Application of comprehensive geriatric assessment in oncology nursing: A literature review on optimizing treatment decisions and patient outcomes.

IF 2.6 Q3 ONCOLOGY
Cheng-Jin Li, Shu-Mei Gong, Yu-Juan Shi, Ya-Nan Guo, Na-Na Song, Li-Min Jiang, Yan-Yan Wang, Chang-Jiang Zhang, Yao-Bin Wang, Zhi-Peng Li, Peng Wang, Yu-Hua Ruan, Zhen Shi, Hao-Yu Li, Qiu-Jun Zhang, Wei-Ping Fu
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引用次数: 0

Abstract

With the global population aging, the care of elderly cancer patients has become increasingly complex and significant. Comprehensive geriatric assessment (CGA), a multidimensional evaluation tool, has been widely implemented in oncology nursing to enhance the precision of treatment decisions and improve patient outcomes. This review examines the application of CGA in oncology nursing, drawing on literature published between 2010 and 2024 in major databases using keywords such as "Comprehensive Geriatric Assessment" and "Oncology Nursing". It highlights how CGA contributes to optimizing treatment selection, monitoring the treatment process, and improving patients' quality of life and long-term outcomes. CGA provides a comprehensive evaluation of elderly cancer patients, including physical, psychological, and social aspects, enabling the identification of high-risk patients and reducing treatment-related side effects and complications. It also offers a critical foundation for developing personalized care plans. The article discusses various practical examples of CGA implementation across different countries and regions, including multidisciplinary collaborative models in France, the United States, and Australia, demonstrating CGA's flexible application in diverse healthcare settings. Although significant progress has been made in applying CGA in oncology nursing, numerous challenges remain in its implementation, such as resource limitations and insufficient personnel training. Future research will focus on integrating CGA with emerging technologies, such as artificial intelligence and precision medicine, to further improve the quality of care and treatment outcomes for elderly cancer patients. By summarizing the current status and challenges of CGA in oncology nursing, this review provides guidance for future research and clinical practice, emphasizing the importance of advancing CGA application to meet the growing demands of elderly oncology care.

综合老年评估在肿瘤护理中的应用:关于优化治疗决策和患者预后的文献综述。
随着全球人口老龄化,老年癌症患者的护理变得越来越复杂和重要。综合老年评估(Comprehensive geriatric assessment, CGA)是一种多维度的评估工具,已广泛应用于肿瘤护理中,以提高治疗决策的准确性,改善患者的预后。本文以“综合老年评估”和“肿瘤护理”为关键词,利用2010年至2024年在主要数据库中发表的文献,研究了CGA在肿瘤护理中的应用。它强调了CGA如何有助于优化治疗选择,监测治疗过程,改善患者的生活质量和长期预后。CGA为老年癌症患者提供全面的评估,包括身体、心理和社会方面,能够识别高危患者,减少治疗相关的副作用和并发症。它还为制定个性化护理计划提供了重要的基础。本文讨论了在不同国家和地区实施CGA的各种实际示例,包括法国、美国和澳大利亚的多学科协作模型,展示了CGA在不同医疗保健环境中的灵活应用。尽管CGA在肿瘤护理中的应用取得了重大进展,但在实施过程中仍存在许多挑战,如资源限制和人员培训不足。未来的研究重点将是将CGA与人工智能和精准医疗等新兴技术相结合,进一步提高老年癌症患者的护理质量和治疗效果。本文通过总结CGA在肿瘤护理中的现状及面临的挑战,为今后的研究和临床实践提供指导,强调推进CGA应用以满足日益增长的老年肿瘤护理需求的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
0.00%
发文量
585
期刊介绍: The WJCO is a high-quality, peer reviewed, open-access journal. The primary task of WJCO is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of oncology. In order to promote productive academic communication, the peer review process for the WJCO is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCO are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in oncology. Scope: Art of Oncology, Biology of Neoplasia, Breast Cancer, Cancer Prevention and Control, Cancer-Related Complications, Diagnosis in Oncology, Gastrointestinal Cancer, Genetic Testing For Cancer, Gynecologic Cancer, Head and Neck Cancer, Hematologic Malignancy, Lung Cancer, Melanoma, Molecular Oncology, Neurooncology, Palliative and Supportive Care, Pediatric Oncology, Surgical Oncology, Translational Oncology, and Urologic Oncology.
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