How do you manage patients aged 85 and older with keratinocyte carcinoma? An assessment of a patient’s functional status may help to estimate which elderly patients will benefit from surgical treatment for keratinocyte carcinoma. However, predictive short-term survival in this population has not been determined.
A retrospective review of 238 patients sought to assess whether functional status can predict short-term survival in patients 85 years and older who have keratinocyte carcinoma.
The study – recently published in the Journal of the American Academy of Dermatology – showed that lower functional status scores of KPS ≤40 and Katz ADL ≤4 were associated with 37 per cent and 53 per cent survival at two years, respectively.
KPS and Katz ADL predicted short-term survival. Patients with low functional status scores had significantly decreased survival at two years, with double the death rate of patients with high functional status.
The authors recommended that functional status should be considered during shared decision-making for elderly individuals who are seeking treatment for keratinocyte carcinoma.
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