Publications by authors named "Nicolo M L Battisti"

Background: The global population aged 80 years or older is expected to triple by 2050, leading to an increased cancer burden in the oldest population. This study describes the estimated cancer incidence and mortality in 2022 and projections for 2050 in the oldest old, analyzed globally and by world regions and World Bank income levels, for all sexes combined, as well as separately for males and females.

Methods: Using GLOBOCAN 2022 estimates, we reported the estimated number of new cancer cases (excluding non-melanoma skin cancers), deaths, and truncated age-standardized incidence (ASIR) and mortality rates (ASMR) (per 100,000 individuals aged 80 years or older).

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  • The global population is aging, and cancer rates are increasing, leading to more older adults living with cancer and requiring specialized care.
  • Recent advancements in oncology, such as earlier diagnosis and diverse treatment options, highlight the importance of preparing health services to effectively care for older cancer patients who often have complex needs.
  • This paper reviews the significant progress made in the UK in providing comprehensive geriatric assessments and new clinical services for older cancer patients, aiming to share these improvements with other healthcare systems.
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Immune checkpoint inhibitors (ICI) have transformed the management of cancer, particularly for older adults, who constitute a majority of the global cancer patient population. This study aimed to assess the inclusion, characteristics, and reporting of older adults enrolled in Food and Drug Administration (FDA) registration clinical trials of ICI between 2018 and 2022. Clinical trials of ICI leading to an FDA approval in solid tumor oncology between 2018 and 2022 were included.

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  • The aging global population is seeing an increase in older adults diagnosed with cancer, leading to unique healthcare challenges due to diverse health needs and high rates of malnutrition (30%-80%).
  • Malnutrition in older cancer patients is linked to frailty and poor treatment outcomes, yet addressing nutrition often takes a backseat in oncology care.
  • The paper argues for regular nutrition screening and assessment in older cancer patients, highlighting that it can improve personalized care and lead to better health outcomes through targeted interventions.
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  • Older people often have cancer but aren’t included enough in research trials for new treatments.
  • Researchers used a tool called SAOP3 to check the health needs of patients aged 70 and older in a study, and found many had challenges, especially with mobility and thinking.
  • The study showed that screening could help find out what older patients need, which can make their experience in trials safer and better.
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Purpose: Many patients with early breast cancer (eBC) undergoing neoadjuvant chemotherapy do not achieve pathological complete response (pCR), which is a prognostic factor. We examined the role of HER2-low expression in predicting pCR and prognosis in HER2-negative eBC.

Methods: We evaluated patients with stage I-III HER2-negative BC, treated between 2013 and 2023 at The Royal Marsden NHS Foundation Trust, London.

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  • Despite evidence supporting comprehensive oncogeriatric assessments for older cancer patients, specialized programs are underutilized in the UK due to a lack of detailed clinic structures and patient data.
  • A study at the Royal Marsden Hospital screened 244 patients using the SAOP3 tool to identify geriatric impairments and factors influencing resource utilization.
  • Results showed a median participant age of 77, with a high prevalence of geriatric impairments (86.5%), predominantly among those undergoing palliative treatment, highlighting the need for improved multidisciplinary referrals in geriatric oncology.
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Cancer is a disease associated with ageing. Managing cancer in older adults may prove challenging owing to pre-existing frailty, comorbidity, and wider holistic needs, as well as the unclear benefits and harms of standard treatment options. With the ongoing advances in oncology and the increasing complexity of treating older adults with cancer, the geriatric oncology field must be a priority for healthcare systems in education, research, and clinical practice.

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Introduction: Adequate reporting of data specific to older populations enrolled to breast cancer trials is critical, given the high incidence of the disease among this demographic. This study aimed to examine the completeness of reporting of older subgroups among patients recruited to registration clinical trials investigating systemic treatments for breast cancer.

Methods: Clinical trials leading to a US food and drug administration (FDA) approval in breast cancer between 2012 and 2021 were included.

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Most cancers occur in older people and the burden in this age group is increasing. Over the past two decades the evidence on how best to treat this population has increased rapidly. However, implementation of new best practices has been slow and needs involvement of policymakers.

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Nutritional issues, including malnutrition, low muscle mass, sarcopenia (i.e., low muscle mass and strength), and cachexia (i.

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  • Cancer patients should take an active role in their treatment decisions by collaborating with healthcare professionals, but they first need accurate information about their options and side effects.
  • Misinformation from various media sources can complicate patients’ understanding, highlighting the need for improved health literacy to combat false health practices.
  • The paper identifies gaps in cancer literacy across Europe, particularly among disadvantaged social groups, and emphasizes the importance of boosting patient knowledge to enhance treatment experiences and outcomes.
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Background: Frailty negatively affects the outcomes of patients with cancer, and its assessment might vary widely in the real world. The objective of this study was to explore awareness and use of frailty screening tools among the ONCOassist healthcare professionals (HCPs) users.

Materials And Methods: We sent 2 emails with a cross-sectional 15-item survey in a 3-week interval between April and May 2021.

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  • - This study looks at the rates of cardiovascular disease (CVD) in patients diagnosed with potentially curable cancers in England, revealing that 16.2% of the 634,240 patients studied had prior CVD.
  • - The research found that men, older individuals, and those from deprived areas showed higher rates of CVD, with non-small-cell lung cancer patients having the highest prevalence at 36.1% compared to just 7.7% in breast cancer patients.
  • - The authors emphasize the importance of accounting for CVD when assessing cancer treatment strategies and outcomes, highlighting the significant overlap between cancer and cardiovascular health issues.
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Background: The benefit of chemotherapy for older patients with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative early breast cancer (EBC) is a key area of debate. Gene expression profiling (GEP) may identify patients deriving benefit, but their predictive role has not been established for older adults. We summarise evidence on efficacy, safety, and quality-of-life impacts of chemotherapy and on GEP use and impact in older HR-positive, HER2-negative EBC patients.

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Late recurrences are a key challenge for patients with early-stage oestrogen receptor-positive breast cancer, with the risk of disease relapse continuing steadily from 5 to more than 20 years after diagnosis. Five years of adjuvant endocrine therapy with tamoxifen or an aromatase inhibitor was shown many years ago to improve survival. More recently, the trials of extended adjuvant endocrine therapy for more than 5 years have shown a further small gain, but with an associated small risk of increased long-term toxicity including bone loss, cardiovascular impairment and impaired quality of life.

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