Terret C, Droz J-P
Département de Cancérologie Médicale, Centre Léon-Bérard, Programme PROLOG (Projet Lyonnais d'OncoGériatrie) de l'INCa, Lyon, France.
Prog Urol. 2009 Nov;19 Suppl 3:S75-9. doi: 10.1016/S1166-7087(09)73348-2.
Geriatric oncology is the concept for management of elderly cancer patients. It is an equal approach of the health status problems and of cancer in a patient considered as a whole. Therefore it is not a subspecialty but a practice which can be translated in the elderly cancer patient's care. The treatment of cancer is based on the same principles than this of younger patients; recommendations used are those of the scientific oncological societies. Health problems of elderly patients are screened by specific tools. Patients without major health problems are managed by the oncological team in the routine; those for whom screening have demonstrated problems are first evaluated in the geriatrics setting and then oncological decisions are adapted to the patient situation. Decisions are made in specific geriatric oncology conferences. Specific clinical trials are required to build an Evidence Based Medicine background. Geriatric oncology teaching programs are warranted.
老年肿瘤学是针对老年癌症患者管理的概念。它是将患者视为一个整体，平等对待其健康状况问题和癌症问题的方法。因此，它不是一个亚专业，而是一种可应用于老年癌症患者护理的实践。癌症治疗基于与年轻患者相同的原则；所采用的建议来自科学肿瘤学协会。通过特定工具筛查老年患者的健康问题。没有重大健康问题的患者由肿瘤学团队按常规管理；筛查显示有问题的患者首先在老年医学环境中进行评估，然后根据患者情况调整肿瘤学决策。决策在特定的老年肿瘤学会议上做出。需要开展特定的临床试验以建立循证医学背景。老年肿瘤学教学项目是必要的。
