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Chemotherapy
is a safe and effective therapy for older colon cancer patients,
according to a study reported in the April issue of the Journal
of the American Geriatrics Society.
While colorectal cancer is the leading cause of cancer for women
over the age of 75, older patients receive chemotherapy less often
than younger patients regardless of the disease stage, and frequently
do not receive what is considered to be standard chemotherapy.
Using previous
studies that compared chemotherapy with surgery alone, University
of Nebraska Medical Center researchers examined the data for 3,261
patients with either stage II or stage III colon cancer.
Chemotherapy
had a significant positive effect on overall survival and on preventing
recurrence of cancer. The five-year overall survival was 71 percent
for those who received chemotherapy, compared with 64 percent
of those who did not. The five-year recurrence-free rate was 69
percent for patients treated with chemotherapy, compared with
58 percent for those not treated.
No significant
differences were observed between the ages of the patients and
the effectiveness of chemotherapy treatment.
"There
is no evidence that the susceptibility of colon cancer to chemotherapy
differs in younger and older patients," concluded the researcher,
who also noted that older patients did not have higher rates of
nausea, vomiting, stomatitis, or diarrhea than younger patients.
Other
Sources: Journal of the American Geriatrics Society
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