Lodovico Balducci, MD Lodovico Balducci, MD Faculty Rank: Senior Member Titles: Division Chief, Senior Adult Oncology Department/Program Affiliations: Health Outcomes & Behavior Gastrointestinal Tumor Senior Adult Oncology Hematologic Malignancies Genitourinary Oncology Breast Education & Training: M.D., Catholic University, Roma, Italy, 1968 Fellowship, A. Gemelli General Hospital, Roma, Italy, 1970 - Medicine Residency, University of Mississippi Medical Center, 1976 - Medicine Fellowship, University of Mississippi Medical Center, 1979 - Hematology/Oncology General Board Certification: Internal Medicine Internal Medicine Internal Medicine SubSpecialty: Medical Oncology Hematology Geriatric Medicine Research Interests: The scientific scope of the Senior Adult Oncology Program, under the direction of Dr. Balducci, has been patient assessment and prediction of treatment-related toxicity. This has been the focus of this group's research for several years, and this work has resulted in numerous scientific presentations and publications. The most important scientific findings of the group's research have included the following: Independence of comorbidity and functional status Ability of comprehensive geriatric assessment to unearth unsuspected conditions that interfere with antineoplastic treatment Prediction of benefits and risk of adjuvant chemotherapy for breast cancer in women aged 70 years and older based on functional status and comorbidity Formulation of the MAX-2 index for prediction of chemotherapyrelated toxicityAssessment of quality of life in older cancer patients Treatment-related preferences in older patients based on risktaking profile Treatment-related preferences in older patients based on national origin This main research focus has been interwoven with other research areas, in particular decision analysis, health care delivery, and clinical pharmacology. Ongoing studies include cost-effectiveness of cancer prevention and cancer treatment, enrollment of older individuals in phase II trials, pharmacokinetics of docetaxel in patients aged 70 years and older, and cognitive effects of chemotherapy in older patients. Dr. Balducci is protocol chairman of the Geriatric Oncology Consortium, which conducts nationwide clinical trials in older individuals, and is chairman of the committee on guidelines for the management of older individuals of the National Comprehensive Cancer Network. He also is involved in cooperative research related to anemia of aging through the National Anemia Action Council. Clinical Interests: cancer in the elderly; treatment related toxicity; comprehensive geratric assessment tool; independence of comorbidity and functional status; risks and benefits of adjuvant chemotherapy in older patients Lodovico Balducci, MD Publications: 1. 2. 3. 4. 5. 6. 7. Balducci L, Tam-McDevitt J, Hauser R, Simon J. Long overdue - phase II studies in older cancer patients: where does the FDAstand. J Clin Oncol. 2008 Mar 10;26(8):13871388. Pubmed ID: 18323564 Balducci L. Journal of Clinical Oncology: the next 25 years. J Clin Oncol. 2008 Apr 1;26(10):e4. Pubmed ID: 18375885 Balducci L, Al-Halawani H, Charu V, Tam J, Shahin S, Dreiling L, Ershler W. Elderly cancer patients receiving chemotherapy benefit from first-cycle pegfilgrastim. Oncologist. 2007 Dec;12(12):1416-1424. Pubmed ID: 18165618 Balducci L. Aging, frailty, and chemotherapy. Cancer Control. 2007 Jan;14(1):7-12. Pubmed ID: 17242666 Balducci L. An overlooked problem: anemia in the elderly patient with cancer. J Support Oncol. 2007 Mar;5(3):115116. Pubmed ID: 17410808 Balducci L. Commentary: Evidence profiles for breast cancer: Benefit/Harms data based on the totality of randomized evidence. Cancer Treat Rev. 2007 Feb;33(1) Suppl :85-86. Pubmed ID: 17071005 Balducci L. Molecular insight in cancer treatment and prevention. Int J Biochem Cell Biol. 2007 Mar 14; : . In Press. Pubmed ID: 17531523 8. Boccia R, Lillie T, Tomita D, Balducci L. The effectiveness of darbepoetin alfa administered every 3 weeks on hematologic outcomes and quality of life in older patients with chemotherapy-induced anemia. Oncologist. 