PT  - JOURNAL ARTICLE
AU  - TRANG NGUYEN
AU  - TOBIAS BARTSCHT
AU  - STEVEN E. SCHILD
AU  - DIRK RADES
TI  - Performance Status Is Associated With Survival in Elderly Patients Irradiated for Cerebral Metastases from Prostate Cancer
AID  - 10.21873/anticanres.14117
DP  - 2020 Mar 01
TA  - Anticancer Research
PG  - 1665--1668
VI  - 40
IP  - 3
4099  - http://ar.iiarjournals.org/content/40/3/1665.short
4100  - http://ar.iiarjournals.org/content/40/3/1665.full
SO  - Anticancer Res2020 Mar 01; 40
AB  - Background/Aim: Treatment of elderly patients with cancer has increasing importance. Since many of these patients may not tolerate standard treatments, they might benefit from personalized approaches. This study was performed to identify characteristics that allow estimation of survival in elderly patients with prostate cancer with cerebral metastases. Patients and Methods: Data of 21 elderly patients (≥65 years) receiving whole-brain radiotherapy (WBRT) for cerebral metastases from prostate cancer were retrospectively evaluated. Six characteristics were investigated: WBRT program, age, Karnofsky performance score (KPS), number of brain metastases, extra-cerebral metastases, and interval between diagnosis of prostate cancer and WBRT. Results: On univariate analyses, KPS ≥80% resulted in better survival than KPS ≤70% (log-rank p=0.018). Three-month survival was 60% vs. 36%, and 6-month survival 50% vs. 0%, respectively. In the Cox model, KPS maintained significance (hazard ratio=3.18, p=0.031). Conclusion: KPS is a significant prognostic factor of survival in elderly patients with prostate cancer receiving WBRT for cerebral metastases.