Oncogeriatric Unit, Dept. of Geriatric Medicine, St. Marien Hospital, Cologne, Germany.
Dept. of Internal Medicine V (Hematology and Oncology), Innsbruck Medical University, Innsbruck, Austria.
J Geriatr Oncol. 2019 May;10(3):497-503. doi: 10.1016/j.jgo.2018.09.003. Epub 2018 Sep 18.
Multidisciplinary care is believed to provide benefits to patients with cancer. Tumor board conferences as well aspalliative care or psycho-oncological services have not only become common in oncology, but also in hematology clinics dedicated to the treatment of hematological cancers. Malignant hematological diseases are highly prevalent among older persons. Demographic changes in many countries worldwide are prompting the integration of geriatric principles, methodology, and expertise into existing procedures and infrastructure of multidisciplinary care in hematology clinics. Achieving this goal requires the close collaboration or even incorporation of multiple new professions in the hematology clinic in order to meet the needs of older patients with hematological malignancies who also have comorbidities and functional impairments. We here review the rationale, current evidence, and practical approaches of integrating geriatric oncology into multidisciplinary care in the hematology clinic.
多学科护理被认为可为癌症患者带来益处。肿瘤委员会会议以及姑息治疗或心理肿瘤学服务不仅在肿瘤学中很常见,在专门治疗血液系统癌症的血液科诊所中也很常见。恶性血液疾病在老年人中发病率很高。全球许多国家的人口结构变化促使将老年医学原则、方法和专业知识纳入血液科诊所的多学科护理现有程序和基础设施中。要实现这一目标,需要在血液科诊所中密切合作甚至整合多个新的专业,以满足患有血液系统恶性肿瘤且合并症和功能障碍的老年患者的需求。在这里,我们回顾了将老年肿瘤学纳入血液科诊所多学科护理的基本原理、现有证据和实用方法。