在老年病学和肿瘤学的交汇处:问题的现状

V. S. Ostapenko, R. Absalyamov
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引用次数: 0

摘要

尽管老年和高龄癌症患者的数量有所增加,但他们的治疗策略往往是次优的,而医患关系模式往往是家长式的。处理癌症患者的卫生保健提供者在老年护理领域的知识不足,以及老年患者在研究中的代表性低,导致他们容易受到“过度治疗和治疗不足”的影响。有充分的证据表明,与传统的临床评估或传统的肿瘤学工具相比,综合老年评估在识别有不良预后风险的虚弱患者方面具有优势。计划治疗考虑到患者的老年状态和偏好,使我们能够增加老年肿瘤疾病患者的最佳结果和满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
At the turn of geriatrics and oncology: state of the problem
Despite the increase in the number of older and oldest old patients with cancer, the tactics of their treatment are often suboptimal while the doctor-patient relationship model tends to be paternalistic.Insufficient knowledge in the field of geriatric care among health care providers dealing with cancer patients along with the low representation of older patients in research lead to their vulnerability to both «over- and under-treatment». There is ample evidence to support the superiority of comprehensive geriatric assessment in identifying frail patients at risk of poor outcomes compared to conventional clinical assessment or traditional oncology tools. Planning therapy taking into account the geriatric status and preferences of the patient, allows us to add the best results and satisfaction of aging patients with oncological diseases.
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