Faculté de médecine d'Alger, Université Benyoucef Benkhedda, Alger 1, Algeria; Chirurgie générale et digestive, CHU Lamine Debaghine, boulevard Saïd Touati, Bab El Oued, Alger, 16000, Algeria.
Médecine polyvalente et gériatrie, centre hospitalier Germon-et-Gauthier, 62408 Béthune, France.
J Visc Surg. 2019 Feb;156(1):37-44. doi: 10.1016/j.jviscsurg.2018.10.003. Epub 2018 Nov 8.
The phenomenon of population aging is constantly on the rise, as are the medical needs of elderly subjects. Oncological treatment concerns an ever larger number of elderly patients, raising a number of not only practical and medical questions, but also the ethical interrogations associated with therapeutic decision-making, quality of life and therapeutic obstinacy (futile medical care). Surgeons are increasingly preoccupied by elderly patients on account of the cancer rate among them, and they are compelled to cope with challenges such as morbimortality and prolonged hospitalization. Geriatric oncology is a discipline of increasing importance of which the goal consists in comprehensive care of the elderly cancer patient, care taking into full account his physical and psychological aging, his somatic and cognitive comorbidities, and, last but least, his life expectancy. The opinions and recommendations of geriatric oncologists provide increasingly more orientation for the oncological therapeutic decision-making processes. The objective of this attempt at clarification is to discuss the contributions of this discipline to everyday surgical activity, to provide surgeons with some tools facilitating initial evaluation of their patients, and to remind the reader of situations in which oncological assistance is of paramount importance.
人口老龄化现象不断加剧，老年人群体的医疗需求也随之增加。肿瘤治疗涉及越来越多的老年患者，不仅引发了许多实际和医学问题，还涉及到与治疗决策、生活质量和治疗固执（无效医疗）相关的伦理问题。由于老年患者的癌症发病率较高，外科医生越来越关注老年患者，他们不得不应对发病率和死亡率以及住院时间延长等挑战。老年肿瘤学是一个日益重要的学科，其目标是全面照顾老年癌症患者，充分考虑到他的身体和心理衰老、身体和认知合并症，以及最重要的是他的预期寿命。老年肿瘤学家的意见和建议为肿瘤治疗决策过程提供了越来越多的指导。本澄清尝试的目的是讨论该学科对日常外科活动的贡献，为外科医生提供一些有助于对患者进行初步评估的工具，并提醒读者注意肿瘤学援助至关重要的情况。
