Journal article

Radical treatment of localised prostate cancer in the elderly

Wouter Everaerts, Simon Van Rij, Fairleigh Reeves, Anthony Costello

BJU INTERNATIONAL | WILEY | Published : 2015

Abstract

Elderly men are more likely to be diagnosed with aggressive cancer, but are often inappropriately denied curative treatment. Biological rather than chronological age should be used to decide if a patient will profit from radical treatment. Therefore, every man aged >70 years should undergo a health assessment using a validated tool before making treatment decisions. Fit elderly men with intermediate- or high-risk disease should be offered standard curative local treatment in keeping with guidelines for younger men. Vulnerable and frail elderly men warrant geriatric intervention before treatment. In the case of vulnerable patients, this intervention may render them suitable for standard care...

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