{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:08:11Z","timestamp":1753888091791,"version":"3.41.2"},"reference-count":6,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT  Objective This study compared treatments and outcomes between patients younger than 70 years and those aged 70 years or older (elderly) with laryngeal cancer (LC).  Methods: Data were collected from Brazilian hospital records between 2000 and 2017.  Results: A total of 38,978 patients were analysed, of whom 8,803 (22.6%) were \u226570 years old. Elderly patients were more frequently diagnosed at early stages (39.3% vs. 28.9%; p&lt;0.001). However, these patients were 15% less likely to undergo surgery, 46% less likely to receive chemotherapy, and 33% less likely to receive combined treatments. In addition, elderly patients were 35% more likely to receive supportive care only.  Conclusions: Despite early diagnosis, elderly patients received fewer oncological treatments and more palliative care.<\/jats:p>","DOI":"10.1590\/1980-549720250031","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T11:09:24Z","timestamp":1748862564000},"source":"Crossref","is-referenced-by-count":0,"title":["Higher tendency of undertreatment in older patients with laryngeal cancer in Brazil"],"prefix":"10.1590","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5307-8392","authenticated-orcid":false,"given":"Ana Luiza Fassizoli da","family":"Fonte","sequence":"first","affiliation":[{"name":"Instituto de Medicina Integral Professor Fernando Figueira,  Brazil; Hospital de C\u00e2ncer de Pernambuco,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3699-0590","authenticated-orcid":false,"given":"Guilherme Jorge","family":"Costa","sequence":"additional","affiliation":[{"name":"Hospital de C\u00e2ncer de Pernambuco,  Brazil; Instituto de Medicina Integral Professor Fernando Figueira,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1724-4137","authenticated-orcid":false,"given":"Adilis Stepple da","family":"Fonte Neto","sequence":"additional","affiliation":[{"name":"Hospital de C\u00e2ncer de Pernambuco,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6794-8596","authenticated-orcid":false,"given":"Rodrigo Alves","family":"Pinto","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Integral Professor Fernando Figueira,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4645-8343","authenticated-orcid":false,"given":"Maria J\u00falia Gon\u00e7alves de","family":"Mello","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Integral Professor Fernando Figueira,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"229","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray F","year":"2024","journal-title":"CA Cancer J Clin"},{"issue":"1","key":"ref2","first-page":"e213700","article-title":"Estimativa de incid\u00eancia de c\u00e2ncer no Brasil, 2023-2025","volume":"69","author":"Santos MDO","year":"2023","journal-title":"Rev Bras Cancerol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"102397","DOI":"10.1016\/j.canep.2023.102397","article-title":"Epidemiology of laryngeal cancer in Brazil: historical data from 2000 to 2019","volume":"85","author":"Fonte ALF","year":"2023","journal-title":"Cancer Epidemiol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"2558","DOI":"10.1200\/JCO.19.02809","article-title":"Defining undertreatment and overtreatment in older adults with cancer: a scoping literature review","volume":"38","author":"DuMontier C","year":"2020","journal-title":"J Clin Oncol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1200\/JCO.2017.75.7385","article-title":"Use of larynx-preservation strategies in the treatment of laryngeal cancer: American society of clinical oncology clinical practice guideline update","volume":"36","author":"Forastiere AA","year":"2018","journal-title":"J Clin Oncol"},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.radonc.2009.04.014","article-title":"Meta-analysis of chemotherapy in head and neck cancer (MACH-NC): an update on 93 randomised trials and 17,346 patients","volume":"92","author":"Pignon JP","year":"2009","journal-title":"Radiother Oncol"}],"container-title":["Revista Brasileira de Epidemiologia"],"original-title":["Maior tend\u00eancia de subtratamento em pacientes idosos com c\u00e2ncer de laringe no Brasil"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1415-790X2025000100903&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T11:09:26Z","timestamp":1748862566000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1415-790X2025000100903&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":6,"alternative-id":["S1415-790X2025000100903"],"URL":"https:\/\/doi.org\/10.1590\/1980-549720250031","relation":{},"ISSN":["1980-5497","1415-790X"],"issn-type":[{"type":"electronic","value":"1980-5497"},{"type":"print","value":"1415-790X"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e250031"}}