Clinical Conundrum: When, how to treat colorectal cancer in the elderly

Even as scientists plumb deep into cells and molecules to understand cancer, there are many immediate and “real-life” questions that researchers and clinicians are discussing at the 2013 annual ASCO meeting (American Society of Clinical Oncology). One of the biggest puzzles for colorectal cancer is how to best treat the elderly, especially those with stages II…  Read More

Too Many Colonoscopies in Over-75s?

A study published in the March 11 JAMA-Internal Medicine suggests that 23 percent of over-75-year-olds have colonoscopies that may be “potentially inappropriate” according to national guidelines which include an upper age limit, as well as how often negative colonoscopies should be repeated. In a retrospective population study, University of Texas researchers looked at billings for 100…  Read More

Oldest of Old Americans Will Drastically Impact U.S. Cancer Care

The numbers are stark and will touch every single American. A picture of cancer in the greying American population was drawn in a recent study in the Journal of Geriatric Oncology examining trends in the National Cancer Institute’s population-based SEER data: The number of “oldest of the old” Americans (age 85 or older) will double between 2000 and 2030;…  Read More

Seniors undertreated for cancer pain

Older Cancer Patients Often Undertreated for Severe Pain Even when suffering severe pain, one-third of older cancer patients were not taking the strongest painkillers (opiods such as morphine, oxycodone or fentanyl) that could have helped ease that pain, according to a recent large Canadian study. The most likely reasons were that physicians were not prescribing the medicines,…  Read More

CT Colonography Effective in Older Adults

CT colonography (virtual colonoscopy) found more than twice the rate of large polyps or cancer in patients 65 and older compared to everyone being screened for colorectal cancer using the radiology-based test. About one in six older patients was referred for an optical colonoscopy based on findings from the scans. There were no major complications including…  Read More

Older patients benefit from XELOX after surgery

Update from 2010 GI Cancers Symposium Colon cancer patients over 70 actually had a greater reduction in disease-free survival than did younger ones with a new regimen of Xeloda® and oxaliplatin compared to older IV 5-FU treatments according to a new analysis reported at the GI Cancers Symposium in Orlando. With the bolus IV 5-FU and…  Read More