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Short-Course Radiation plus Temozolomide in Elderly Patients with Glioblastoma
Ist Teil von
The New England journal of medicine, 2017-03, Vol.376 (11), p.1027-1037
Ort / Verlag
United States: Massachusetts Medical Society
Erscheinungsjahr
2017
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
Older patients with glioblastoma appear to benefit more from treatment combining a shorter course (3 weeks rather than 6 weeks) of radiotherapy together with temozolomide than from radiotherapy alone.
Glioblastoma is a fatal illness that is associated with a median survival of less than 2 years. Population studies of glioblastoma have shown that survival declines with increasing age,
1
,
2
and the incidence of glioblastoma is increasing, especially among the elderly.
3
Older patients have been underrepresented in most randomized trials, in which the average age of participants is approximately 55 years, as compared with the population-based median for patients with glioblastoma of 65 years of age.
2
In 2005, a phase 3 trial of radiotherapy alone (60 Gy over a period of 6 weeks) versus radiotherapy plus temozolomide showed longer survival . . .