研究动态
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老年癌症幸存者的管理:复杂性与机遇的新视野。

New horizons in managing older cancer survivors: complexities and opportunities.

发表日期:2023 Feb 01
作者: Anna R A Mislang, Arduino A Mangoni, Angela Molga, Swatee Jena, Bogda Koczwara
来源: AGE AND AGEING

摘要:

老年人在癌症幸存者中人数不断增长,由于癌症相关问题与老年相关情况之间的复杂和大多未知的互动作用,他们需要特别关注。老年适宜性评估(GA)的日益普及使得肿瘤学家可以适当评估老年患者的整体健康状况,个性化抗癌治疗并提高生存率。然而,目前的研究和实践侧重于改善急性情况下的老年人癌症管理,而老年肿瘤幸存者的康复研究进展缓慢。由于癌症幸存是一个连续过程,因此应该在癌症诊断时开始规划一个健康的幸存计划。GA 可以发挥重要作用,识别潜在的幸存问题并优化幸存护理。以目标为导向、以患者为中心的老年幸存护理计划,涉及多学科团队,为该患者群体提供个性化的幸存护理框架,需要量身定制的干预措施来支持自我管理和护理整合。对癌症及其治疗对老年特定结果的影响进行的研究,需要通过全球倡议优先考虑成年癌症幸存者不同且杂多的人群。© The Author(s) 2023. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.
Older adults represent a growing population amongst cancer survivors who require specific consideration given the complex and largely unknown interactions between cancer-related concerns and age-related conditions. The increasing use of geriatric assessment (GA) has enabled oncologists to appropriately assess older patients' overall health status, personalise anti-cancer treatment and improve survival. However, whilst current research and practice focus on improving the management of older adults with cancer in the acute setting, the progress in the field of survivorship research in geriatric oncology is lagging. As cancer survivorship is a continuum, planning for a healthy survivorship should start at the time of cancer diagnosis. GA can play an important role in identifying potential survivorship issues and optimising delivery of survivorship care. A goal-directed, patient-focused geriatric survivorship care plan that involves a multidisciplinary team provides a framework for a personalised delivery of survivorship care in this patient group and there is a need for tailored interventions that support self-management and care integration. Research on the impact of cancer and its treatment on geriatric-specific outcomes needs to be prioritised through global initiatives to encompass a diverse and heterogenous population of adult cancer survivors.© The Author(s) 2023. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.