital records between 2000 and 2017. Results: A total of 38,978 patients were...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Associação Brasileira de Pós-Graduação em Saúde Coletiva
2025-06-01
|
| Series: | Revista Brasileira de Epidemiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100903&lng=en&tlng=en |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850156798545231872 |
|---|---|
| author | Ana Luiza Fassizoli da Fonte Guilherme Jorge Costa Adilis Stepple da Fonte Neto Rodrigo Alves Pinto Maria Júlia Gonçalves de Mello |
| author_facet | Ana Luiza Fassizoli da Fonte Guilherme Jorge Costa Adilis Stepple da Fonte Neto Rodrigo Alves Pinto Maria Júlia Gonçalves de Mello |
| author_sort | Ana Luiza Fassizoli da Fonte |
| collection | DOAJ |
| description | ABSTRACT Objective This study compared treatments and outcomes between patients younger than 70 years and those aged 70 years or older (elderly) with laryngeal cancer (LC). Methods: Data were collected from Brazilian hospital records between 2000 and 2017. Results: A total of 38,978 patients were analysed, of whom 8,803 (22.6%) were ≥70 years old. Elderly patients were more frequently diagnosed at early stages (39.3% vs. 28.9%; p<0.001). However, these patients were 15% less likely to undergo surgery, 46% less likely to receive chemotherapy, and 33% less likely to receive combined treatments. In addition, elderly patients were 35% more likely to receive supportive care only. Conclusions: Despite early diagnosis, elderly patients received fewer oncological treatments and more palliative care. |
| format | Article |
| id | doaj-art-c7f60bf9465d41298b97412c01cbdd21 |
| institution | OA Journals |
| issn | 1980-5497 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Associação Brasileira de Pós-Graduação em Saúde Coletiva |
| record_format | Article |
| series | Revista Brasileira de Epidemiologia |
| spelling | doaj-art-c7f60bf9465d41298b97412c01cbdd212025-08-20T02:24:23ZengAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevista Brasileira de Epidemiologia1980-54972025-06-012810.1590/1980-549720250031Higher tendency of undertreatment in older patients with laryngeal cancer in BrazilAna Luiza Fassizoli da Fontehttps://orcid.org/0000-0002-5307-8392Guilherme Jorge Costahttps://orcid.org/0000-0002-3699-0590Adilis Stepple da Fonte Netohttps://orcid.org/0009-0005-1724-4137Rodrigo Alves Pintohttps://orcid.org/0009-0009-6794-8596Maria Júlia Gonçalves de Mellohttps://orcid.org/0000-0003-4645-8343ABSTRACT Objective This study compared treatments and outcomes between patients younger than 70 years and those aged 70 years or older (elderly) with laryngeal cancer (LC). Methods: Data were collected from Brazilian hospital records between 2000 and 2017. Results: A total of 38,978 patients were analysed, of whom 8,803 (22.6%) were ≥70 years old. Elderly patients were more frequently diagnosed at early stages (39.3% vs. 28.9%; p<0.001). However, these patients were 15% less likely to undergo surgery, 46% less likely to receive chemotherapy, and 33% less likely to receive combined treatments. In addition, elderly patients were 35% more likely to receive supportive care only. Conclusions: Despite early diagnosis, elderly patients received fewer oncological treatments and more palliative care.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100903&lng=en&tlng=enUndertreatmentNeoplasm stagingLaryngeal neoplasmsAgedBrazil |
| spellingShingle | Ana Luiza Fassizoli da Fonte Guilherme Jorge Costa Adilis Stepple da Fonte Neto Rodrigo Alves Pinto Maria Júlia Gonçalves de Mello Higher tendency of undertreatment in older patients with laryngeal cancer in Brazil Revista Brasileira de Epidemiologia Undertreatment Neoplasm staging Laryngeal neoplasms Aged Brazil |
| title | Higher tendency of undertreatment in older patients with laryngeal cancer in Brazil |
| title_full | Higher tendency of undertreatment in older patients with laryngeal cancer in Brazil |
| title_fullStr | Higher tendency of undertreatment in older patients with laryngeal cancer in Brazil |
| title_full_unstemmed | Higher tendency of undertreatment in older patients with laryngeal cancer in Brazil |
| title_short | Higher tendency of undertreatment in older patients with laryngeal cancer in Brazil |
| title_sort | higher tendency of undertreatment in older patients with laryngeal cancer in brazil |
| topic | Undertreatment Neoplasm staging Laryngeal neoplasms Aged Brazil |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100903&lng=en&tlng=en |
| work_keys_str_mv | AT analuizafassizolidafonte highertendencyofundertreatmentinolderpatientswithlaryngealcancerinbrazil AT guilhermejorgecosta highertendencyofundertreatmentinolderpatientswithlaryngealcancerinbrazil AT adilissteppledafonteneto highertendencyofundertreatmentinolderpatientswithlaryngealcancerinbrazil AT rodrigoalvespinto highertendencyofundertreatmentinolderpatientswithlaryngealcancerinbrazil AT mariajuliagoncalvesdemello highertendencyofundertreatmentinolderpatientswithlaryngealcancerinbrazil |