2007 May;12(5):584-593. Pubmed ID: 17522247 9. Crawford J, Althaus B, Armitage J, Balducci L, Bennett C, Blayney D, Cataland S, Dale D, Demetri G, Erba H, Foran J, Freifeld A, Heaney M, HtoyS, Kloth D, Lyman G, Messersmith W, Michaud L, Miyata S, Robbins A, TallmanMS, Vadhan-Raj S, Westervelt P, Wong M. Myeloid growth factors guidelines. J Natl Compr Canc Netw. 2007 Feb 5(;5(2):188-202. Pubmed ID: 17335688 10. Kumar A, Soares H, Balducci L, Djulbegovic B. Treatment tolerance and efficacy in geriatric oncology: a systematic review of phase III randomized trials conducted by five National Cancer Institute-sponsored cooperative groups. J Clin Oncol. 2007 Apr 1;25(10):1272-1276. Pubmed ID: 17401017 11. Lichtman S, Balducci L, Aapro M. Geriatric oncology: a field coming of age. J Clin Oncol. 2007 May 10;25(14):1821-1823. Pubmed ID: 17488979 12. Perkins E, Small B, Balducci L, Extermann M, Robb C, Haley W. Individual differences in well-being in older breast cancer survivors. Crit Rev Oncol Hematol. 2007 Apr;62(1):74-83. Pubmed ID: 17240157 13. Robb C, Haley W, Balducci L, Extermann M, Perkins E, Small B, Mortimer J. Impact of breast cancer survivorship on quality of life in older women. Crit Rev Oncol Hematol. 2007 Apr;62(1) Suppl : 84-91. Pubmed ID: 17188505 14. Tam-McDevitt J, Balducci L, Hauser R, Gura D, Paraghamian A, Thomas H, Lichtman S. Has demand for clinical trial participants outpaced supply? J Natl Cancer Inst. 2007 Jan 3;99(1):86-87. Pubmed ID: 17202120 15. Balducci L, Ershler W, Krantz S. Anemia in the elderlyClinical findings and impact on health. Crit Rev Oncol Hematol. 2006 May;58(2):156-165. Pubmed ID: 16387511 16. Balducci L. Management of cancer in the elderly. Oncology (Williston Park). 2006 Feb;20(2):135143. Pubmed ID: 16562648 17. Balducci L. Management of chemotherapy-induced neutropenia in the older cancer patient. Oncology (Williston Park). 2006 Dec;20(14) Suppl 9:26-31. 18. Balducci L. Transfusion independence in patients with myelodysplastic syndromes: impact on outcomes and quality of life. Cancer. 2006 May;106(10) Suppl :20872094. Pubmed ID: 16607649 19. Smith T, Khatcheressian J, Lyman G, Ozer H, Armitage J, Balducci L, Bennett C, Cantor S, Crawford J, Cross S, Demetri G, Desch C, Pizzo P, Schiffer C, Schwartzberg L, Somerfield M, Somlo G, Wade J, Wade J, Winn R, Wozniak A, Wolff A. 2006 update of recommendations for the use of white blood cell growth factors: an evidence-based clinical practice guideline. J Clin Oncol. 2006 Jul;24(19):31873205. Pubmed ID: 16682719 20. Balducci L, Aapro M. Epidemiology of cancer and aging. Cancer Treat Res. 2005;124:1-15. Pubmed ID: 15839188 21. Balducci L, Cohen H, Engstrom P, Ettinger D, Halter J, Gordon L, Kiel K, Kneier A, Lim D, Petersdorf S, Rosenthal R, Silliman R, Vose J, Walker M, Zachariah B. Senior adult oncology clinical practice guidelines in oncology. J Natl Compr Canc Netw. 2005 Jul;3(4):572-590. Pubmed ID: 16038647 22. Balducci L, Ershler W. Cancer and ageing: a nexus at several levels. Nat Rev Cancer. 2005 Aug;5(8):655662. Pubmed ID: 16056261 23. Balducci L, Hardy C, Lyman G. Hemopoiesis and aging. Cancer Treat Res. 2005;124:109-134. Pubmed ID: 15839193 24. Balducci L. Cancer chemotherapy in elderly cancer patients. J Oncol Manag. 2005 Apr;14(2):35-38. Pubmed ID: 16018197 25. Balducci L. Epidemiology of cancer and aging. J Oncol Manag. 2005 Apr;14(2):47-50. Pubmed ID: 16018199 26. Balducci L. Guidelines for the management of the older cancer patient. Cancer Treat Res. 2005;124:233256. Pubmed ID: 15839199 27. Balducci L. Prevention of cancer in the older person. Cancer J. 2005 Nov;11(6):442-448. Pubmed ID: 16393478 28. Balducci L. Squaring the circle: adjuvant chemotherapy for older women with breast cancer. J Gerontol A Biol Sci Med Sci. 2005 Oct;60(9):1135-1136. Pubmed ID: 16183951 29. Beghe C, Balducci L. Biological basis of cancer in the older person. Cancer Treat Res. 2005;124:189-221. Pubmed ID: 15839197 30. Carreca I, Balducci L, Extermann M. Cancer in the older person. Cancer Treat Rev. 2005 Aug;31(5):380402. Pubmed ID: 15967582 31. Extermann M, Chen H, Booth-Jones M, Meyer J, Balducci L, Jacobsen P. Pilot testing of the computerized cognitive test Microcog in chemotherapy-treated older cancer patients. Crit Rev Oncol Hematol. 