Hamaker Marije E, van den Bos Frederiek
Vakgroep klinische geriatrie, Diakonessenhuis Utrecht/Zeist/Doorn, Bosboomstraat 1, 3582 KE, Utrecht, Nederland.
Haga ziekenhuis, Den Haag, Nederland.
Tijdschr Gerontol Geriatr. 2017 Dec;48(6):263-270. doi: 10.1007/s12439-017-0235-3.
Cancer is a disease that disproportionately affects the elderly. Evidence-based treatment is the golden standard of current medical care, and this is also true for older cancer patients. In developing guidelines, all available evidence is collected, appraised and summarized. Subsequent recommendations are then translate to criteria used to judge the quality of care. The heterogeneity of the elderly population requires tailoring of care, which is the opposite of the often strictly formulated treatment recommendations in guidelines and protocols. This paper discusses several issues regarding evidence based treatment versus tailored care for older cancer patients.
癌症是一种对老年人影响尤为严重的疾病。循证治疗是当前医疗护理的黄金标准，老年癌症患者也不例外。在制定指南时，会收集、评估和总结所有可得证据。随后，将这些建议转化为用于评判护理质量的标准。老年人群的异质性需要个性化护理，这与指南和方案中通常严格制定的治疗建议相反。本文讨论了有关老年癌症患者循证治疗与个性化护理的几个问题。
