Treatment patterns and survival analysis in 9014 patients with malignant pleural mesothelioma from Belgium, the Netherlands and England

•Currently, more than half of mesothelioma patients are 70 years or older.•Chemotherapy use for mesothelioma varies between countries.•Survival benefits of chemotherapy in mesothelioma independent of age.•Surgery rates for pleural mesothelioma tend to be very low.