The impact of ageism in the care of older adults with cancer.

IF 1.9 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Current Opinion in Supportive and Palliative Care Pub Date : 2023-03-01 DOI:10.1097/SPC.0000000000000629

Michael Krasovitsky, Isobel Porter, Gina Tuch

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引用次数: 1

Abstract

Purpose of review: This review summarizes recent research on the impact of ageism in older adults with cancer and how society can best address the issue. Despite older individuals representing the vast majority of those with cancer, with a dramatic increase in incidence anticipated in the coming decades, ageism remains an under-recognized and extremely detrimental phenomenon in cancer care.

Recent findings: We examine the associations between ageism and health, and highlight the consequences of higher mortality, a deterioration in mental and physical health, worse functional status and increased comorbidity burden. We then discuss the oncologic-specific impacts of ageism, including lower rates of cancer screening, decreased histological confirmation of cancer, decreased surgical intervention and systemic therapy prescription and poorer survivorship experience. To conclude, we illustrate the opportunities within oncologic systems of care to engage with, and dismantle, the damaging effects of ageism, namely policy and legislation, education and intergenerational contact.

Summary: Despite recognition of the numerous negative sequelae of ageism, there remains a paucity of literature regarding the intersection between ageism and cancer. Our piece summarizes the key developments in this field, but further evaluation is desperately required.

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年龄歧视对老年癌症患者护理的影响。

综述目的:本综述总结了最近关于年龄歧视对老年癌症患者影响的研究，以及社会如何最好地解决这一问题。尽管老年人占癌症患者的绝大多数，预计未来几十年发病率将急剧增加，但在癌症治疗中，年龄歧视仍然是一个未得到充分认识且极其有害的现象。最近的发现:我们研究了年龄歧视与健康之间的关系，并强调了更高的死亡率、精神和身体健康的恶化、更差的功能状态和增加的合并症负担的后果。然后，我们讨论了年龄歧视对肿瘤特异性的影响，包括较低的癌症筛查率，减少的癌症组织学确认，减少的手术干预和全身治疗处方以及较差的生存经验。最后，我们说明了肿瘤护理系统中参与和消除年龄歧视的破坏性影响的机会，即政策和立法，教育和代际接触。总结:尽管人们认识到年龄歧视的许多负面后果，但关于年龄歧视与癌症之间的关系的文献仍然很少。我们的文章总结了这一领域的关键发展，但迫切需要进一步的评估。

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

Current Opinion in Supportive and Palliative Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

3.70

自引率

0.00%

发文量

期刊介绍： A reader-friendly resource, Current Opinion in Supportive and Palliative Care provides an up-to-date account of the most important advances in the field of supportive and palliative care. Each issue contains either two or three sections delivering a diverse and comprehensive coverage of all the key issues, including end-of-life management, gastrointestinal systems and respiratory problems. Current Opinion in Supportive and Palliative Care is an indispensable journal for the busy clinician, researcher or student.