How to treat head and neck cancer in the elderly?

Sixty percent of all malignancies are diagnosed in patients who are over 65 years of age and the number of elderly patients will significantly increase for the forthcoming decennia in the Western hemisphere. In these patients individualized treatment is of utmost importance, because of the high incidence of comorbidities - with a related use of multiple drugs -, declined (multiple) organ functions and less optimal psychosocial functioning. This means that the use of standardized treatment protocols is limited in the older age group, requiring adaptations for almost every treatment modality. Also the application of the full armamentarium of highly technical diagnostic measures might be questioned in this specific patient population, particularly from a cost effectiveness point of view.
The adequate diagnosis and treatment of head and neck cancer in the elderly is strongly dependent on a multidisciplinary approach with active participation of various medical specialists. This symposium brings pitfalls in the diagnostic process and multimodality treatment to the attention of the participants. Case report discussions are included as well as how to implement the acquired knowledge.
Lectures and presentations aim at an adequate information on current advances and state of the art of diagnosis and treatment of head and neck cancer.
+ show speakers and program
Thursday, April 10, 2014
09.00–09.30 The biology of the aging cell - JH Hoeijmakers
09.30–10.00 Epidemiology of cancer in the elderly - VEPP Lemmens
10.00–10.45 Clinical decision making in the elderly cancer patient:
ethical and financial dilemmas - SEJA de Rooij
11.15–12.00 How can we ensure that healthcare will remain affordable in the
future? - A Klink
13.30–14.00 Comorbidity and influence on survival - RJ Baatenburg de Jong
15.45–16.05 Palliative surgery - MB Karakullukcu
16.05–16.30 Radiotherapy schemes in elderly patients - JM Uppelschoten
16.30–17.00 Is chemoradiation an option for elderly patients? - JP de Boer
17.00–18.00 Case report discussions

Friday, April 11, 2014
09.00–09.30 Psychiatric coaching in head and neck oncology: personality disorders
and addiction - PJM Seerden
09.30–10.00 Handling the disabling sequelae of mutilating treatment - J Slatman
10.00–10.30 Perspectives of death and afterlife in relation to quality of life in
advanced cancer patients - CJW Leget
11.00–11.20 Ethical and juridical aspects of non-treatment and euthanasia -
G Widdershoven
11.20–11.50 Counseling of the elderly patient - JCM van Weert
11.50–12.15 Physical rehabilitation after major head and neck treatment: age
matters - MM Stuiver
13.15–13.45 Understanding and manipulating the learning curve of surgery and the
effect of aging for the individual head and neck surgeon -
PJFM Lohuis
13.45–14.15 The influence of aging population on planning of head and neck
surgeons’ workload - LE Smeele
14.15–14.45 How to individualize care for elderly head and neck cancer patients:
to treat or not to treat? - IB Tan
14.45–15.30 Case report discussions



10 Apr - 11 Apr 2014
amsterdam
Netherlands
meeting website