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SIOG Clinical Guidelines on Prostate Cancer in Senior Adults (2010)

Jean-Pierre Droz, Lodovico Balducci, Michel Bolla, Mark Emberton, John M. Fitzpatrick, Steven Joniau, Michael W. Kattan, Silvio Monfardini, Judd W. Moul, Arash Naeim, Hendrik van Poppel, Fred Saad, Cora N. Sternberg, The International Society of Geriatric

The combination of an increased life expectancy and an increase of the incidence of prostate cancer with age, triggered SIOG to install the Prostate Cancer in Senior Adults Task Force. The Task Force has published the complete guidelines for the management of prostate cancer in older men (BJU Int. 106(4) (2010) 462–469 – link downloads PDF). The background and rationale for developing these guidelines were published separately (Critical Reviews in Oncology/Hematology 73 (2010) 68–91 – link downloads PDF)

Basically, recommendations are to adhere to either the European Association of Urology or National Comprehensive Cancer Network clinical recommendations for prostate cancer treatment. However, these should be adapted to the elderly patient’s health status. This means that elderly patients considered ‘fit’ are to be treated as younger patients. Those considered ‘vulnerable’ are to receive standard treatment following medical intervention. Importantly, ‘frail’ patients are to receive adapted treatment and ‘dependent’ elderly patients are advised to merely receive symptomatic palliative treatment.

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