2005 May;54(2):137-143. Pubmed ID: 15843096 32. Gridelli C, Aapro M, Ardizzoni A, Balducci L, De Marinis F, Kelly K, LeChevalier T, Manegold C, Perrone F, Rosell R, Shepherd F, De Petris L, Di MaioM, Langer C. Treatment of advanced non-small-cell lung cancer in the elderly: results of an international expert panel. J Clin Oncol. 2005 May 1;23(13):3125-3137. Pubmed ID: 15860872 33. Mandelblatt J, Schechter C, Yabroff K, Lawrence W, Dignam J, Extermann M, Fox S, Orosz G, Silliman R, Cullen J, Balducci L. Toward optimal screening strategies for older women. Costs, benefits, and harms of breast cancer screening by age, biology, and health status. J Gen Intern Med. 2005 Jun;20(6):487-496. Pubmed ID: 15987322 34. Balducci L, Repetto L. Increased risk of myelotoxicity in elderly patients with non-Hodgkin lymphoma. Cancer. 2004;100(1):6-11. Pubmed ID: 14692018 35. Balducci L. Believing is seeing: a new parameter to study cancer prevention and cancer treatment in older individuals. Cancer. 2004;100(5):881-882. Pubmed ID: 14983480 36. Balducci L. Cost of cancer clinical trials in elderly patients. Expert Opin Pharmacother. 2004;5(3):505-511. Pubmed ID: 15013919 37. Balducci L. Profile of Prof. Paul Calabresi. Oncologist. 2004;9(1):110. Pubmed ID: 14755021 38. Biganzoli L, Aapro M, Balducci L, Crivellari D, Minisini A, Piccart M. Adjuvant therapy in elderly patients with breast cancer. Clin Breast Cancer. 2004;5(3):188-195. Pubmed ID: 15335450 39. Donovan KA, Jacobsen PB, Andrykowski MA, Winters E, Balducci L, Malik U, Kenady D, McGrath P. Course of fatigue in women receiving chemotherapy and/or radiotherapy for early stage breast cancer. J Pain Symptom Manag. 2004;28(4):373-380. Pubmed ID: 15471655 40. Extermann M, Meyer J, McGinnis M, Crocker T, Corcoran M, Yoder J, Haley W, Chen H, Boulware D, Balducci L. A comprehensive geriatric intervention detects multiple problems in older breast cancer patients. Crit Rev Oncol Hematol. 2004;49(1):69-75. Pubmed ID: 14734156 41. Knight K, Wade S, Balducci L. Prevalence and outcomes of anemia in cancer: a systematic review of the literature. Am J Med. 2004;116: 11S-26S. Pubmed ID: 15050883 42. Kumar N, Allen K, Riccardi D, Bercu B, Cantor A, Minton S, Balducci L, Jacobsen P. Fatigue, weight gain, lethargy and amenorrhea in breast cancer patients on chemotherapy: is subclinical hypothyroidism the culprit. Breast Cancer Res Treat. 2004;83(2):149-159. Pubmed ID: 14997046 43. Luciani A, Balducci L. Multiple primary malignancies. Semin Oncol. 2004;31(2):264-273. Pubmed ID: 15112155 44. Martoni A, Cucinotta D, Balducci L. Meeting report: Breast cancer in the older woman. Tumori. 2004;90(4):437445. Pubmed ID: 15510992 45. Balducci L, Carreca I. Supportive care of the older cancer patient. Crit Rev Oncol Hematol. 2003;48:S65-S70. Pubmed ID: 14563523 46. Balducci L, Extermann M. Issues in the care of the older cancer patient: delayed diagnosis, inadequate treatment, and information gaps. In: The older cancer patient. New York, NY: Springer Publishing Company Inc; 2003;24-44. 47. Balducci L, Extermann M. The cost of cancer prevention and treatment in the older person. In: The older cancer patient. New York, NY: Springer Publishing Company Inc; 2003;284-296. 48. Balducci L. Anemia, cancer, and aging. Cancer Control. 2003;10(6):478-486. Pubmed ID: 14652524 49. Balducci L. Epidemiology of anemia in the elderly: information on diagnostic evaluation. J Am Geriatr Soc. 2003;51: 2-9. Pubmed ID: 12588565 50. Balducci L. Geriatric oncology. Crit Rev Oncol Hematol. 2003;46(3):211-220. Pubmed ID: 12791420 51. Balducci L. Lung cancer in the elderly: so many patients, so little time. CA Cancer J Clin. 2003;53:322-324. Pubmed ID: 15224972 52. Balducci L. Management of cancer pain in geriatric patients. J Support Oncol. 2003;1(3):175-191. Pubmed ID: 15334874 53. Balducci L. Myelosuppression and its consequences in elderly patients with cancer. Oncology (Williston Park). 