Department of Geriatric Medicine, Diakonessenhuis Utrecht/Zeist, The Netherlands.
Department of Geriatric Medicine, Diakonessenhuis Utrecht/Zeist, The Netherlands.
J Geriatr Oncol. 2018 Jul;9(4):393-397. doi: 10.1016/j.jgo.2018.01.005. Epub 2018 Feb 1.
Life expectancy has been steadily increasing for decades and this trend is likely to continue in coming years. In fact, there is more than a 50% probability that by 2030 female life expectancy could break the 90 year barrier, with more than half of the expected gains due to enhanced longevity above the age of 65 years. The resultant aging of societies means that health care will be faced with a rising number of increasingly older patients, who are also likely to have higher levels of multimorbidity. Most issues regarding assessment, prognostication and, management of older patients are not unique to geriatric oncology and thus there is opportunity to learn from progress in other fields. The purpose of this paper is to provide an update on research, reviews, and debate in general geriatrics that may be relevant to clinicians and researchers active in geriatric oncology. The selection of topics was based on a general search of the table of contents of widely read geriatrics and internal medicine journals, and includes geriatric co-management, improving research for older patients, caregiver issues, eliciting patient preferences, and shared-decision making.
几十年来,预期寿命一直在稳步增长,这种趋势在未来几年可能还会持续。事实上,到 2030 年,女性预期寿命超过 90 岁的可能性超过 50%,其中超过一半的预期增长归因于 65 岁以上人群寿命的延长。由此带来的人口老龄化意味着医疗保健将面临越来越多的老年患者,这些患者也可能有更高水平的多种合并症。大多数关于老年患者评估、预后和管理的问题不仅是老年肿瘤学所特有的,因此有机会从其他领域的进展中学习。本文的目的是提供有关普通老年医学的研究、综述和辩论的最新信息,这些信息可能与积极从事老年肿瘤学的临床医生和研究人员相关。主题的选择是基于对广泛阅读的老年医学和内科期刊目录的一般搜索,包括老年共管理、改善老年患者的研究、照顾者问题、征求患者偏好以及共同决策。