University of North Carolina at Chapel Hill, Division of Hematology and Oncology, 170 Manning Drive Campus Box 7305, Chapel Hill, NC 27599-7305, USA.
Jefferson College of Pharmacy, Thomas Jefferson University, 901 Walnut Street Suite 946, Philadelphia, PA 19107-5233, USA.
J Geriatr Oncol. 2016 Jul;7(4):305-12. doi: 10.1016/j.jgo.2016.06.005.
Older adult cancer survivors currently account for almost 60% of all cancer survivors. The number of older cancer survivors will continue to increase as the population ages and as patients' live longer after a cancer diagnosis. As part of cancer center accreditation, the American College of Surgeons Commission on Cancer® (CoC) has placed great importance on survivorship care planning. While the CoC has set standards for general survivorship care, there is sparse evidence on how to best care for older adult cancer survivors. Concern exists among the medical community that survivorship care plans could increase paperwork without improving outcomes. Given the diverse and unique needs of older adult cancer survivors, the inter-professional team provides a structure and process for survivorship care built around the particular needs of older adults. The Cancer and Aging Research Group (CARG), in partnership with the NIA/NCI, held a U13 conference in May 2015 in part to discuss survivorship care for older adults with cancer. This report discusses four themes that emerged from one section of the conference: (1) survivorship care is a process that continually evolves to meet the needs of older adults; (2) older adult cancer survivors have unique needs and care plans should be tailored to meet these needs; (3) the inter-professional team is ideally suited to structure survivorship care of older adults; (4) patient advocacy must be encouraged throughout the cancer care continuum. As evidence based survivorship practices develop, the unique needs of older adults need to be given substantial attention.
老年癌症幸存者目前占所有癌症幸存者的近 60%。随着人口老龄化和癌症诊断后患者寿命的延长，老年癌症幸存者的数量将继续增加。作为癌症中心认证的一部分，美国外科医师学院癌症委员会（CoC）非常重视生存护理计划。虽然 CoC 为一般生存护理制定了标准，但关于如何最好地照顾老年癌症幸存者的证据很少。医学界担心生存护理计划会增加文书工作而不会改善结果。鉴于老年癌症幸存者的多样化和独特需求，跨专业团队提供了一个围绕老年人特殊需求构建的生存护理结构和流程。癌症与老龄化研究小组（CARG）与 NIA/NCI 合作，于 2015 年 5 月举行了 U13 会议，部分目的是讨论癌症老年患者的生存护理。本报告讨论了会议的一个部分提出的四个主题：（1）生存护理是一个不断发展的过程，以满足老年人的需求；（2）老年癌症幸存者有独特的需求，护理计划应针对这些需求进行定制；（3）跨专业团队非常适合为老年人组织生存护理；（4）必须在整个癌症护理过程中鼓励患者倡导。随着循证生存实践的发展，老年人的独特需求需要给予充分关注。