2003;17: 27-32. Pubmed ID: 14682116 54. Balducci L. New paradigms for treating elderly patients with cancer: the comprehensive geriatric assessment and guidelines for supportive care. J Support Oncol. 2003;1(4) Suppl 2:30-37. Pubmed ID: 15346998 55. Balducci L. The elderly patient with cancer: new approaches for improved outcomes. J Support Oncol. 2003;1(4) Suppl 2:3-4. Pubmed ID: 15346993 56. Chen H, Cantor A, Meyer J, Corcoran M, Grendys E, Cavanaugh D, AntonekS, Camarata A, Haley W, Balducci L, Extermann M. Can older cancer patients tolerate chemotherapy? A prospective pilot study. Cancer. 2003;97(4):1107-1114. Pubmed ID: 12569613 57. Extermann M, Balducci L. Optimizing cancer care in the elderly: progress in geriatric oncology. Cancer Control. 2003;10(6):440-441. Pubmed ID: 14652519 58. Lyman G, Kuderer N, Agboola O, Balducci L. Evidencebased use of colony-stimulating factors in elderly cancer patients. Cancer Control. 2003;10(6):487-499. Pubmed ID: 14652525 59. Repetto L, Carreca I, Maraninchi D, Aapro M, Calabresi P, Balducci L. Use of growth factors in the elderly patient with cancer: a report from the Second International Society for Geriatric Oncology (SIOG) 2001 meeting. Crit Rev Oncol Hematol. 2003;45(2):123-128. Pubmed ID: 12604125 60. Respini D, Jacobsen P, Thors C, Tralongo P, Balducci L. The prevalence and correlates of fatigue in older cancer patients. Crit Rev Oncol Hematol. 2003;47(3):273279. Pubmed ID: 12962901 61. Balducci L, Beghe C. Prevention of cancer in the older person. Clin Geriatr Med. 2002;18(3):505-528. Pubmed ID: 12424870 62. Balducci L, Carreca I. The role of myelopoietic growth factors in managing cancer in the elderly. Drugs. 2002;62: 47-63. Pubmed ID: 12479594 63. Balducci L. The clinical impact of cancer in the old-aged person. Tumori. 2002;88(1) Suppl 1:S47-S48. Pubmed ID: 11989923 64. Extermann M, Chen H, Cantor A, Corcoran M, Meyer J, Grendys E, CavanaughD, Antonek S, Camarata A, Haley W, Balducci L. Predictors of tolerance to chemotherapy in older cancer patients: a prospective pilot study. Eur J Cancer. 2002;38(11):1466-1473. Pubmed ID: 12110492 65. Lyman G, Kuderer N, Balducci L. Cost-benefit analysis of granulocyte colony-stimulating factor in the management of elderly cancer patients. Curr Opin Hematol. 2002;9(3):207214. Pubmed ID: 11953666 66. Patterson S, Balducci L, Meyer R. The Book of Job: a 2,500-year-old current guide to the practice of oncology: the nexus of medicine and spirituality. J Cancer Educ. 2002;17(4):237-240. Pubmed ID: 12556063 67. Patterson S, Balducci L, Pow-Sang J. Controversies surrounding androgen deprivation for prostate cancer. Cancer Control. 2002;9(4):315-325. Pubmed ID: 12228757 68. Repetto L, Balducci L. A case for geriatric oncology. Lancet Oncol. 2002;3(5):289-297. Pubmed ID: 12067806 69. Balducci L, Beghe C. Cancer and age in the USA. Crit Rev Oncol Hematol. 2001;37(2):137-145. Pubmed ID: 11166587 70. Balducci L, Extermann M, Carreca I. Management of breast cancer in the older woman. Cancer Control. 2001;8(5):431-441. Pubmed ID: 11579340 71. Balducci L, Extermann M. A practical approach to the older patient with cancer: a review. Curr Probl Cancer. 2001;25(1):6-76. Pubmed ID: 11261937 72. Balducci L, Hardy C, Lyman G. Hematopoietic growth factors in the older cancer patient. Curr Opin Hematol. 2001;8(3):170-187. Pubmed ID: 11303151 73. Balducci L, Lyman G. Patients aged > or = 70 are at high risk for neutropenic infection and should receive hemopoietic growth factors when treated with moderately toxic chemotherapy. J Clin Oncol. 2001;19(5):15831585. Pubmed ID: 11230505 74. Balducci L, Meyer R. Spirituality and medicine: a proposal. Cancer Control. 2001;8(4):368-376. Pubmed ID: 11483891 75. Balducci L. Cancer: an experiment education. Cancer Control. 2001;8(2):192-196. Pubmed ID: 11326176 76. Balducci L. The geriatric cancer patient: equal benefit from equal treatment. Cancer Control. 2001;8(2):125. Pubmed ID: 11326165 77. Overcash J, Extermann M, Parr J, Perry J, Balducci L. Validity and reliability of the FACT-G scale for use in the older person with cancer. Am J Clin Oncol. 