
Surgery in the Aged Population
Surgical Oncology
Keith Monson, MD;
David A. Litvak, MD;
Richard J. Bold, MD
Arch Surg. 2003;138:1061-1067.
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INTRODUCTION
It is estimated that health care expenditures will triple in the next 70 years, with Medicare expenses alone accounting for 8% of the gross domestic product.1 While part of this will be due to increasing expenditures per person, the most significant cause will be the expanding elderly population. Cancer occurs predominantly in elderly people, and the growing size of this age group in the United States will certainly increase the prevalence of this health problem.2 While the definition of "elderly" is an area of controversy, the increased life expectancy of a person born this year is anticipated to lead to a dramatic increase in the number of people who will require care for cancer during their lifetimes. Assuming that the recent trends in the incidence of disease and life expectancy continue, it is estimated that cancer will bypass cardiac . . . [Full Text of this Article]
CHANGES IN CANCER INCIDENCE AND PREVALENCE
THE IMPACT OF AGING ON CANCER TREATMENT
ARE ELDERLY CANCER PATIENTS UNDERTREATED?
WHAT ARE THE BENEFITS OF TREATMENT IN ELDERLY PATIENTS?
WHAT ARE THE REAL RISKS OF TREATMENT TO ELDERLY PATIENTS?
THERAPY DIRECTED AT QUALITY OF LIFE
COMMENT
From the Departments of Surgery, Michigan State University at the Great Lakes Cancer Institute, Lansing (Drs Monson and Litvak), and University of CaliforniaDavis, Sacramento (Dr Bold).
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