Nightmare Ends: Passengers Leave Disabled Ship

After five days without power in the Gulf of Mexico, the more than 4, 000 people aboard the Carnival Triumph returned home to the U.S., with many of them telling their horror stories for the first time.

Passengers began to disembark the damaged ship around 10:15 p.m. CT Thursday in Mobile, Ala. The last passenger disembarked the ship at 1 a.m. local time, according to Carnival's Twitter handle.

Passenger Brandi Dorsett was thankful to be home, especially for her mother who was with her on the ship. Dorsett said she wasn't pleased with the doctor on staff.

"My mother is a diabetic and they would not even come to the room because she cannot walk the stairs to help her with insulin. She hasn't had insulin in three days," Dorsett said.

The Carnival Triumph departed Galveston, Texas, last Thursday and lost power Sunday after a fire in the engine room disabled the vessel's propulsion system and knocked out most of its power.

After power went out, passengers texted ABC News that sewage was seeping down the walls from burst plumbing pipes, carpets were wet with urine, and food was in short supply. Reports surfaced of elderly passengers running out of critical heart medicine and others on board squabbling over scarce food.

"It's degrading. Demoralizing and then they want to insult us by giving us $500," Veronica Arriaga said after disembarking the ship.

Passengers were already being given a full refund for the cruise, transportation expenses and vouchers for another cruise. Carnival Cruise Lines is now boosting that offer to include another $500 per person.

As the ship docked, passengers lined the decks of the Triumph, waving and whistling to those on shore. "Happy V-Day" read a homemade sign made for the Valentine's Day arrival and another, more starkly: "The ship's afloat, so is the sewage."

Some still aboard chanted, "Let me off, let me off!" and "Sweet Home Alabama."

AP Photo/John David Mercer

Girl Disembarks Cruise Ship, Kisses the Ground Watch Video

Carnival CEO Gerry Cahill: 'I Want to Apologize' Watch Video

Carnival Cruise Ship Passengers Line Up for Food Watch Video

Click Here for Photos of the Stranded Ship at Sea

Kendall Jenkins was one of many passengers that were photographed kissing the ground when they exited the ship. Jenkins, like many passengers, created makeshift beds out of lounge chairs on the ship's deck after the raw sewage smell became too much to contend with.

"We kind of camped out by our lifeboat. We would have nightmares about Titanic basically happening," passenger Kendall Jenkins told ABC News Radio.

"I am just so blessed to be back home," she added.

WATCH: Carnival CEO Gerry Cahill Apologizes to Passengers

Approximately 100 buses were waiting to take passengers on the next stage of their journey. Passengers had the option to take a bus ride to New Orleans or Galveston, Texas, where the ill-fated ship's voyage began. From there, passengers will take flights home, which Carnival said they would pay for.

Inside the buses, Carnival handed out bags of food that included French fries, chicken nuggets, honey mustard barbecue sauce and apples.

Deborah Knight, 56, decided to stay in Mobile after the arduous journey was over rather than board a bus for a long ride. Her husband Seth drove in from Houston and they checked in at a downtown Mobile hotel.

"I want a hot shower and a daggum Whataburger," said Knight.

She said she was afraid to eat the food on board and had gotten sick while on the ship.

Cruise Ship Newlyweds Won't Be Spending Honeymoon on a Boat

For 24-year-old Brittany Ferguson of Texas, not knowing how long passengers had to endure their time aboard was the worst part.

"I'm feeling awesome just to see land and buildings," Ferguson said, who was in a white robe given to her aboard. "The scariest part was just not knowing when we'd get back," she told The Associated Press.

Carnival president and CEO Gerry Cahill praised the ship's crew and told reporters that he was headed on board to apologize directly to its passengers shortly before the Carnival Triumph arrived in Mobile.

"I know the conditions on board were very poor," Cahill said Thursday night. "I know it was very difficult, and I want to apologize again for subjecting our guests for that. ... Clearly, we failed in this particular case."

Luckily no one was hurt in the fire they triggered the power outage, but many passengers aboard the 900 foot colossus said they smelled smoke and were living in fear.