2001;24(6):591596. Pubmed ID: 11801761 78. Balducci L, Beghe C. The application of the principles of geriatrics to the management of the older person with cancer. Crit Rev Oncol Hematol. 2000;35(3):147154. Pubmed ID: 10960797 79. Balducci L, Corcoran M. Antineoplastic chemotherapy of the older cancer patient. Hematol Oncol Clin North Am. 2000;14(1):193-212. Pubmed ID: 10680078 80. Balducci L, Extermann M. Cancer and age. In: Haskell C, ed. Cancer treatment. Philadelphia, PA: W.B. Saunders; 2000;435-451. 81. Balducci L, Extermann M. Cancer and aging. An evolving panorama. Hematol Oncol Clin North Am. 2000;14(1):116. Pubmed ID: 10680068 82. Balducci L, Extermann M. Cancer, carcinogenesis and aging. In: Rosenthal R, Zenilman M, Katlic M, et al, eds. Principles and practice of geriatric surgery. New York, NY: Springer Publishing Co Verlag; 2000;38-45. 83. Balducci L, Extermann M. Management of cancer in the older person: a practical approach. Oncologist. 2000;5(3):224-237. Pubmed ID: 10884501 84. Balducci L, Extermann M. Management of the frail person with advanced cancer. Crit Rev Oncol Hematol. 2000;33(2):143-148. Pubmed ID: 10737376 85. Balducci L, Hardy C, Lyman G. Hemopoietic reserve in the older cancer patient: clinical and economic considerations. Cancer Control. 2000;7(6):539-547. Pubmed ID: 11088062 86. Balducci L, Stanta G. Cancer in the frail patient. A coming epidemic. Hematol Oncol Clin North Am. 2000;14(1):23550,xi. Pubmed ID: 10680080 87. Balducci L, Yates J. General guidelines for the management of older patients with cancer. Oncology (Williston Park). 2000;14(11A):221-227. Pubmed ID: 11195414 88. Balducci L. Cancer in the elderly: tailoring treatment. Hosp Pract (Off Ed). 2000;35(3):73-80. Pubmed ID: 10737241 89. Balducci L. Evidence-based management of cancer in the elderly. Cancer Control. 2000;7(4):368-376. Pubmed ID: 10895132 90. Balducci L. Geriatric oncology: challenges for the new century. Eur J Cancer. 2000;36(14):1741-1754. Pubmed ID: 10974621 91. Balducci L. Inspiration from a forum arranged by students. J Cancer Educ. 2000;15(4):245. Pubmed ID: 11199245 92. Broeckel J, Jacobsen P, Balducci L, Horton J, Lyman G. Quality of life after adjuvant chemotherapy for breast cancer. Breast Cancer Res Treat. 2000;62(2):141150. Pubmed ID: 11016752 93. Extermann M, Balducci L, Lyman G. What threshold for adjuvant therapy in older breast cancer patients? J Clin Oncol. 2000;18(8):1709-1717. Pubmed ID: 10764431 94. Kimmick G, Balducci L. Breast cancer and aging. Clinical interactions. Hematol Oncol Clin North Am. 2000;14(1):213-234. Pubmed ID: 10680079 95. Mandelblatt J, Orosz G, Yabroff K, Extermann M, Lawrence W, Yi B, Satariano W, Bloom H, Fox S, Silliman R, Fahs M, Schecther C, Muenning P, Balducci L. Screening mammography in elderly women. Research on Breast Cancer in Older Women Consortium. JAMA. 2000;283(24):3202-3203. Pubmed ID: 10866863 96. Remick S, Sedransk N, Haase R, Craffey M, Subramanian N, Dowlati A, Nazeer T, Ramnes C, Blanchard C, Martrianni D, Balducci L, Horton J, Ruckdeschel J. Oral combination chemotherapy in the management of AIDS-related lymphoproliferative malignancies. Drugs. 2000;58(3):99107. Pubmed ID: 10711848 97. Zachariah B, Balducci L. Radiation therapy of the older patient. Hematol Oncol Clin North Am. 2000;14(1):131167. Pubmed ID: 10680076 98. Balducci L, Beghe C. Pharmacology of chemotherapy in the older cancer patient. Cancer Control. 1999;6(5):466470. Pubmed ID: 10758578 99. Balducci L, Cox C, Greenberg H, Lyman G, Miguel R, Karl R, Fabri P. Management of cancer in the older person. In: Complete geriatric oncology. London. Harwood Academic Publishers; 1999;363-368. 100. Balducci L, Extermann M. Cancer in the elderly. Clin Geriatr Med. 1999;6(13):51-58. 101. Balducci L, Hardy C. Aging, stress and anemia. Matur Med Canada. 1999;82-85. 102. Balducci L. Mangement of cancer in the older person. Clin Geriatr Med. 1999;7(5):89-97. 