Terret Catherine, Gaujard Sylvain, Droz Jean-Pierre
Programme d'oncologie gériatrique, Département de cancérologie médicale, Centre Léon-Bérard, 28, rue Laennec, 69008 Lyon.
Bull Cancer. 2003 Jan;90(1):93-6.
Geriatric oncology represents a novel specialty which can be defined as specific older cancer patients management. It includes a validated geriatric procedure, the comprehensive geriatric assessment, which is the best way of approaching the complex interacting medical problems of frail older patients. Geriatric assessment of elderly cancer patients is actually a subject for discussion among geriatric oncology community. Geriatric assessment may provide either guidelines for anti-cancer treatment in the elderly, or guidelines for the management of older patients with cancer. Two clinical research ways are now developed : firstly the definition of the most relevant geriatric variables allowing clinical trials in such a heterogeneous population; secondly, the determination and the validation of a specific tool to screen frail and vulnerable older patients, and the study of the geriatric assessment impact on the quality of life of older cancer people.
老年肿瘤学是一门新兴的专业领域,可定义为针对特定老年癌症患者的管理。它包括一种经过验证的老年医学程序,即综合老年医学评估,这是处理体弱老年患者复杂相互作用的医学问题的最佳方法。老年癌症患者的老年医学评估实际上是老年肿瘤学界讨论的一个话题。老年医学评估可为老年患者的抗癌治疗提供指导方针,也可为老年癌症患者的管理提供指导方针。目前已开发出两种临床研究方法:第一,确定最相关的老年医学变量,以便在此类异质性人群中进行临床试验;第二,确定并验证一种用于筛查体弱和易损老年患者的特定工具,并研究老年医学评估对老年癌症患者生活质量的影响。