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Japan defense chief: could have pre-emptive strike ability in future

TOKYO (Reuters) - Japan has the right to develop the ability to make a pre-emptive strike against an imminent attack given a changing security environment although it has no plan to do so now, the defense minister said on Thursday, days after North Korea conducted a third nuclear test.

Any sign that Japan was moving to develop such a capability in response to North Korea's nuclear program could upset neighbors China and South Korea, which have reacted strongly in the past to suggestions it might do so.

"When an intention to attack Japan is evident, the threat is imminent, and there are no other options, Japan is allowed under the law to carry out strikes against enemy targets," Defence Minister Itsunori Onodera told Reuters in an interview.

"Given Japan's political environment and the peace-oriented diplomacy it has observed, this is not the time to make preparations (for building such capability).

"But we need to carefully observe the changing security environment in the region."

North Korea conducted its third nuclear test on Tuesday, drawing condemnation from the United States, Japan, Europe and the North's only major ally, China.

Onodera said Japan needed to strengthen its ballistic missile defense in view of the North Korean threat.

"Japan, the United States and South Korea managed to respond well to North Korea's missile launch on December 12. But North Korea is expected to boost various capabilities further. We need to improve corresponding capabilities as well."

But he declined to say whether it was more urgent than ever to lift a self-imposed ban on exercising the right of collective self-defense, or coming to the aid of an ally under attack.

Exercising that right is now prohibited under a long-standing interpretation of Japan's pacifist constitution but Prime Minister Shinzo Abe has made clear he wants to lift the ban and a panel of advisers has begun discussing the topic.

URGING CHINA

Onodera called on China to join the United States, Japan and other countries in tightening sanctions against North Korea, noting that Pyongyang had gone ahead with the test on Monday in defiance of Beijing's urging not to.

"I think China is the one that is most concerned about the development ... From now on, it is necessary for us, including China, to seek effective steps, effective economic measures (against North Korea)."

Onodera urged China to work with Japan to set up hotline and other communications channels between Tokyo and Beijing to prevent any accidental clash over disputed East China Sea islets, while reiterating that the islands belonged to Japan.

Sino-Japanese ties cooled sharply after Japan's government in September nationalized three of the disputed islets, called the Senkaku in Japan and Diaoyu in China.

The island row has escalated to the point where both sides have scrambled fighter jets while patrol ships shadow each other, raising worries that an unintended collision or other incident could lead to a broader clash.

"There already is a preliminary agreement between Japan and China to set up a maritime communication mechanism," Onodera said.

"The mechanism would include annual meetings, specialists' meetings, hotlines between high-ranking people, and direct communications between ships and planes in the field. I would like to have final agreement reached as soon as possible."

Onodera said last week a Chinese frigate had locked its targeting radar on a Japanese destroyer on January 30 - a step that usually precedes the firing of weapons - but China insisted that its vessel used only ordinary surveillance radar.

He said in the interview that Japan has data to back up its assertion, but was cautious about disclosing the information.

"We have irrefutable data. But (disclosure) would also reveal our various capabilities. We would like to discuss (possible disclosure) within the government, while watching China's future steps."

(Editing by Linda Sieg and Robert Birsel)

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French medical body for euthanasia in "exceptional" cases

PARIS: France's medical ethics council said Thursday that euthanasia should be allowed in exceptional cases and when suffering patients make "persistent and lucid requests."

Invoking a "duty to humanity," the body said that euthanasia should be reserved for "exceptional cases" like putting an end to "prolonged suffering", or "unbearable" pain.

President Francois Hollande had referred a report on allowing assisted suicide to the council to examine the precise circumstances under which such steps could be authorised with a view to producing draft legislation by June.

"The existing legislation does not meet the legitimate concerns expressed by people who are gravely and incurably ill," Hollande had said.

The report submitted to the council said physicians should be allowed to authorise interventions that ensure quicker deaths for terminal patients in three specific sets of circumstances.

In the first case, the patient involved would be capable of making an explicit request to that effect or have issued advance instructions in the event of him or her becoming incapable of expressing an opinion.

