Saint-Jean O, LeGuen J
Service de gériatrie, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France; Université Paris Descartes, 12, rue de l'École-de-Médecine, 75006 Paris, France.
Service de gériatrie, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France; Université Paris Descartes, 12, rue de l'École-de-Médecine, 75006 Paris, France.
Cancer Radiother. 2015 Oct;19(6-7):377-81. doi: 10.1016/j.canrad.2015.07.017. Epub 2015 Sep 4.
Half of all cancers occur in patients older than 70 years. National cancer plans in France promote the emergence of geriatric oncology, whose aim is that every elder cancer patient receives a pertinent treatment, according to his frailty. Geriatric intervention has been evaluated in various conditions or patients since 30 years. Meta-analysis has shown the benefits on autonomy and mortality. But benefits are related to the organization of geriatric care, especially when integrated care is provided. Literature on geriatric oncology is relatively poor. But it is certain that a geriatric comprehensive assessment provided a lot of important information for the care of cancer patients, leading to a modification of cancer treatment in many cases. Randomized trials will soon begin to evaluate the benefits of geriatric integrated care for elder cancer patients, in terms of mortality and quality of life. Actually, in oncogeriatic coordination units, pilot organizations are developed for the satisfaction of patients and professionals.
所有癌症患者中有一半是70岁以上的老人。法国的国家癌症计划推动了老年肿瘤学的兴起，其目标是让每一位老年癌症患者都能根据自身身体虚弱程度接受恰当的治疗。30年来，老年干预已在各种情况或患者群体中得到评估。荟萃分析表明，这对患者的自主性和死亡率有益。但这些益处与老年护理的组织方式有关，尤其是在提供综合护理时。关于老年肿瘤学的文献相对较少。但可以肯定的是，老年综合评估为癌症患者的护理提供了许多重要信息，在许多情况下会导致癌症治疗方案的调整。随机试验很快将开始评估老年综合护理对老年癌症患者在死亡率和生活质量方面的益处。实际上，在肿瘤老年协调单位，正在开展试点组织工作，以提高患者和专业人员的满意度。
