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癌症老年患者全因死亡率风险预测:实用方法及局限性。

All-Cause Mortality Risk Prediction in Older Adults with Cancer: Practical Approaches and Limitations.

机构信息

Department of Geriatrics, Instituto Nacional de Ciencias Medicas Y Nutricion Salvador Zubiran, Vasco de Quiroga 15, Colonia Belisario Dominguez Sección XVI, Tlalpan, Ciudad de Mexico, Mexico.

Nuffield Department of Population Health, Big Data Institute, University of Oxford, Oxford, UK.

出版信息

Curr Oncol Rep. 2022 Nov;24(11):1377-1385. doi: 10.1007/s11912-022-01303-2. Epub 2022 Jun 1.

DOI:10.1007/s11912-022-01303-2
PMID:35648341
Abstract

PURPOSE OF REVIEW

The prediction of all-cause mortality is an important component of shared decision-making across the cancer care continuum, particularly in older adults with limited life expectancy, for whom there is an increased risk of over-diagnosis and treatment.

RECENT FINDINGS

Currently, several international societies recommend the use of all-cause mortality risk prediction tools when making decisions regarding screening and treatment in geriatric oncology. Here, we review some practical aspects of the utilization of those tools and dissect the characteristics of those most employed in geriatric oncology, highlighting both their advantages and their limitations.

摘要

目的综述

全因死亡率预测是癌症全程照护中共同决策的一个重要组成部分,特别是对于预期寿命有限的老年患者,他们有过度诊断和治疗的风险增加。

最近的发现

目前,一些国际协会建议在老年肿瘤学的筛查和治疗决策中使用全因死亡率风险预测工具。在这里,我们回顾了这些工具的一些实际应用方面,并剖析了在老年肿瘤学中应用最广泛的工具的特点,突出了它们的优势和局限性。

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本文引用的文献

1
How we use noncancer-specific survival prediction in geriatric oncology: A Young International Society of Geriatric Oncology and Nursing & Allied Health Interest Group initiative.我们如何在老年肿瘤学中运用非癌症特异性生存预测:一项由国际老年肿瘤学会青年分会及护理与联合健康利益集团发起的倡议。
J Geriatr Oncol. 2022 May;13(4):516-520. doi: 10.1016/j.jgo.2021.10.005. Epub 2021 Oct 21.
2
NCCN Guidelines® Insights: Older Adult Oncology, Version 1.2021.NCCN 指南®洞察:老年肿瘤学,第 1.2021 版。
J Natl Compr Canc Netw. 2021 Sep 20;19(9):1006-1019. doi: 10.6004/jnccn.2021.0043.
3
What Should We Recommend for Colorectal Cancer Screening in Adults Aged 75 and Older?
对于75岁及以上的成年人,我们应该推荐哪些结直肠癌筛查方法?
Curr Oncol. 2021 Jul 9;28(4):2540-2547. doi: 10.3390/curroncol28040231.
4
Decision Making in Older Adults With Cancer.老年癌症患者的决策制定
J Clin Oncol. 2021 Jul 1;39(19):2164-2174. doi: 10.1200/JCO.21.00165. Epub 2021 May 27.
5
Palliative Performance Scale and survival in patients with cancer and non-cancer diagnoses needing a palliative care consultation: a retrospective cohort study.癌症和非癌症诊断患者的姑息治疗咨询需求的姑息治疗表现量表和生存:一项回顾性队列研究。
BMC Palliat Care. 2021 May 26;20(1):74. doi: 10.1186/s12904-021-00773-8.
6
Counterfactual prediction is not only for causal inference.反事实预测并非仅用于因果推断。
Eur J Epidemiol. 2020 Jul;35(7):615-617. doi: 10.1007/s10654-020-00659-8.
7
Integration of an Objective Cognitive Assessment Into a Prognostic Index for 5-Year Mortality Prediction.将客观认知评估整合到预测 5 年死亡率的预后指数中。
J Am Geriatr Soc. 2020 Aug;68(8):1796-1802. doi: 10.1111/jgs.16451. Epub 2020 May 1.
8
Predicting Life Expectancy for Older Adults with Cancer in Clinical Practice: Implications for Shared Decision-making.预测临床中老年癌症患者的预期寿命:对共享决策的启示。
Curr Oncol Rep. 2019 Jun 25;21(8):68. doi: 10.1007/s11912-019-0821-3.
9
PROBAST: A Tool to Assess the Risk of Bias and Applicability of Prediction Model Studies.PROBAST:一种用于评估偏倚风险和预测模型研究适用性的工具。
Ann Intern Med. 2019 Jan 1;170(1):51-58. doi: 10.7326/M18-1376.
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Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology Summary.老年化疗患者脆弱性的实践评估与管理:美国临床肿瘤学会老年肿瘤学指南总结
J Oncol Pract. 2018 Jul;14(7):442-446. doi: 10.1200/JOP.18.00180. Epub 2018 Jun 22.