The second scenario envisages medical teams withdrawing treatment and/or nourishment on the basis of a request by the family of a dying patient who is no longer conscious and has not made any instructions.

The third would apply to cases where treatment is serving only to sustain life artificially.

-AFP/fl

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Talks on Rafale deal progressing well, PM says after meeting French president

NEW DELHI: After his meeting with French President Francois Hollande on Thursday, Prime Minister Manmohan Singh said that discussions for purchase of 126 Rafale fighter aircraft are "progressing well". India and France entered into exclusive negotiations for the purchase of medium multi role combat aircraft last year.

"Some progress has to be achieved and we hope we can reach a conclusion," said Hollande minutes after meeting Singh.

The two sides have been holding negotiations over issues related mostly to pricing. Both had announced weeks ahead of the visit that it may not be possible to conclude negotiations before the president's arrival in India.

The meeting also saw the two leaders reiterating commitment to building 6 European Pressurised Reactors at Jaitapur. Recalling the Memorandum of Understanding signed on 4 February 2009 between NPCIL and AREVA for setting up of 6 x 1650 MWe EPR units at Jaitapur, they reviewed the status in regard to the first two EPR units and noted that NPCIL and AREVA were engaged actively in techno-commercial discussions.

"They expressed hope for the expeditious conclusion of the negotiations. It was emphasized that the Nuclear Power Plant at Jaitapur would incorporate the highest safety standards," said a joint statement.

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Morning-after pill use up to 1 in 9 younger women

NEW YORK (AP) — About 1 in 9 younger women have used the morning-after pill after sex, according to the first government report to focus on emergency contraception since its approval 15 years ago.

The results come from a survey of females ages 15 to 44. Eleven percent of those who'd had sex reported using a morning-after pill. That's up from 4 percent in 2002, only a few years after the pills went on the market and adults still needed a prescription.

The increased popularity is probably because it is easier to get now and because of media coverage of controversial efforts to lift the age limit for over-the-counter sales, experts said. A prescription is still required for those younger than 17 so it is still sold from behind pharmacy counters.

In the study, half the women who used the pills said they did it because they'd had unprotected sex. Most of the rest cited a broken condom or worries that the birth control method they used had failed.

White women and more educated women use it the most, the research showed. That's not surprising, said James Trussell, a Princeton University researcher who's studied the subject.

"I don't think you can go to college in the United States and not know about emergency contraception," said Trussell, who has promoted its use and started a hot line.

One Pennsylvania college even has a vending machine dispensing the pills.

The morning-after pill is basically a high-dose version of birth control pills. It prevents ovulation and needs to be taken within a few days after sex. The morning-after pill is different from the so-called abortion pill, which is designed to terminate a pregnancy.

At least five versions of the morning-after pills are sold in the United States. They cost around $35 to $60 a dose at a pharmacy, depending on the brand.

Since it is sold over-the-counter, insurers generally only pay for it with a doctor's prescription. The new Affordable Care Act promises to cover morning-after pills, meaning no co-pays, but again only with a prescription.

The results of the study were released Thursday by the Centers for Disease Control and Prevention. It's based on in-person interviews of more than 12,000 women in 2006 through 2010. It was the agency's first in-depth report on that issue, said Kimberly Daniels, the study's lead author.

The study also found:

—Among different age groups, women in their early 20s were more likely to have taken a morning-after pill. About 1 in 4 did.

—About 1 in 5 never-married women had taken a morning-after pill, compared to just 1 in 20 married women.

—Of the women who used the pill, 59 percent said they had done it only once, 24 percent said twice, and 17 percent said three or more times.

A woman who uses emergency contraception multiple times "needs to be thinking about a more regular form" of birth control, noted Lawrence Finer, director of domestic research for the Guttmacher Institute, a nonprofit group that does research on reproductive health.

Also on Thursday, the CDC released a report on overall contraception use. Among its many findings, 99 percent of women who've had sex used some sort of birth control. That includes 82 percent who used birth control pills and 93 percent whose partner had used a condom.

