Moffitt Cancer Center, Tampa, FL 33612, USA.
Semin Radiat Oncol. 2012 Oct;22(4):272-6. doi: 10.1016/j.semradonc.2012.05.003.
Older cancer patients-which make the majority of cancer patients-present with a highly heterogeneous health status. Therefore, a careful assessment of the individual's condition is important in the planning of their oncologic care. In this article, a two-step approach is recommended: a short screening test of every patient presenting for treatment, and a multidisciplinary evaluation for patients screening at risk. Several screening tools that have been tested are described, and their relative performance is reviewed: the abbreviated Comprehensive Geriatric Assessment, the G8, the Senior Adult Oncology Program 2 questionnaire, the Triage Risk Screening Tool, the Vulnerable Elders Survey 13 tool, the Groeningen Frailty Index, and the Onco-Geriatric Screening Tool. Indeed, regular multidisciplinary meetings are key to optimal management of elderly patients, as they modify treatment plans in ¼ to ½ of patients. A practical way of implementing a multidisciplinary consultation is reviewed, and future directions are discussed.
老年癌症患者（占癌症患者的大多数）通常具有高度异质性的健康状况。因此，在规划癌症治疗时，仔细评估个体的状况非常重要。本文推荐了一种两步法：对每位前来治疗的患者进行简短的筛查测试，以及对筛查有风险的患者进行多学科评估。本文还描述并回顾了一些经过测试的筛查工具：简短全面老年评估、G8 量表、老年肿瘤学计划 2 问卷、分诊风险筛查工具、脆弱老年人调查 13 工具、格罗宁根虚弱指数和肿瘤老年筛查工具。事实上，定期的多学科会议是优化老年患者管理的关键，因为这些会议会修改四分之一到一半患者的治疗计划。本文还回顾了实施多学科咨询的一种实用方法，并讨论了未来的发展方向。
