Barrault-Couchouron Marion, Micheli Noemi, Soubeyran Pierre
Team PHARES, Centre INSERM, U1219, Université de Bordeaux, 146 rue Leo Saignat, CEDEX, 33076 Bordeaux, France.
LabPsy, EA4139, Université de Bordeaux, 3ter Place de la Victoire, CEDEX, 33076 Bordeaux, France.
Cancers (Basel). 2022 Mar 9;14(6):1386. doi: 10.3390/cancers14061386.
Therapeutic challenges regarding the population of elderly cancer patients and their heterogeneity lead to the need to implement person-centered approaches in order to optimize care strategies and adapt oncology treatments to each pattern of aging. The International Society of Geriatric Oncology recommends a multidisciplinary evaluation of these patients and the use of screening tools prior to the initiation of treatments. However, previous research shows a poor implementation of these recommendations in geriatric oncology. Although some studies have identified how different perceptions of geriatric oncology might hinder routine teamwork, little is known about the impact of other factors on promoting the collaboration between the two specialties. This mixed-method exploratory study used an online questionnaire to assess the perception of a group of 22 geriatricians and oncology physicians on different determinants of oncology care and teamwork. In this sample, older oncology patients benefited from geriatric care. However, there was a variability regarding age criteria and a limited use of screening tools. The multidimensional framework for interprofessional teamwork by Reeves has been used to analyze some of the determinants of the collaboration between oncology physicians and geriatricians. This study has identified systematic issues to consider when promoting communication and common values between the two disciplines, including available resources in terms of shared time, space and routine actions.
老年癌症患者群体及其异质性带来的治疗挑战，使得有必要实施以患者为中心的方法，以优化护理策略，并使肿瘤治疗适应每种衰老模式。国际老年肿瘤学会建议对这些患者进行多学科评估，并在开始治疗前使用筛查工具。然而，先前的研究表明，这些建议在老年肿瘤学中的实施情况不佳。尽管一些研究已经确定了对老年肿瘤学的不同看法可能如何阻碍日常团队合作，但对于其他因素对促进这两个专科之间合作的影响却知之甚少。这项混合方法探索性研究使用在线问卷来评估一组22名老年病医生和肿瘤内科医生对肿瘤护理和团队合作的不同决定因素的看法。在这个样本中，老年肿瘤患者受益于老年护理。然而，在年龄标准方面存在差异，筛查工具的使用也有限。里夫斯的跨专业团队合作多维框架已被用于分析肿瘤内科医生和老年病医生之间合作的一些决定因素。这项研究确定了在促进这两个学科之间的沟通和共同价值观时需要考虑的系统性问题，包括共享时间、空间和常规行动方面的可用资源。
