Bréchot Jeanne-Marie, Le Quellec-Nathan Martine, Buzyn Agnès
Institut National du Cancer, Boulogne-Billancourt, France.
Interdiscip Top Gerontol. 2013;38:158-64. doi: 10.1159/000343575. Epub 2013 Jan 17.
The incidence of cancer will increase dramatically among elderly people in the 21st century. The first French National Cancer Plan (2003-2006) with the French Ministry of Health supported the creation of 15 pilot coordination units in oncogeriatrics (UPCOG) in 13 out of the 27 French regions. The second French National Cancer Plan (2009-2013) continues to support oncogeriatrics. Based on evaluation of the pilot experiment in 2010, requirement specifications for an oncogeriatric coordination unit were defined and rolled out nationwide. The following missions were set out: to adjust cancer treatment in elderly people and enable all elderly cancer patients to benefit from this oncogeriatric approach; to stimulate specific research in oncogeriatrics; to promote training of health professionals, and to promote information. The clinical use of a geriatric prescreening tool as a routine procedure needs to become more widespread. Lastly, recommendations for treatment strategies tailored to elderly persons with high-incidence cancer must be developed. Fifteen oncogeriatrics coordination units were founded since 2011, covering 11 regions. Roll-out continues in 2012.
21世纪，老年人患癌症的发病率将大幅上升。法国首个国家癌症计划（2003 - 2006年）在法国卫生部的支持下，于法国27个地区中的13个设立了15个老年肿瘤学试点协调单位（UPCOG）。法国第二个国家癌症计划（2009 - 2013年）继续支持老年肿瘤学。基于2010年对试点实验的评估，确定了老年肿瘤学协调单位的需求规范并在全国推广。设定了以下任务：调整老年人的癌症治疗，使所有老年癌症患者都能受益于这种老年肿瘤学方法；推动老年肿瘤学的专项研究；促进卫生专业人员的培训，并推广相关信息。将老年预筛查工具作为常规程序的临床应用需要更加普及。最后，必须制定针对高发癌症老年患者的治疗策略建议。自2011年以来，已成立了15个老年肿瘤学协调单位，覆盖11个地区。2012年仍在继续推广。
