{"id":"https://openalex.org/W2015306386","doi":"https://doi.org/10.3402/jchimp.v1i3.7313","title":"Lung cancer in the very elderly: incidence, presentation, and diagnostic decision-making. A retrospective analysis at a teaching community hospital","display_name":"Lung cancer in the very elderly: incidence, presentation, and diagnostic decision-making. A retrospective analysis at a teaching community hospital","publication_year":2011,"publication_date":"2011-01-01","ids":{"openalex":"https://openalex.org/W2015306386","doi":"https://doi.org/10.3402/jchimp.v1i3.7313","mag":"2015306386","pmid":"https://pubmed.ncbi.nlm.nih.gov/23882335","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/3714041"},"language":"en","primary_location":{"id":"doi:10.3402/jchimp.v1i3.7313","doi":"https://doi.org/10.3402/jchimp.v1i3.7313","is_oa":true,"landing_page_url":"https://doi.org/10.3402/jchimp.v1i3.7313","pdf_url":"https://www.tandfonline.com/doi/pdf/10.3402/jchimp.v1i3.7313?needAccess=true","source":{"id":"https://openalex.org/S2736989668","display_name":"Journal of Community Hospital Internal Medicine Perspectives","issn_l":"2000-9666","issn":["2000-9666"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Community Hospital Internal Medicine Perspectives","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.tandfonline.com/doi/pdf/10.3402/jchimp.v1i3.7313?needAccess=true","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5015875316","display_name":"Sabarish Ram Ayyappan","orcid":"https://orcid.org/0000-0001-6451-7795","observed_orcids":["https://orcid.org/0000-0001-6451-7795"]},"institutions":[{"id":"https://openalex.org/I4210098088","display_name":"Unity Health System","ror":"https://ror.org/00yfpz909","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098088"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sabarish Ayyappan","raw_affiliation_strings":["Department of Medicine, Unity Health System of Rochester , NYUSA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Unity Health System of Rochester , NYUSA","institution_ids":["https://openalex.org/I4210098088"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Claudia Gonzalez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210098088","display_name":"Unity Health System","ror":"https://ror.org/00yfpz909","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098088"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Claudia Gonzalez","raw_affiliation_strings":["Department of Medicine, Unity Health System of Rochester , NYUSA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Unity Health System of Rochester , NYUSA","institution_ids":["https://openalex.org/I4210098088"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040464033","display_name":"Roopa Yarlagadda","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210098088","display_name":"Unity Health System","ror":"https://ror.org/00yfpz909","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098088"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Roopa Yarlagadda","raw_affiliation_strings":["Department of Medicine, Unity Health System of Rochester , NYUSA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Unity Health System of Rochester , NYUSA","institution_ids":["https://openalex.org/I4210098088"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049546835","display_name":"Yousef Zakharia","orcid":"https://orcid.org/0000-0001-9480-2626","observed_orcids":["https://orcid.org/0000-0001-9480-2626"]},"institutions":[{"id":"https://openalex.org/I4210098088","display_name":"Unity Health System","ror":"https://ror.org/00yfpz909","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098088"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yousef Zakharia","raw_affiliation_strings":["Department of Medicine, Unity Health System of Rochester , NYUSA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Unity Health System of Rochester , NYUSA","institution_ids":["https://openalex.org/I4210098088"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110284109","display_name":"Timothy J. Woodlock","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I28792581","display_name":"University of Rochester Medicine","ror":"https://ror.org/00trqv719","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I28792581","https://openalex.org/I5388228"]},{"id":"https://openalex.org/I4210098088","display_name":"Unity Health System","ror":"https://ror.org/00yfpz909","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210098088"]},{"id":"https://openalex.org/I5388228","display_name":"University of Rochester","ror":"https://ror.org/022kthw22","country_code":"US","type":"education","lineage":["https://openalex.org/I5388228"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Timothy J. Woodlock","raw_affiliation_strings":["Department of Medicine, Unity Health