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Jonathan Samet, MD; William C. Hunt, MA; Charles Key, MD, PhD; Charles G. Humble, MS; James S. Goodwin, MD

JAMA. 1986;255(24):3385-3390.

Abstract
We used data on 22,899 cancer cases collected by the New Mexico Tumor Registry to examine the relationship between patient age and the use of potentially curative therapy for cancers of selected sites and acute leukemias. For cancers of most sites, either local or regional stage, the proportion of cases receiving potentially curative therapy declined with age. For local-stage cancers, the proportion not given any treatment increased with age. Overall mortality rates during the first year after diagnosis were much higher for local-stage cases without treatment than for those who received treatment. These data show that cancer therapy varies with age and suggest that decision making regarding therapy is influenced by the presence of other diseases.

(JAMA 1986;255:3385-3390)

Author Affiliations
From the Departments of Medicine (Dr Samet), Family, Community, and Emergency Medicine (Drs Samet and Key), and Pathology (Dr Key), the Interdepartmental Program in Epidemiology (Drs Samet and Keys), and the New Mexico Tumor Registry (Drs Samet and Keys and Messrs Hunt and Humble), University of New Mexico Medical Center, Albuquerque; and the Department of Medicine, Medical College of Wisconsin, Milwaukee (Dr Goodwin).

Footnotes
Reprint requests to Department of Medicine, University of New Mexico, Albuquerque, NM 87131 (Dr Samet).

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