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老年癌症患者管理的一般建议:SEOM 老年肿瘤学工作组的立场声明。

General recommendations paper on the management of older patients with cancer: the SEOM geriatric oncology task force's position statement.

机构信息

Medical Oncology Unit, Hospital Lluís Alcanyís, Crta Xàtiva A Silla Km 2, Xàtiva, 46800, Valencia, Spain.

Institut Català d'Oncologia, Barcelona, Spain.

出版信息

Clin Transl Oncol. 2018 Oct;20(10):1246-1251. doi: 10.1007/s12094-018-1856-x. Epub 2018 Apr 9.

Abstract

Population aging is associated with greater numbers of older people with cancer. Thanks to treatment advances, not only are more seniors diagnosed with cancer, but there are also more and more older cancer survivors. This upward trend will continue. Given the heterogeneity of aging, managing older patients with cancer poses a significant challenge for Medical Oncology. In Spain, a Geriatric Oncology Task Force has been set up within the framework of the Spanish Society for Medical Oncology (SEOM). With the aim of generating evidence and raising awareness, as well as helping medical oncologists in their training with respect to seniors with cancer, we have put together a series of basic management recommendations for this population. Many of the patients who are assessed in routine clinical practice in Oncology are older. CGA is the basic tool by means of which to evaluate older people with cancer and to understand their needs. Training and the correct use of recommendations regarding treatment for comorbidities and geriatric syndromes, support care, and drug-drug interactions and toxicities, including those of antineoplastic agents, as detailed in this article, will ensure that this population is properly managed.

摘要

人口老龄化与癌症患者中老年人数量的增加有关。由于治疗的进步,不仅有更多的老年人被诊断出患有癌症,而且越来越多的老年癌症幸存者也越来越多。这种上升趋势还将继续。鉴于老龄化的异质性,管理患有癌症的老年患者对肿瘤内科提出了重大挑战。在西班牙,在西班牙肿瘤内科学会(SEOM)的框架内成立了老年肿瘤学工作组。为了生成证据和提高认识,并帮助肿瘤内科医生对癌症老年患者进行培训,我们为这一人群制定了一系列基本管理建议。在肿瘤学的常规临床实践中评估的许多患者年龄较大。CGA 是评估患有癌症的老年人并了解其需求的基本工具。通过培训和正确使用有关合并症和老年综合征治疗、支持护理以及药物相互作用和毒性(包括抗肿瘤药物)的建议,包括本文中详细介绍的建议,将确保对这一人群进行妥善管理。

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