Assessment and Impact of Comorbidity in Older Adults with Cancer


Cancer is increasing with age. Almost 60% of cancers and two thirds of cancer deaths occur beyond the age of 65 years in developed countries [1]. Due to the aging of the population, this proportion is expected to increase in the future. Older patients present with increased concomitant diseases. In a geriatric series, people 65 years of age and older suffer on average from three different diseases, and, similarly, older cancer patients present a high level of comorbidity [2–5]. Furthermore, comorbidity does not appear to correlate closely with either tumor stage or functional status. Therefore, comorbidity should be assessed independently [3].


Axillary Lymph Node Dissection Breast Conservative Surgery Comorbid Disease Charlson Index Charlson Score 
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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Medical OncologistArmy General Hospital of AthensAthensGreece
  2. 2.Department of Medical OncologyUniversity General Hospital of HeraklionHeraklionGreece
  3. 3.H. Lee Moffitt Cancer Center and Research InstituteTampaUSA

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