103. Jacobsen PB, Hann DM, Azzarello LM, Horton J, Balducci L, Lyman GH. Fatigue in women receiving adjuvant chemotherapy for breast cancer: characteristics, course, and correlates. J Pain Symptom Manage. 1999 Oct;18(4):233-242. Pubmed ID: 10534963 104. Lyman G, Balducci L. Update on the economic analyses of the use of the colony-stimulating factors. Curr Opin Hematol. 1999;6(3):145-151. Pubmed ID: 10226734 105. Balducci L, Cox C, Greenberg H, Lyman G, Miguel R, Karl R, Fabri P. Management of cancer in the older person. In: Balducci L, Lyman G, Erschler W, et al, eds. Comprehensive Geriatric Oncology. 2 ed. London. Harwood Academic Publishers; 1998;363-368. 106. Balducci L, Extermann M. Difficulties in treating older patients with cancer. Oncology Pract. 1998;15-18. 107. Balducci L, Hardy C. Anemia of aging: a model of erythropoiesis in cancer patients. Cancer Control. 1998;5(2):17-21. Pubmed ID: 10762462 108. Balducci L, Lyman G, Erschler W. Management of cancer in the older person. In: Balducci L, Lyman G, Erschler W, et al, eds. Comprehensive Geriatric Oncology. London. Harwood Academic Publishers; 1998;363-368. 109. Balducci L, Phillips D. Breast cancer in older women Am Fam Physician. Am Fam Phys. 1998;58(5):11631172. Pubmed ID: 9787281 110. Balducci L, Silliman R, Baekey P. Breast cancer: a geriatric perspective-part I. In: Balducci L, Lyman G, Ershler, et al, eds. Comprehensive geriatric oncology. London. Harwood Academic Publishers; 1998;629-660. 111. Benson K, Agosti S, Lyman G, Pow-Sang J, Saba H, Balducci L. Estimated blood loss in group O as compared to non-group O radical prostatectomy. Hematology. 1998;3:257-261. 112. Broeckel J, Jacobsen P, Horton J, Balducci L, Lyman G. Characteristics and correlates of fatigue after adjuvant therapy for breast cancer. J Clin Oncol. 1998;16(5):16891696. Pubmed ID: 9586880 113. Cova D, Beretta G, Balducci L. Cancer chemotherapy in the older patient. In: Balducci L, Lyman G, Ershler W, et al, eds. Comprehensive geriatric oncology. Amsterdam. Harwood Academic Publishers; 1998;429-442. 114. Extermann M, Balducci L. Practical proposals for clinical protocols in elderly patients with cancer. In: Balducci L, Lyman G, Ershler W, et al, eds. Comprehensive Geriatric Oncology. Amsterdam. Harwood Academic Publishers; 1998;263-269. 115. Extermann M, Overcash J, Lyman G, Parr J, Balducci L. Comorbidity and functional status are independent in older cancer patients. J Clin Oncol. 1998;16(4):15821587. Pubmed ID: 9552069 116. Lyman G, Kuderer N, Balducci L. Cancer care in the elderly: cost and quality of life considerations. Cancer Control. 1998;5:347-354. Pubmed ID: 10761085 117. Lyman G, Kuderer N, Balducci L. Economic impact of granulopoiesis stimulating agents on the management of febrile neutropenia. Curr Opin Oncol. 1998;10:291298. Pubmed ID: 9702395 118. Lyman G, Kuderer N, Greene J, Balducci L. The economics of febrile neutropenia: implications for the use of colonystimulating factors. Eur J Cancer. 1998;34(12):18571864. Pubmed ID: 10023306 119. Lyman G, Lyman S, Kuderer N, Balducci L, Reintgen D, Cox C. Menopausal status and breast cancer survival following recurrence. Matur Med Canada. 1998;1:29-31. 120. Silliman R, Balducci L. Breast cancer: a geriatric perspective-part II. In: Balducci L, Lyman G, Ershler W, et al, eds. Comprehensive geriatric oncology. Amsterdam. Harwood Academic Publishers; 1998;661-671. 121. Balducci L, Extermann M, Fentiman I, Monfardini S, Perrone F. Should adjuvant chemotherapy be used to treat breast cancer in elderly patients (> or = 70 years of age)? Eur J Cancer. 1997;33:1720-1724. Pubmed ID: 9470824 122. Balducci L, Extermann M. Advances in cancer therapy for the older patient. Intern Med. 1997;18:79-92. 123. Balducci L, Extermann M. Cancer chemotherapy in the older person: what the medical oncologists needs to know. Cancer. 1997;80:1317-1322. Pubmed ID: 9317185 124. Balducci L, Lyman G. Cancer in the elderly: epidemiologic and clinical implications. Clin Geriatr Med. 1997;13:114. Pubmed ID: 8995097 125. Balducci L, Pow-Sang J, Friedland J, Diaz J. Cancer in the elderly part II: prostate cancer. In: Balducci L, ed. Clinics in geriatric medicine. Philadelphia, PA: Saunders; 1997;283306. 