Holmes Holly M, Albrand Gilles
Department of General Internal Medicine, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Interdiscip Top Gerontol. 2013;38:132-8. doi: 10.1159/000343615. Epub 2013 Jan 17.
Cancer in elderly patients is becoming a global issue, with the aging of the population and increased incidence of cancer with aging. Older patients with cancer have unique needs that can best be addressed by the integration of geriatrics principles and oncology care. Unfortunately, the worsening shortage of oncologists and geriatricians makes the care of the older patient with cancer increasingly challenging. Practical issues to consider when creating a geriatrics/oncology partnership include the available resources in terms of interdisciplinary team members, the patient population in need, and the ability to provide primary, consultative, and/or shared care. Ultimately, creative strategies will be needed to maximize the limited availability of the geriatrician and oncologist.
随着人口老龄化以及癌症发病率随年龄增长而上升,老年患者的癌症问题正成为一个全球性问题。老年癌症患者有独特的需求,而整合老年医学原则与肿瘤护理能最好地满足这些需求。不幸的是,肿瘤学家和老年病学家日益短缺,这使得照顾老年癌症患者变得越来越具有挑战性。建立老年医学/肿瘤学合作关系时需要考虑的实际问题包括跨学科团队成员方面的可用资源、有需求的患者群体,以及提供初级、咨询和/或共享护理的能力。最终,需要创新策略来最大限度地利用老年病学家和肿瘤学家有限的资源。