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Online:

CDC report: http://www.cdc.gov/nchs/

Emergency contraception info: http://ec.princeton.edu/index.html

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Dorner Not IDed, But Manhunt Considered Over

Though they have not yet identified burned remains found at the scene of Tuesday's fiery, armed standoff, San Bernardino, Calif., officials consider the manhunt over for Christopher Dorner, the fugitive ex-cop accused of going on a killing spree.

"The events that occurred yesterday in the Big Bear area brought to close an extensive manhunt," San Bernardino County Sheriff John McMahon told reporters this evening.

"I cannot absolutely, positively confirm it was him," he added.

However, he noted the physical description of the suspect authorities pursued to a cabin at the standoff scene, as well as the suspect's behavior during the chase and standoff, matched Dorner, 33.

The charred remains of the body believed to be Dorner were removed from the cabin high in the San Bernardino Mountains near Big Bear, Calif., the apparent site of Dorner's last stand. Cornered inside the mountain cabin Tuesday, the suspect shot at cops, killing one deputy and wounding another, before the building was consumed by flames.

"We did not intentionally burn down that cabin to get Mr. Dorner out," McMahon said tonight, though he noted pyrotechnic canisters known as "burners" were fired into the cabin during a tear gas assault in an effort to flush out Dorner. The canisters generate high temperatures, he added.

The deputies wounded in the firefight were airlifted to a nearby hospital, where one died, police said.

Christopher Dorner Believed Dead After Shootout with Police Watch Video

Carjacking Victim Says Christopher Dorner Was Dressed for Damage Watch Video

Christopher Dorner Manhunt: Inside the Shootout Watch Video

The deceased deputy was identified tonight as Det. Jeremiah MacKay, 35, a 15-year veteran and the father of two children -- a daughter, 7, and son, 4 months old.

"Our department is grieving from this event," McMahon said. "It is a terrible deal for all of us."

The Associated Press quoted MacKay on the Dorner dragnet Tuesday, noting that he had been on patrol since 5 a.m. Saturday.

"This one you just never know if the guy's going to pop out, or where he's going to pop out," MacKay said. "We're hoping this comes to a close without more casualties. The best thing would be for him to give up."

The wounded deputy, identified as Alex Collins, was undergoing multiple surgeries for his wounds at a hospital, McMahon said, but was expected to make a full recovery.

Before the final standoff, Dorner was apparently holed up in a snow-covered cabin in the California mountains just steps from where police had set up a command post and held press conferences during a five-day manhunt.

The manhunt for Dorner, one of the biggest in recent memory, led police to follow clues across the West and into Mexico, but it ended just miles from where Dorner's trail went cold last week.

Residents of the area were relieved today that after a week of heightened police presence and fear that Dorner was likely dead.

"I'm glad no one else can get hurt and they caught him. I'm happy they caught the bad guy," said Ashley King, a waitress in the nearby town of Angelus Oaks, Calif.

Hundreds of cops scoured the mountains near Big Bear, a resort area in Southern California, since last Thursday using bloodhounds and thermal-imaging technology mounted to helicopters, in the search for Dorner. The former police officer and Navy marksman was suspected to be the person who killed a cop and cop's daughter and issued a "manifesto" declaring he was bent on revenge and pledging to kill dozens of LAPD cops and their family members.

But it now appears that Dorner never left the area, and may have hid out in an unoccupied cabin just steps from where cops had set up a command center.

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Analysis: North Korea nuclear-test drama rehashes old script

WASHINGTON/BEIJING (Reuters) - A North Korean nuclear test draws international condemnation, modest U.N. sanctions and expressions of hope in the United States that China will finally rein in its brazen ally.

Beijing chides North Korea, but nothing much happens.

The world has seen this movie before and it's likely to witness another rerun after North Korea's third nuclear test on Tuesday.

Beijing has always been loath to back harsh sanctions on North Korea, fearing it could lead to upheaval in the unpredictable nation on its doorstep. Now, threatened by the U.S. military's "pivot" to Asia, Beijing is even less likely to fall in line with Washington's position on North Korea.