126. Balducci L, Trotti, III A. Organ preservation: an effective and safe form of cancer treatment. Clin Geriatr Med. 1997;13(1):185-201. Pubmed ID: 8995107 127. Balducci L. Highlights of the third international conference in geriatric oncology held in Tampa, Florida, 1315 November, 1996. Eur J Cancer. 1997;33(6):836-837. 128. Balducci L. Issues in the management of haematologic malignancies. From the 26th Congress of the International Society of Haematology (ISH), Signapore, 25-29 August 1996. Oncology Forum. 1997;1(1):12. 129. Kimmick G, Fleming R, Muss H, Balducci L. Cancer chemotherapy in older adults: a tolerability perspective. Drugs Aging. 1997;10(1):34-49. Pubmed ID: 9111706 130. Lyman G, Kuderer N, Lyman S, Debus M, Minton S, Balducci L, Horton J, Reintgen D, Cox C. Menopausal status and the impact of early recurrence on breast cancer survival. Cancer Control. 1997;4(4):335-341. Pubmed ID: 10763039 131. Reintgen D, Joseph E, Lyman G, Yeatman T, Balducci L, Ku N, Berman C, Shons A, Wells K, Horton J, Greenberg H, Nicosia S, Clark R, Shivers S, Li W, Wang X, Cantor A, Cox C. The role of selective lymphadenectomy in breast cancer. Cancer Control. 1997;4(3):211-219. Pubmed ID: 10763020 132. Wells N, Balducci L. Geriatric Oncology Medical and Psychosocial Perspectives. Cancer Practice. 1997;5(2):8791. Pubmed ID: 9110644 133. Zachariah B, Balducci L, Venkattaramanabalaji G, Casey L, Greenberg H, DelRegato J. Radiotherpay for cancer patients aged 80 and older: a study of effectiveness and side effects. Int J Radiat Oncol Biol Phys. 1997;39(5):11251129. Pubmed ID: 9392554 134. Albertini J, Lyman G, Cox C, Yeatman T, Balducci L, Ku N, Shivers S, Berman C, Wells K, Rapaport D, Shons A, Horton J, Greenberg H, Nicosia S, Clark R, Cantor A, Reintgen D. Lymphatic mapping and sentinel node biopsy in the patient with breast cancer. JAMA. 1996;276(22):18181822. Pubmed ID: 8946902 135. Balducci L, Lyman G, Fabri P. Management of cancer in the aged. Compr Ther. 1996;22(2):88-93. Pubmed ID: 8689868 136. Benson K, Balducci L, Milo K, Heckel L, Lyman G. Patient's attitudes regarding out-of-hospital blood transfusion. Transfusion. 1996;36:140-143. Pubmed ID: 8614964 137. Extermann M, Balducci L, Lyman G. Optimal duration of adjuvant tamoxifen treatment in elderly breast cancer patients: influence of age, cormorbidites, and various effectiveness hypothesis on life-expectancy. Breast Dis. 1996;9:327-339. 138. Lyman G, Kuderer N, Balducci L, Horton J. Thresholds for the use of recombinant human colony-stimulating factors (CSFs) based on revised cost estimates incorporating indirect medical, non-medical and intangible cost considerations. Blood. 1996;88:346a. 139. Lyman G, Kuderer N, Balducci L. The decision to use colony stimulating factors in patients receiving cancer chemotherapy: quality of life adjustment. Proc Am Soc Clin Oncol. 1996;15:535. 140. Lyman G, Lyman S, Balducci L, Kuderer N, Reintgen D, Harris J, Cox C, Baekey P, Greenberg H, Horton J. Age and the risk of recurrence in women with breast cancer. Cancer Control. 1996;3:421-427. Pubmed ID: 10764500 141. Casey L, Zachariah B, Balducci L. Radiotherapy of the oldest old cancer patients: a study of effectiveness and toxicity. J Am Geriatr Soc. 1995;43:1-3. 142. Lyman G, Balducci L. A cost analysis of hematopoietic colony-stimulating factors. Oncology. 1995;9:8591. Pubmed ID: 8608061 143. Robinson B, Balducci L. Breast lump in an 85-year-old woman with dementia: a decision analysis. Am Geriatr Soc. 1995;155:171-175. Pubmed ID: 7884120 144. Zachariah B, Casey L, Balducci L. Radiotherapy of the oldest old cancer patients: a study of effectiveness and toxicity. J Am Geriatr Soc. 1995;43:793-795. Pubmed ID: 7602034 145. Zachariah B, Zachariah S, Varghese R, Balducci L. Review: carcinomatous meningitis: clinical manifestations and management. Int J Clin Pharmacol Ther Toxicol. 1995;33(1):7-12. Pubmed ID: 7711996 146. Balducci L, Barry P. A practical approach to the screening of asymptomatic older persons with cancer. Cancer Control. 