title: Non-small cell lung cancer therapy: safety and efficacy in the elderly.
abstract: BACKGROUND
  Our objective was to evaluate and review the current literature on the treatment of non-small cell lung cancer (NSCLC) in the elderly.
  
  
  METHODS
  We selected recent peer-reviewed articles addressing ageing, cancer treatment in the elderly, and lung cancer treatment in the elderly. We defined elderly as over the age of 70.
  
  
  RESULTS
  The population is ageing dramatically throughout most of the world. Given that situation, clinicians are seeing and being asked to treat more elderly patients that have NSCLC. Elderly patients are less likely to participate or be allowed to participate in prospective or retrospective studies of treatments for NSCLC. Elderly patients are also less likely to be staged appropriately for their advanced tumors, and are less likely to be referred for surgery or adjuvant therapy after surgery. When treatment is tailored to patient comorbidities but not to age, the data support survival and outcomes comparable to those of younger patients.
  
  
  CONCLUSIONS
  Data are limited on the treatment of elderly patients with NSCLC. No data exist to support limiting recommendations for treatment based on age alone. Treatments should be determined on an individual basis.
authors: Division of Thoracic Surgery, Albany Medical Center, Department of Surgery, Albany Medical College, Albany, New York, USA.
authors: Owen S
authors: OS
authors: Glotzer
authors: Thomas
authors: T
authors: Fabian
authors: Anurag
authors: A
authors: Chandra
authors: Charles T
authors: CT
authors: Bakhos
keywords: SBRT; ageing; chemotherapy; physiology; pulmonary; radiation therapy; thoracic surgery
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