van den Bos F, Arends A J, Emmelot-Vonk M H
Contact: F. van den Bos (UMC Utrecht, afd. Geriatrie, Utrecht).
Contact: A.J. Arends (Maasstad Ziekenhuis, afd. Geriatrie, Rotterdam).
Ned Tijdschr Geneeskd. 2020 May 7;164:D4894.
Treating elderly patients can be challenging. It is very important to carefully weigh the risks and benefits of potential treatments in individual patients. This treatment decision making can be guided by geriatric parameters. With the accumulating evidence on the added value on prediction of outcomes of (comprehensive) geriatric assessment in older patients with intensive treatment options, the question shifts from whether performing a (comprehensive) geriatric assessment is useful, to how to implement this into standard practice in a feasible and effective way. This paper discusses several issues regarding (comprehensive) geriatric assessment in elderly patients, like how to distinguish fit and frail patients and when performing a geriatric screening, geriatric assessment or a comprehensive geriatric assessment.
治疗老年患者可能具有挑战性。在个体患者中仔细权衡潜在治疗的风险和益处非常重要。这种治疗决策可以由老年医学参数来指导。随着越来越多的证据表明（全面）老年医学评估对接受强化治疗的老年患者预后预测具有附加价值，问题已从进行（全面）老年医学评估是否有用，转变为如何以可行且有效的方式将其纳入标准实践。本文讨论了老年患者（全面）老年医学评估的几个问题，例如如何区分健康和体弱的患者，以及何时进行老年医学筛查、老年医学评估或全面老年医学评估。
