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Anti-Cancer Treatment Strategies in the Older Population: Time to Test More?
Open accessAbstract
Aging is a well-recognized risk factor for the development of cancer. The incidence of new cancer diagnoses has increased globally given the rising senior population. Many hypotheses for this increased risk have been postulated over decades, including increased genetic and epigenetic mutations and the concept of immunosenescence. The optimal treatment strategies for this population with cancer are unclear. Older cancer patients are traditionally under-represented in clinical trials developed to set the standard of care, leading to undertreatment or increased toxicity. With this background, it is crucial to investigate new opportunities that belong to the most recent findings of an anti-cancer agent, such as immune-checkpoint inhibitors, to manage these daily clinical issues and eventually combine them with alternative administration strategies of antiblastic drugs such as metronomic chemotherapy.
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“In patients with cancer, older age (>65 years) is associated with reduced tolerance to anticancer treatment 27 and a greater risk of developing serious AEs 192 , as well as genetic alterations that might lead to reduced sensitivity to treatment; together these features constitute major hurdles for the successful administration of antineoplastic therapies at efficient doses.”
From Senescence and cancer — role and therapeutic opportunities (2022) · cites this paper as [192]
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Cited by
Sorted by citations
Senescence and cancer — role and therapeutic opportunities
Schmitt, C. A., Wang, B., & Demaria, M. (2022) · Nature Reviews Clinical Oncology · doi:10.1038/s41571-022-00668-4 · Cited by 794
Metadata
- Authors
- Tralongo, A. C., Fratamico, R. S., Russo, C., Sbrana, A., Antonuzzo, A., & Danova, M.
- Affiliations
- University of Pavia (IT)
- John and Dorothy Morgan Cancer Center, Lehigh Valley Cancer Institute, Allentown, PA 18103, USA
- Centre Léon Bérard (FR)
- Azienda Ospedaliera Universitaria Pisana (IT)
- Azienda Socio Sanitaria Territoriale di Pavia (IT)
- Corresponding author
- Tralongo, Antonino C.
- Venue
- Geriatrics
- Publisher
- MDPI AG
- Published
- 2021-04-15
- Volume
- 6
- Issue
- 2
- Pages
- 42
- ISSN
- 2308-3417 (ISSN-L)
- PMC
- PMC8167638
- OpenAlex
- W3156741860
- Cited by
- 4
- References
- 1
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 1
- FWCI
- 0.28
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Geriatrics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
- Keywords
- geriatric oncology, anticancer treatment, immunosenescence, aging and cancer risk, immune checkpoint inhibitors, metronomic chemotherapy, treatment toxicity, undertreatment, epigenetic mutations
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