Molina-Garrido Maria José, Soriano Rodríguez M Carmen, Guillén-Ponce Carmen
Consulta de Cáncer en el Anciano, Sección de Oncología Médica, Hospital General Virgen de la Luz de Cuenca, Cuenca, España.
Sección de Oncología Médica, Hospital General Virgen de la Luz, Cuenca, España.
Rev Esp Geriatr Gerontol. 2019 Jan-Feb;54(1):27-33. doi: 10.1016/j.regg.2018.07.003. Epub 2018 Oct 5.
The growing increase in world population and generalised aging have been accompanied by an increase in the prevalence of cancer in the elderly. Aging is associated with certain physiological changes, some of which are enhanced by the neoplasm itself. Along with this, the elderly oncology patient usually has more problems than the rest of the elderly, and has a multitude of deficits. These characteristics require a special handling of the older patient with cancer, by using the main tool used in Geriatrics, the comprehensive geriatric assessment. This article analyses the importance of the comprehensive geriatric assessment in this population group, paying special attention to its ability to predict the toxicity of chemotherapy and the survival of the elderly oncology, as well as its ability to classify these patients into groups that help in the decision making process.
世界人口的不断增长和普遍老龄化伴随着老年人癌症患病率的上升。衰老与某些生理变化相关，其中一些变化会因肿瘤本身而加剧。与此同时，老年肿瘤患者通常比其他老年人有更多问题，且存在多种缺陷。这些特征需要通过使用老年医学的主要工具——综合老年评估，对老年癌症患者进行特殊处理。本文分析了综合老年评估在这一人群中的重要性，特别关注其预测化疗毒性和老年肿瘤患者生存情况的能力，以及将这些患者分类以辅助决策过程的能力。
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