"The more the United States rebalances its forces in the Western Pacific, the more China has to give leeway in regulating its relationship with North Korea," said Shen Dingli, a regional security expert at Shanghai's Fudan University.

And North Korea is exploiting the current high levels of Sino-American mistrust.

China's initial reaction to the test - that it was "strongly dissatisfied and resolutely opposed" to the North's move - suggested Beijing's new leadership would not crack down on its isolated neighbor, with whom it shares a long border and rising trade.

And the remarks were tepid compared with tough warnings in some state-run Chinese media, including hints of aid cuts, that preceded the explosion.

Foreign policy experts in China say Beijing's priorities differ from those of the United States and allies South Korea and Japan. Instability on a sensitive border is a greater immediate concern than the North Korean nuclear problem.

"China has always been worried that North Korea could collapse quickly," said Zhu Feng, a professor of international studies at Peking University.

"It could be a refugee issue, or civil unrest, or military confrontations. That is why China has been hesitating," he said.

In addition to providing undisclosed amounts of food and fuel to keep North Korea afloat since a mid-1990s famine killed more than a million North Koreans, Beijing has stepped up trade and investment.

China-North Korea trade rose an annual 24.7 percent to $3.1 billion in the first half of 2012, while the 2011 figure of $5.7 billion was a 62.4 percent gain over 2010. Beijing is also thought to take a generous - to Pyongyang - view of what constitutes "luxury goods" under a U.N. sanctions resolution banning exports of such items to North Korea.

PUSH TO THE WALL

"Not only are there many other ways China provides economic support to North Korea, but Beijing is not going to push the regime to the wall, because they don't want a war and they don't want a change to the status quo that favors the U.S.," said Stephanie Kleine-Ahlbrandt, the Beijing-based Northeast Asia director for the International Crisis Group.

In a foreshadowing of how difficult negotiations over new sanctions will be, diplomats at the United Nations said China initially bristled on Tuesday at the wording in a U.N. Security Council draft statement that the nuclear test was "a clear threat to international peace and security".

Eventually, Beijing came around.

Asked about China's measured initial response, State Department spokeswoman Victoria Nuland said it was early days in diplomacy. Beijing's influence on North Korea is the reason "it's so important for us to stay closely linked up with China and why the secretary's made it a priority to work well with his new Chinese counterpart", she said, referring to new U.S. Secretary of State John Kerry.

But U.S. leverage on the issue may have been blunted by U.S. President Barack Obama's own policies. Obama's "pivot" of strategic focus and military assets to the Asia-Pacific, seen in Washington as a necessary correction after a decade of U.S. wars in the Muslim world, is seen in Beijing as threatening.

To induce Beijing to get tougher, the United States should invoke the specter of Japan or South Korea arming themselves with nuclear weapons or taking other actions to strengthen their alliances with the United States, said George Lopez, a former U.N. Panel Expert for monitoring North Korea sanctions.

The message should be, "You need to deal with us, Dear Beijing, and create a bilateral leadership framework with the same goals, or all hell breaks loose in an unpredictable way," said Lopez, University of Notre Dame's Kroc Institute for International Peace Studies.

Lopez and other experts also see plenty of scope for the United States to use existing laws to force tighter scrutiny of bank transactions through China to North Korea.

A 2005 move by the U.S. Treasury Department against Banco Delta Asia, a small bank in the Chinese enclave of Macao, which targeted money laundering and counterfeit-currency trafficking, sparked big financial troubles for Pyongyang and spooked Chinese banks who feared getting shut out of the U.S. banking system.

Obama, in his State of the Union address, said the United States would take the lead in responding to threats posed by North Korea. He did not refer to any possible role to be played by China.

"The regime in North Korea must know they will only achieve security and prosperity by meeting their international obligations," Obama said.

"Provocations of the sort we saw last night will only further isolate them, as we stand by our allies, strengthen our own missile defense, and lead the world in taking firm action in response to these threats."