1994;1(2):126-131. 147. Balducci L, Cox C, Greenberg H, Lyman G, Miguel R, Karl R, Fabri P. Management of cancer in the older aged person. Cancer Control. 1994;1(2):132-137. 148. Balducci L, Greenberg H. Breast cancer in the older woman: therapeutic controversies. Cancer Control. 1994;1(4):350-355. 149. Balducci L, Lyman G, Schapira D. Trends in prevention and treatment of breast cancer in the older woman. Facts Res Gerontol. 1994;179-192. 150. Balducci L, Lyman G. Cost-effectiveness of hematopoietic growth factors in cancer management. Adv Oncol. 1994;10(1):11. 151. Balducci L. Cancer and age: issues and perspectives. Facts Res Gerontol. 1994;173-178. 152. Balducci L. Do we need geriatric oncology? Cancer Control. 1994;1(2):91-93. 153. Balducci L. Perspectives on quality of life of older persons with cancer. Drugs Aging. 1994;4(4):313-324. 154. Beghe C, Balducci L, Cohen H. Secondary prevention of breast cancer in the older woman: issues related to screening. Cancer Control. 1994;1(4):320-326. 155. Lyman G, Balducci L. The effect of changing disease risk on clinical reasoning. J Gen Intern Med. 1994;09:488-495. 156. Saba H, Nawab U, Nadeem S, Cosgrove D, Moscinski L, Spiers A, Balducci L, Lyman G, Zuckerman K. 1994;624a. 157. Wyckoff J, Greenberg H, Sanderson R, Wallach P, Balducci L. Breast irradiation in the older woman: a toxicity study. J Am Geriatr Soc. 1994;42:150-152. 158. Balducci L, Benson K, Lyman G, Sanderson R, Fields K, Ballester O, Elfenbein G. Cost-effectiveness of leukocyte depletion filters in adult acute myelogenous leukemia. Transfusion. 1993;33(8):665-670. 159. Ballester O, Moscinski L, Spiers A, Balducci L. NonHodgkin's lymphoma in the older person: a review. J Am Geriatr Soc. 1993;41:1245-1254. 160. Iacobini M, Torre A, Palumbo G, DelPrincipe D, Digilio G, Balducci L. Study of chronic granulomatous disease by a nitroblue tetrazolium densitometric kinetic test: a new research method. Clin Chim Acta. 1993;221:197-202. 161. Lyman G, Balducci L. Overestimation of test effects in clinical judgment. J Cancer Educ. 1993;8(4):297-308. 162. Lyman G, Lyman C, Sanderson R, Balducci L. Decision analysis of hematopoietic growth factor use in patients receiving cancer chemotherapy. J Natl Cancer Inst. 1993;85(6):488-493. 163. Silliman R, Balducci L, Goodwin J, Holmes F, Leventhal E. Breast cancer care in old age: what we know, don't know, and do. J Natl Cancer Inst. 1993;85(3):190-199. 164. Virgilio J, Moscinski L, Ballester O, Corrado C, Guida C, Balducci L, Saba H. Acute lymphoblastic leukemia (ALL) in elderly patients. Hematol Oncol. 1993;11(3):121-126. 165. Balducci L, Mowrey K. Pharmacology and organ toxicity of cancer chemotherapy in older patients. Oncology. 1992;6:62-68. 166. Ballester O, Moscinski L, Morris D, Balducci L. Acute myelogenous leukemia in the elderly. J Am Geriatr Soc. 1992;40:277-284. 167. Ballester O, Wang T, Saba H, Morelli G, Tantranond O, Balducci L. Classic hemophilia in elderly patients. J Am Geriatr Soc. 1992;40(8):824-826. 168. Heal A, Tyson I, Greenberg H, Balducci L, Ketch R, Tenorio L, Berman C, Silbiger M. Evaluation of multiple infusions (IP) of 131-I-HMFG1 MoAb in ovarian and colorectal carcinoma patients and a nude mouse xenograft with and without IV use of unlabeled MoAb. Antibody Immunoconjugates Radiopharm. 1992;5:86. 169. Saba H, Ballester O, Balducci L. Hemopoietic growth factors in myelodysplasia. Hematol Rev. 1992;5:207-221. 170. Shank W, Balducci L. Hemopoietic growth factors and aging: review. Hematol Rev. 1992;5:229-236. 171. Shank W, Balducci L. Recombinant hemopoietic growth factors: comparative hemopoietic response in younger vs older aged subjects. J Am Geriatr Soc. 1992;40:151-154. 172. Tantranond P, Karam F, Wang T, Parker M, Hescock H, Cherryholmes D, Balducci L. Management of cutaneous squamous cell carcinoma in an elderly man. Report of a case and review of the literature. J Am Geriatr Soc. 1992;40:510-512. 173. Zachariah S, Zachariah B, Wang T, Balducci L. Primary brain tumors in the older patient: an annotated review. J Am Geriatr Soc. 1992;40:1265-1271.