VanderWalde Noam A, Williams Grant R
Department of Radiation Oncology, West Cancer Center and Research Institute, University of Tennessee Health Science Center, Memphis, TN, United States.
Division of Hematology and Oncology, Department of Medicine, University of Alabama Birmingham, Birmingham, AL, United States.
Tech Innov Patient Support Radiat Oncol. 2020 Oct 16;16:24-29. doi: 10.1016/j.tipsro.2020.09.002. eCollection 2020 Dec.
Older adults make up a substantial proportion of patients diagnosed with cancer. Gaps in evidence of care for older adults with cancer leads to treatment heterogeneity and poor outcomes. Medical and Surgical Oncology clinics throughout the world are increasingly using Geriatric Assessment (GA) based approaches to treatment that are beginning to improve care through treatment decision-making communication, health-related quality of life outcomes, and reducing chemotherapy toxicities. Yet, GA based approaches are not often used in radiation oncology clinics. This manuscript aims to describe the ongoing development of an electronic patient-reported GA with real-time data interpretation and recommendation delivery to help increase the use of a personalized GA based approach to the care of older adults within radiation oncology clinics. Future studies demonstrating the utility and benefit of GA based approaches to help older adults undergoing radiotherapy for their cancers are still sorely needed.
老年患者在被诊断患有癌症的患者中占相当大的比例。老年癌症患者护理证据方面的差距导致治疗的异质性和不良预后。世界各地的医学和外科肿瘤诊所越来越多地采用基于老年评估（GA）的治疗方法，这些方法开始通过治疗决策沟通、健康相关生活质量结果以及降低化疗毒性来改善护理。然而，基于GA的方法在放射肿瘤诊所中并不常用。本手稿旨在描述一种电子患者报告的GA的持续开发情况，该GA具有实时数据解读和推荐功能，以帮助在放射肿瘤诊所中增加对老年患者采用基于个性化GA的护理方法。仍然迫切需要未来的研究来证明基于GA的方法对帮助老年癌症患者接受放射治疗的效用和益处。