(Additional reporting by Chen Aizhu and Ben Blanchard in Beijing; Louis Charbonneau at the United Nations; Editing by Raju Gopalakrishnan and Mark Bendeich)

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Pope makes first appearance since shock resignation

VATICAN CITY: Pope Benedict XVI made his first public appearance Wednesday since the shock announcement of his resignation, sticking with his schedule by presiding over his weekly general audience.

Tickets to the event in the Vatican's Paul VI auditorium were issued well in advance, so several thousand pilgrims experienced the historic moment out of sheer luck just two days after the 85-year-old Benedict said he would step down at the end of the month.

The pope will then celebrate Ash Wednesday mass at 1600 GMT, his last public mass and one of his final engagements as pontiff.

The mass is traditionally held in the Santa Sabina Church on Rome's Aventine Hill, but has been moved to St Peter's Basilica out of respect for the outgoing pontiff and to accommodate the crowd of faithful who will want to mark the end of his eight-year rule -- one of the shortest in the Church's modern history.

"It will be an important concelebration, and the last led by the Holy Father in Saint Peter's," Vatican spokesman Federico Lombardi said.

The high point of Wednesday's mass, which launches the traditional period of penitence ahead of Easter in the Christian calendar, will see the pope mark the foreheads of the faithful with ashes.

Lombardi has said he expects a new pope in place in time for Easter, which falls on March 31 this year, although no date has yet been set for the secret conclave to elect a new leader of the world's 1.2 billion Catholics.

In the meantime, the outgoing pontiff will honour his existing engagements.

On Thursday he will hold his annual meeting with the pastors of Rome. And before he steps down at the end of the month he will also meet the presidents of Guatemala and Romania, as scheduled.

Next week will be given over to a spiritual retreat at the Vatican which is sure to be dominated by jockeying among factions within the College of Cardinals over the choice of Benedict's successor.

Benedict's decision to step down -- making him the first pontiff in 700 years to resign simply because he cannot carry on -- sparked a flurry of rumours over his health, fed by revelations that he had had an operation to replace the batteries in his pacemaker three months ago.

Some observers saw Benedict's decision as a bid to avoid the fate of his predecessor John Paul II, whose drawn-out and debilitating illness was played out on the world's stage.

But Lombardi insisted: "The pope is well and his soul is serene.

"He did not resign the pontificate because he is ill but because of the fragility that comes with old age."

After Ash Wednesday Benedict will, on the next two Sundays, will recite the Angelus from his apartment window and hold his final general audience, this time in St. Peter's Square on February 27, before retiring to a little-known monastery within Vatican walls.

Soon a new pope will be installed in the papal apartments, with his predecessor just a stone's throw away.

But Benedict will spend his time in prayer rather than giving advice, the Vatican says.

As rumours fly over front-runners for St. Peter's chair, commentators have said age may be a key factor in selecting a new pope, although any of the 117 cardinals eligible to vote is likely to be chosen.

While some hope Africa or Asia could yield the next pontiff, others have tipped high-flying European or North American cardinals. The new pope will have to face up to the growing secularism in the West, one of the Church's biggest challenges.

Only one other pope has resigned because of an inability to carry on -- Celestine V in 1294 -- a humble hermit who stepped down after just a few months saying he could no longer bear the intrigue of Rome.

-AFP/fl

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Assam panchayat poll violence toll rises to 15

GOALPARA: The toll in Assam's Goalpara district rose to 15 with violence continuing night-long even as indefinite curfew continued in Krishnai and Mornoi areas today and the army flag-marching affected areas.

The toll in the police firing rose from 12 to 15 today, official sources said, without giving details.

Defence sources said the army was conducting flag marches and working in close coordination with the state government with additional columns kept on standby.

Miscreants fired injuring seven persons, including four seriously in Gobindapur Sala area under Goalpara police station area where ten houses were set ablaze while another five were torched at Rangagora and 20 at Paharsinghpara under Mornoi police station, police sources said.

Residents of three villages fled their homes and were sheltering in relief camps, they said.

Groups of people, including women, armed with lethal weapons attacked polling centres during the third and last phase of the panchayat elections on Tuesday.

