Geriatrics Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Geriatrics Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Eur J Surg Oncol. 2020 Mar;46(3):305-309. doi: 10.1016/j.ejso.2019.07.026. Epub 2019 Jul 24.
For years, surgeons have explored the relationship between age and surgical outcomes. Over time, it is more widely accepted that frailty and fitness of older patients, rather than their age, should be considered in surgical decision making. The gold standard of frailty assessment is comprehensive geriatric assessment (CGA) which is best performed by geriatricians. In the past decade, Digital Health Technologies that range from electronic solutions for electronic Patient-reported Outcomes to wearables and sensors have emerged. As these solutions are likely to expand and advance in the next years, we will review the history of investigating factors, especially aging-related factors associated with surgical outcomes, and the current supportive data about the potential and challenges of Digital Health Technologies in complementing or replacing some of the components of CGA by 2025.
多年来,外科医生一直在探索年龄与手术结果之间的关系。随着时间的推移,人们越来越接受这样一种观点,即老年患者的脆弱性和健康状况,而不是他们的年龄,应该在手术决策中加以考虑。衰弱评估的金标准是综合老年评估(CGA),最好由老年病医生进行。在过去的十年中,数字健康技术已经出现,从电子病人报告结果的电子解决方案到可穿戴设备和传感器。随着这些解决方案在未来几年的扩展和进步,我们将回顾调查因素的历史,特别是与手术结果相关的与年龄相关的因素,以及关于数字健康技术在补充或替代 CGA 的某些组成部分的潜在和挑战的现有数据,到 2025 年。