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老年肺癌患者:评估、治疗选择、生存问题及姑息治疗策略

Older Adults With Lung Cancer: Assessment, Treatment Options, Survivorship Issues, and Palliative Care Strategies.

作者信息

Cope Diane G, Reb Anne, Schwartz Rowena, Simon Jody

机构信息

Florida Cancer Specialists and Research Institute.

City of Hope.

出版信息

Clin J Oncol Nurs. 2018 Dec 1;22(6):26-35. doi: 10.1188/18.CJON.S2.26-35.

Abstract

BACKGROUND

Treatment advances offer options for cancer treatment in older adults that are less invasive and have fewer side effects. Geriatric assessment is a key component of treatment planning to identify functional and physiologic status and is the basis of decision making.

OBJECTIVES

This article discusses the role of geriatric assessment, treatment options (e.g., surgical, chemotherapy, radiation therapy), survivorship issues, and palliative care strategies for older adults with cancer.

METHODS

Literature was reviewed to identify geriatric assessment implications, current treatment strategies, and survivorship and palliative care interventions for older adults with cancer based on a case study approach.

FINDINGS

Geriatric assessment is key to identifying deficits and disabilities in older adults with cancer and is a critical component in oncology treatment planning. Evidence-based, less invasive treatment options are available and offer older adults more tolerable oncologic therapies.

摘要

背景

治疗进展为老年癌症患者提供了侵入性较小且副作用较少的癌症治疗选择。老年评估是治疗计划的关键组成部分,用于确定功能和生理状态,是决策的基础。

目的

本文讨论了老年评估的作用、治疗选择(如手术、化疗、放疗)、癌症幸存者问题以及老年癌症患者的姑息治疗策略。

方法

基于案例研究方法,回顾文献以确定老年评估的意义、当前治疗策略以及老年癌症患者的生存和姑息治疗干预措施。

结果

老年评估是识别老年癌症患者缺陷和残疾的关键,是肿瘤治疗计划的重要组成部分。有基于证据的、侵入性较小的治疗选择,为老年人提供了更可耐受的肿瘤治疗方法。

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