Ministers Rockybul Hussain, Rajib Lochan Pegu with Agriculture Advisor to chief minister Bhumidhar Barman, were camping in the district.

The ethnic Rabhas and Hasongs supported by Bodo and Garo tribes have been demanding holding of the RHAC elections ahead of the grassroot polls claiming that panchayats would undermine the Council's authority.

Chief minister Tarun Gogoi has announced Rs five lakh for the next of kin of those killed in the police firing, Rs 50,000 for the injured and assistance for rebuilding houses torched.

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Study questions kidney cancer treatment in elderly

In a stunning example of when treatment might be worse than the disease, a large review of Medicare records finds that older people with small kidney tumors were much less likely to die over the next five years if doctors monitored them instead of operating right away.

Even though nearly all of these tumors turned out to be cancer, they rarely proved fatal. And surgery roughly doubled patients' risk of developing heart problems or dying of other causes, doctors found.

After five years, 24 percent of those who had surgery had died, compared to only 13 percent of those who chose monitoring. Just 3 percent of people in each group died of kidney cancer.

The study only involved people 66 and older, but half of all kidney cancers occur in this age group. Younger people with longer life expectancies should still be offered surgery, doctors stressed.

The study also was observational — not an experiment where some people were given surgery and others were monitored, so it cannot prove which approach is best. Yet it offers a real-world look at how more than 7,000 Medicare patients with kidney tumors fared. Surgery is the standard treatment now.

"I think it should change care" and that older patients should be told "that they don't necessarily need to have the kidney tumor removed," said Dr. William Huang of New York University Langone Medical Center. "If the treatment doesn't improve cancer outcomes, then we should consider leaving them alone."

He led the study and will give results at a medical meeting in Orlando, Fla., later this week. The research was discussed Tuesday in a telephone news conference sponsored by the American Society of Clinical Oncology and two other cancer groups.

In the United States, about 65,000 new cases of kidney cancer and 13,700 deaths from the disease are expected this year. Two-thirds of cases are diagnosed at the local stage, when five-year survival is more than 90 percent.

However, most kidney tumors these days are found not because they cause symptoms, but are spotted by accident when people are having an X-ray or other imaging test for something else, like back trouble or chest pain.

Cancer experts increasingly question the need to treat certain slow-growing cancers that are not causing symptoms — prostate cancer in particular. Researchers wanted to know how life-threatening small kidney tumors were, especially in older people most likely to suffer complications from surgery.

They used federal cancer registries and Medicare records from 2000 to 2007 to find 8,317 people 66 and older with kidney tumors less than 1.5 inches wide.

Cancer was confirmed in 7,148 of them. About three-quarters of them had surgery and the rest chose to be monitored with periodic imaging tests.

After five years, 1,536 had died, including 191 of kidney cancer. For every 100 patients who chose monitoring, 11 more were alive at the five-year mark compared to the surgery group. Only 6 percent of those who chose monitoring eventually had surgery.

Furthermore, 27 percent of the surgery group but only 13 percent of the monitoring group developed a cardiovascular problem such as a heart attack, heart disease or stroke. These problems were more likely if doctors removed the entire kidney instead of just a part of it.

The results may help doctors persuade more patients to give monitoring a chance, said a cancer specialist with no role in the research, Dr. Bruce Roth of Washington University in St. Louis.

Some patients with any abnormality "can't sleep at night until something's done about it," he said. Doctors need to say, "We're not sticking our head in the sand, we're going to follow this" and can operate if it gets worse.

One of Huang's patients — 81-year-old Rhona Landorf, who lives in New York City — needed little persuasion.

"I was very happy not to have to be operated on," she said. "He said it's very slow growing and that having an operation would be worse for me than the cancer."

Landorf said her father had been a doctor, and she trusts her doctors' advice. Does she think about her tumor? "Not at all," she said.

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Online:

Kidney cancer info: http://www.cancer.net/cancer-types/kidney-cancer

and http://www.cancer.gov/cancertopics/types/kidney

Study: http://gucasym.org

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Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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