By 2040, projections are that the number of adults aged 85 years and older in the United States will be nearly quadruple the number in 2000, according to one estimate.
and cutaneous oncology at Columbia University Irving Medical Center, New York City, when a study was published showing that most nonmelanoma skin cancer s were treated with surgery, regardless of the patient 's life expectancy. Life expectancy"should enter into treatment decisions," the authors concluded.
Learning about what truly matters to the patient is a key element of the"age-friendly, whole-person care" that dermatologists must embrace as older adults become an increasingly large subset of their patient population,Christina Prather, MD, director and associate professor of geriatrics and palliative medicine at The George Washington University, Washington, DC , and Vishal A.
Not only is the incidence of NMSC significantly higher than that of melanoma but it also shows a more prominent aging trend. This was documented recently in a long-termfrom Japan, in which researchers looked at the change in the median age of patients with NMSC and melanoma compared with cancers of other organs from 1991 to 2020 and found that NMSC had by far the greatest rise in median age, to a median age of 80 years in 2021.
"Granted, are justified indications for surgery," Patel said. Yet the study brings up the question of"whether we need to do Moh's surgery this frequently in elderly patients?" In an email after the meeting, he added,"it's a question we may need to reconsider as the elderly population continues to increase and median age of NMSC rises."In his practice, discussions of treatment options are preceded by a thorough discussion of the disease itself.
Malignant Skin Neoplasm Cancer Malignant Neoplasia Carcinoma Malignant Neoplasm Basal Cell Carcinoma Basal Cell Carcinoma Of The Skin Basal Cell Skin Cancer Basal Cell Epithelioma BCC Basal Cell Carcinoma (BCC) BCC - Basal Cell Carcinoma Squamous Carcinoma Squamous Cancer Squamous Cell Carcinoma Metastasis Metastatic Carcinoma Metastatic Cancer Metastases
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