Solidage Research Group on Frailty and Aging, Centre for Clinical Epidemiology and Community Studies, Lady Davis Institute for Medical Research, Jewish General Hospital Montreal, Canada.
Crit Rev Oncol Hematol. 2010 Nov;76(2):142-51. doi: 10.1016/j.critrevonc.2009.10.006. Epub 2009 Nov 24.
Research on the use of health care by older newly-diagnosed cancer patients is sparse. We investigated whether frailty predicts hospitalization, emergency department (ED) and general practitioner (GP) visits in older cancer patients in a prospective pilot study. Newly-diagnosed cancer patients aged 65 years and over were recruited in the Segal Cancer Centre, Jewish General Hospital, Montreal, Canada. One hundred ten patients participated, mean age 74.1, 70% women. During 1 year follow-up, 52 patients (47.3%) had cancer-related hospitalizations, 23 patients (20.9%) had ED visit and 17 patients (15.5%) had GP visit. No frailty marker predicted hospitalization or visits to the GP. Cognitive impairment suspicion was the only frailty marker that predicted ED visits (odds ratio 4.97; 95%CI 1.14-21.69). Although health care use was considerable in this sample, most frailty markers were not associated with health care use in this pilot study.
针对老年初诊癌症患者的医疗保健使用情况的研究较为匮乏。我们在一项前瞻性试点研究中调查了虚弱是否可以预测老年癌症患者的住院、急诊（ED）和全科医生（GP）就诊情况。在加拿大蒙特利尔的Segal 癌症中心，招募了年龄在 65 岁及以上的新诊断癌症患者。110 名患者参与了研究，平均年龄为 74.1 岁，其中 70%为女性。在 1 年的随访期间，52 名患者（47.3%）因癌症相关原因住院，23 名患者（20.9%）去了 ED，17 名患者（15.5%）去了 GP。没有虚弱指标可以预测住院或 GP 就诊。认知障碍怀疑是唯一可以预测 ED 就诊的虚弱指标（优势比 4.97；95%CI 1.14-21.69）。尽管在该样本中医疗保健的使用量相当大，但在该试点研究中，大多数虚弱指标与医疗保健的使用无关。
