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Table 1 Series of treatment outcomes of elderly patients undergoing SRS for BM

From: Is upfront stereotactic radiosurgery a rational treatment option for very elderly patients with brain metastases? A retrospective analysis of 106 consecutive patients age 80 years and older

First author & year

Treatment modality

No. of patients

Median age (Cut-off age)

No. receiving prior WBRT (%)

MST after SRS (months)

Factors predicting longer OS

Local tumor control

Remote brain recurrence

Noël, 2005 [12]

LINAC

117

71 years

(≥65 years)

18 (15%)

8

KPS ≥ 70

98%/6 months

91%/2 years

33%/6 months

60%/2 years

Kim, 2008 [13]

LINAC/GK

44

79 years

(≥75 years)

17 (39%)

a7.3

Single BM

b88%

b81%

Minniti, 2013 [14]

LINAC

102

77 years

(≥70 years)

0 (0%)

13.2

KPS > 70, Stable extracranial disease

90%/1 year

84%/2 years

54%/1 year

78%/2 years

Watanabe, 2014 [15]

GK

165

82 years

(≥80 years)

4 (2%)

5.3

NR

b95%

NR

Park, 2015 [16]

GK

147

79 years

(≥70 years)

13 (9%)

5.6

KPS ≥ 90, No extracranial metastasis

NR

NR

Present study, 2016

GK

106

84 years

(≥80 years)

0 (0%)

7.1

KPS ≥ 70, Controlled primary/no extracranial metastasis, Female sex

94%/6 months

89%/1 year

17%/6 months

25%/1 year

  1. SRS stereotactic radiosurgery, BM brain metastasis, WBRT whole brain radiotherapy, MST median survival time, LINAC linear accelerator, GK gamma knife, atime from the diagnosis, bcrude value, NR not reported