Oxaliplatin-based chemotherapy in patients aged 75 years or older with metastatic colorectal cancer.

Abstract:

AIM:To evaluate the tolerability and efficacy of oxaliplatin-based chemotherapy (OBC) in patients ≥ 75 years old with metastatic colorectal cancer (CRC). PATIENTS AND METHODS:We reviewed the medical records of 126 patients with unresectable stage IV CRC in terms of OBC administered as first-line chemotherapy whenever feasible. RESULTS:Use of first-line OBC was significantly less frequent in patients ≥ 75 years old (n=18) than in patients <75 years old (n=108) (46% vs. 81% p<0.01). When analysis was restricted to patients receiving OBC, the two age groups did not differ significantly in terms of response rate (44% vs. 36%, p=0.54), progression-free survival (18.7 months vs. 13.0 months, p=0.44), overall survival (25.4 months vs. 17.5 months, p=0.53), and frequency of grade 3-4 toxicity (72% vs. 58%, p=0.26). CONCLUSION:In selected patients aged 75 years or greater, the clinical outcomes of OBC seem equivalent to those of younger patients.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Fukuchi M,Ishibashi K,Tajima Y,Okada N,Yokoyama M,Chika N,Hatano S,Matsuzawa T,Kumamoto K,Kumagai Y,Baba H,Mochiki E,Ishida H

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

4627-30

issue

10

eissn

0250-7005

issn

1791-7530

pii

33/10/4627

journal_volume

33

pub_type

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