The Influence of Patientsʼ Age on the Outcome of Treatment for Pancreatic Ductal Adenocarcinoma

Abdullah K. Malik, Angela Lamarca, Ajith Kumar Siriwardena, Derek Oʼreilly, Rahul Deshpande, Thomas Satyadas, Saurabh Jamdar, Aali Sheen, Mairead Mcnamara, Richard Hubner, Juan Valle, Nicola De Liguori Carino

Research output: Contribution to journalArticlepeer-review

47 Downloads (Pure)

Abstract

Objective The aim of the study was to determine the impact of age on curative management and outcomes of patients with pancreatic ductal adenocarcinoma. Methods Patients who underwent resection for pancreatic ductal adenocarcinoma at 2 units were retrospectively reviewed (between 2005 and 2017) and stratified by age (older patients ≥70 years). Regression analysis was used to explore factors impacting administration of adjuvant chemotherapy and survival. The Kaplan-Meier method was used to estimate overall survival (time from surgery to death). Statistical significance was set at P < 0.05. Results From 2005 to 2014, 222 patients were identified (<70 years, n = 128; ≥70 years, n = 94). Elderly patients were less likely to receive adjuvant chemotherapy compared with younger patients (odds ratio, 0.57, P = 0.041). Tumor stage, margin, and year of surgery (post-2011 vs pre-2011) were not predictors for chemotherapy receipt (P > 0.05). Frailty was the commonest reason (36.8%) to decline chemotherapy in elderly patients. In patients receiving adjuvant chemotherapy, completion rates (P = 0.32) and overall survival (24 months vs 30 months, P = 0.50) were no different. Conclusions Elderly patients demonstrate similar outcomes to younger yet are less likely to commence chemotherapy because of frailty. Holistic preoperative assessment may improve selection for curative treatment.
Original languageEnglish
Pages (from-to)201-207
JournalPancreas
Volume49
Issue number2
DOIs
Publication statusPublished - 3 Feb 2020

Research Beacons, Institutes and Platforms

  • Manchester Cancer Research Centre

Fingerprint

Dive into the research topics of 'The Influence of Patientsʼ Age on the Outcome of Treatment for Pancreatic Ductal Adenocarcinoma'. Together they form a unique fingerprint.

Cite this