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  1. Determinants of survival in older cancer patients.

    Article - En anglais

    Background 

    We and others have previously described a number of characteristics that are associated with delays in diagnosis and increased risk for inadequate treatment of older women and men with cancer.

    These characteristics include poor social support, limited access to transportation, and impaired cognition.

    However, there is little information on how these factors influence survival of older cancer patients.

    Purpose 

    The purpose of the study was to determine which patient characteristics predicted survival up to 10 years after the diagnosis of cancer.

    Methods 

    In 1984, we initiated a population-based study of men and women who were 65 years of age or older, living in a six-county area of New Mexico, and newly diagnosed with cancer.

    For 646 individuals with cancer of the breast (n=188), prostate (n=247), or colon or rectum (n=211), we assessed patient baseline characteristics, disease stage at diagnosis, and adequacy of treatment (definitive or nondefinitive) as determinants of survival for up to 10 years following diagnosis.

    Multivariate survival models were used to analyze the data ; all P values were two-sided.

    Results 

    In multivariate analyses, we first included all patient characteristics, except the stage at diagnosis and the adequacy of treatment.

    In this initial analysis, the following were among variables that were significantly associated with patient survival : age, education, cancer knowledge, ethnic group, and cognitive status. (...)

    Mots-clés Pascal : Tumeur maligne, Prostate, Glande mammaire, Côlon, Rectum, Vieillard, Homme, Survie, Cognition, Niveau étude, Ethnie, Pronostic, Epidémiologie, Nouveau Mexique, Etats Unis, Amérique du Nord, Amérique, Appareil génital mâle pathologie, Appareil urinaire pathologie, Prostate pathologie, Glande mammaire pathologie, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie, Facteur prédictif

    Mots-clés Pascal anglais : Malignant tumor, Prostate, Mammary gland, Colon, Rectum, Elderly, Human, Survival, Cognition, Education level, Ethnic group, Prognosis, Epidemiology, New Mexico, United States, North America, America, Male genital diseases, Urinary system disease, Prostate disease, Mammary gland diseases, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease, Predictive factor

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0438057

    Code Inist : 002B04B. Création : 10/04/1997.