O'Hanlon Shane, O'Donovan Anita, Cree Anthea
Consultant Geriatrician, Department of Medicine, St Vincent's University Hospital, University College, Dublin, Ireland.
Assistant Professor, Department of Radiation Therapy, Trinity College, Dublin, Ireland.
Br J Hosp Med (Lond). 2019 May 2;80(5):252-257. doi: 10.12968/hmed.2019.80.5.252.
A majority of cancer cases now occur among older people, but this group is less likely to receive treatment and outcomes are poorer than in younger people. Age by itself can be a poor predictor of who will benefit from treatment with surgery, chemotherapy or radiotherapy. Comprehensive geriatric assessment is a multidisciplinary, multidomain process that helps to identify frailty, which is associated with increased mortality. Comprehensive geriatric assessment highlights areas that should be optimized before treatment and helps support a shared decision-making approach. Geriatricians, oncologists and surgeons now work together to help assess and support older people with cancer.
现在，大多数癌症病例发生在老年人中，但这一群体接受治疗的可能性较小，且治疗结果比年轻人更差。年龄本身并不能很好地预测谁会从手术、化疗或放疗中受益。综合老年评估是一个多学科、多领域的过程，有助于识别与死亡率增加相关的虚弱。综合老年评估突出了治疗前应优化的领域，并有助于支持共同决策的方法。老年病医生、肿瘤学家和外科医生现在共同努力，帮助评估和支持患癌老年人。
