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[合并症情况下乳腺癌患者的老年状态。]

[The geriatric status in patients with the breast cancer in the conditions of comorbidity.].

作者信息

Dumachev D V, Prashchayeu K I, Shcherban E A, Poltoratskiy A N, Kuzina L I

机构信息

Belgorod National Research University, 85, Pobedу str., Belgorod, 308015, Russian Federation;

Research Medical Center «Gerontology», 6, 1st Aeroportovskaya str., Moscow, 125319, Russian Federation.

出版信息

Adv Gerontol. 2017;30(5):685-691.

Abstract

The article represents the results of a comparative analysis of the geriatric status, the Charlson comorbidity index and the geriatric variant of the cumulative illness rating scale for geriatrics (CIRS-G) in patients of different age groups with breast cancer, considering the concomitant pathology (CHF). It was revealed that the age classification of the WHO is more valid in determining the somatic and geriatric status of women with breast cancer. Also the evaluation of the severity of geriatric syndromes is given. It was revealed that the malnutrition syndrome and cognitive impairment syndrome are more expressed in people of middle age and elderly with breast cancer As well the importance of detecting both frailty and comorbidity is determined with the aim of increasing the accuracy of prediction of adverse events of treatment.

摘要

本文介绍了对不同年龄组乳腺癌患者的老年状态、Charlson合并症指数以及老年累积疾病评定量表(CIRS-G)的老年变体进行比较分析的结果,同时考虑了伴随疾病(CHF)。结果显示,世界卫生组织的年龄分类在确定乳腺癌女性的躯体和老年状态方面更有效。此外,还对老年综合征的严重程度进行了评估。结果表明,营养不良综合征和认知障碍综合征在中年及老年乳腺癌患者中表现更为明显。同时,确定了检测虚弱和合并症的重要性,目的是提高治疗不良事件预测的准确性。

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