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Disparities in Cancer Care for Older Adults

In regards to the September 2006 issue of the Journal of Oncology Practice about disparities in cancer care, I was dismayed to see that you did not include older adults, particularly the very old, among your highlighted populations. The disparity in elderly accrual to clinical trials actually exceeds the disparity of racial minorities.¹ The magnitude of this under-accrual is likely to increase as the baby boomers continue to age, and it is an issue that deserves special emphasis. In addition, older patients are undertreated, stage for stage, off protocol, even when controlling for comorbidity.² I would hope in similar future issues you lend more time and reflection to these important geriatric issues.

	Notes

 
University of Wisconsin Comprehensive Cancer Center, Madison, Wisconsin

	References

Top References

 

1. Hutchins LF, Unger JM, Crowley JJ, et al: Underrepresentation of patients 65 years of age or older in cancer-treatment trials. N Engl J Med 341:2061-2067, 1999[Abstract/Free Full Text]
2. Schrag D, Gelfand SE, Bach PB, et al: Who gets adjuvant treatment for stage II and III rectal cancer? Insight from Surveillance, Epidemiology, and End Results—Medicare. J Clin Oncol 19:3712-3718, 2001[Abstract/Free Full Text]

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This Article Extract Full Text (PDF) Submit a response to this article Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Alert me to new issues of the journal Download to citation manager Rights & Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by LoConte, N. K. Search for Related Content PubMed Articles by LoConte, N. K. Social Bookmarking                            What's this?