Friedrich C, Kolb G, Wedding U, Pientka L
Medizinisch-Geriatrische Klinik, Universitätsklinik, Marienhospital Herne, Germany.
Onkologie. 2003 Aug;26(4):355-60. doi: 10.1159/000072096.
The proportion of older cancer patients is increasing due to demographic and disease-specific reasons. However, this group of patients is severely underrepresented in research and clinical therapy. Limitation in physical and functional capacity with considerable interindividual heterogeneity remains one of the important problems in the treatment decision process. One approach to this problem is the use of a Comprehensive Geriatric Assessment (CGA) to describe and classify these deficits with high validity and reliability. The different domains of CGA are described with special respect to the instruments applied, as CGA has also a key role in the decision process.
由于人口统计学和疾病特异性原因,老年癌症患者的比例正在增加。然而,这组患者在研究和临床治疗中的代表性严重不足。身体和功能能力的限制以及个体间的显著异质性仍然是治疗决策过程中的重要问题之一。解决这个问题的一种方法是使用综合老年评估(CGA),以高有效性和可靠性来描述和分类这些缺陷。鉴于CGA在决策过程中也起着关键作用,因此将特别针对所应用的工具对CGA的不同领域进行描述。