System of Rochester , NYUSA","University of Rochester School of Medicine and Dentistry , RochesterNYUSA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Unity Health System of Rochester , NYUSA","institution_ids":["https://openalex.org/I4210098088"]},{"raw_affiliation_string":"University of Rochester School of Medicine and Dentistry , RochesterNYUSA","institution_ids":["https://openalex.org/I28792581","https://openalex.org/I5388228"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5110284109"],"corresponding_institution_ids":["https://openalex.org/I28792581","https://openalex.org/I4210098088","https://openalex.org/I5388228"],"apc_list":{"value":500,"currency":"USD","value_usd":500},"apc_paid":{"value":500,"currency":"USD","value_usd":500},"fwci":0.0,"has_fulltext":false,"cited_by_count":8,"citation_normalized_percentile":{"value":0.18343824,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"1","issue":"3","first_page":"7313","last_page":"7313"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10202","display_name":"Lung Cancer Diagnosis and Treatment","score":0.9740999937057495,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10202","display_name":"Lung Cancer Diagnosis and Treatment","score":0.9740999937057495,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11011","display_name":"Frailty in Older Adults","score":0.01360000018030405,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12334","display_name":"Lung Cancer Research Studies","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lung-cancer","display_name":"lung cancer","score":0.9929999709129333},{"id":"https://openalex.org/keywords/very-elderly-patients","display_name":"very elderly patients","score":0.9629999995231628},{"id":"https://openalex.org/keywords/geriatric-oncology","display_name":"geriatric oncology","score":0.7680000066757202},{"id":"https://openalex.org/keywords/diagnostic-decision-making","display_name":"diagnostic decision-making","score":0.7630000114440918},{"id":"https://openalex.org/keywords/clinical-characteristics","display_name":"clinical features","score":0.5379999876022339},{"id":"https://openalex.org/keywords/advanced-clinical-stage","display_name":"advanced clinical stage","score":0.6549999713897705},{"id":"https://openalex.org/keywords/patient-autonomy","display_name":"patient autonomy","score":0.7310000061988831},{"id":"https://openalex.org/keywords/family-decision-making","display_name":"family decision-making","score":0.7279999852180481},{"id":"https://openalex.org/keywords/physician-attitudes","display_name":"physician attitudes","score":0.6869999766349792},{"id":"https://openalex.org/keywords/cancer-incidence","display_name":"cancer incidence","score":0.5809999704360962}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8930832743644714},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.6508390307426453},{"id":"https://openalex.org/C2776256026","wikidata":"https://www.wikidata.org/wiki/Q47912","display_name":"Lung cancer","level":2,"score":0.6299469470977783},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.5618051290512085},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.5465559363365173},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5246732234954834},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.4772484302520752},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4646301865577698},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.44123634696006775},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3349054455757141},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2775923013687134},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.22232019901275635},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.3402/jchimp.v1i3.7313","doi":"https://doi.org/10.3402/jchimp.v1i3.7313","is_oa":true,"landing_page_url":"https://doi.org/10.3402/jchimp.v1i3.7313","pdf_url":"https://www.tandfonline.com/doi/pdf/10.3402/jchimp.v1i3.7313?needAccess=true","source":{"id":"https://openalex.org/S2736989668","display_name":"Journal of Community Hospital Internal Medicine Perspectives","issn_l":"2000-9666","issn":["2000-9666"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Community Hospital Internal Medicine Perspectives","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:2712949","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3714041","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:3714041","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3714041","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Community Hosp Intern Med Perspect","raw_type":"Text"},{"id":"pmid:23882335","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23882335","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of community hospital internal medicine