Challenging decision: ICU admission of critically ill elderly solid tumor patients
Cancer remains a major public health problem and a leading cause of mortality worldwide (1). Success in prevention, early detection and treatment of cancer has resulted in a continuous decline in cancer death rates with an overall drop of 25% over the last two decades. Introduction of smart molecules and development of new therapeutic armamentarium enabled advanced cancer patients to live longer in recent years. In accordance with these developments, intensive care unit (ICU) admissions have been steadily increasing in patients with solid tumors (2,3). Acute medical problems necessitate ICU admissions in approximately 5% of patients with solid tumors. Estimated every sixth to eight patient in European ICUs has underlying cancer (4).