perspectives","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:1e2caeae89204f5ba36481def9113354","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/1e2caeae89204f5ba36481def9113354","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Community Hospital Internal Medicine Perspectives, Vol 1, Iss 3, Pp 1-6 (2011)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3402/jchimp.v1i3.7313","doi":"https://doi.org/10.3402/jchimp.v1i3.7313","is_oa":true,"landing_page_url":"https://doi.org/10.3402/jchimp.v1i3.7313","pdf_url":"https://www.tandfonline.com/doi/pdf/10.3402/jchimp.v1i3.7313?needAccess=true","source":{"id":"https://openalex.org/S2736989668","display_name":"Journal of Community Hospital Internal Medicine Perspectives","issn_l":"2000-9666","issn":["2000-9666"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Community Hospital Internal Medicine Perspectives","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320308309","display_name":"U.S. Social Security Administration","ror":"https://ror.org/04b7xxn32"}],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W2015306386.pdf"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W1564847306","https://openalex.org/W1979300931","https://openalex.org/W1992066559","https://openalex.org/W2012142584","https://openalex.org/W2085893943","https://openalex.org/W2096412941","https://openalex.org/W2101751898","https://openalex.org/W2145115889","https://openalex.org/W2147016542","https://openalex.org/W2154221980"],"related_works":["https://openalex.org/W2759763706","https://openalex.org/W4393321623","https://openalex.org/W4214940936","https://openalex.org/W3010894443","https://openalex.org/W2229851685","https://openalex.org/W2337000477","https://openalex.org/W2523347890","https://openalex.org/W2770266391","https://openalex.org/W2359501776","https://openalex.org/W2000548752"],"abstract_inverted_index":{"BACKGROUND":[0],"AND":[1,40,98],"OBJECTIVES:":[2],"Lung":[3],"cancer":[4,27,63,83,136,217],"presentation":[5],"and":[6,18,33,120,151,181,184,196,226,244,263],"decision-making":[7],"in":[8,26,29,84,93,168,177,187,219,251],"the":[9,23,30,46,60,78,85,108,129,248],"very":[10,31,71,109,130,157,214],"elderly":[11,32,72,86,110,131,158,215],"patient":[12,194,243,261],"population,":[13],"80":[14],"years":[15],"of":[16,50,70,113,128,145,170,172,179,189,213],"age":[17],"older,":[19],"was":[20,53,87],"studied":[21],"given":[22],"projected":[24],"increase":[25],"incidence":[28],"yet":[34],"only":[35],"limited":[36],"management":[37,208],"guidelines.":[38],"DESIGN":[39],"SETTING:":[41],"A":[42,74],"10-year":[43],"experience":[44],"at":[45],"Unity":[47],"Health":[48],"System":[49],"Rochester,":[51],"NY,":[52],"reviewed":[54],"using":[55],"tumor":[56],"registry":[57],"data":[58],"for":[59,207],"entire":[61],"lung":[62,82,135,216],"population":[64],"plus":[65],"focused":[66],"medical":[67,90,252,264],"record":[68],"review":[69],"patients.":[73],"questionnaire":[75],"survey":[76],"on":[77,137],"clinical":[79,138,154],"approach":[80,256],"to":[81,89,228,236,257],"distributed":[88],"staff":[91],"involved":[92],"their":[94,165],"care.":[95],"PARTICIPANTS":[96],"MEASUREMENTS":[97],"RESULTS:":[99],"Of":[100],"997":[101],"patients,":[102],"approximately":[103],"100":[104],"cases":[105],"each":[106],"year,":[107],"comprised":[111],"18%":[112],"patients":[114,218,232,259],"from":[115,122],"year":[116,123],"1998":[117],"through":[118,125],"2002,":[119],"23%":[121],"2003":[124],"2007.":[126],"One-third":[127],"were":[132,204,233],"diagnosed":[133],"with":[134,242],"grounds":[139],"without":[140],"tissue":[141,161],"confirmation.":[142],"The":[143,156,211,254],"majority":[144],"this":[146,220],"group":[147],"had":[148,159],"cardio-pulmonary":[149],"symptoms":[150],"an":[152,238],"advanced":[153],"stage.":[155],"no":[160],"sampling":[162],"as":[163],"per":[164,174,182],"own":[166],"decision":[167,176],"12":[169],"44":[171],"cases,":[173],"family":[175,245],"28":[178],"44,":[180],"physician":[183,255],"other":[185],"input":[186],"4":[188],"44.":[190],"Physicians":[191],"stated":[192],"that":[193],"wishes":[195,246],"health-related":[197],"factors,":[198,203],"more":[199,234],"so":[200],"than":[201],"socio-economic":[202],"primary":[205],"concerns":[206],"decision-making.":[209,253],"CONCLUSIONS:":[210],"number":[212],"community":[221],"setting":[222],"has":[223],"been":[224],"significant":[225],"appears":[227],"be":[229],"increasing.":[230],"These":[231],"likely":[235],"have":[237],"incomplete":[239],"diagnostic":[240],"work-up,":[241],"being":[247],"major":[249],"factor":[250],"these":[258],"emphasized":[260],"autonomy":[262],"factors.":[265]},"counts_by_year":[{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":3},{"year":2019,"cited_by_count":1},{"year":2017,"cited_by_count":2},{"year":2015,"cited_by_count":1}],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2016-06-24T00:00:00"}