Department of Pharmacy Services, University of Virginia Health, Charlottesville, Virginia.
Virginia Commonwealth University School of Pharmacy, Richmond, Virginia.
Curr Opin Support Palliat Care. 2023 Mar 1;17(1):3-7. doi: 10.1097/SPC.0000000000000634. Epub 2023 Jan 20.
Proper medication management is an essential part of older adult cancer care. An aging population, an increase in anticancer treatment options, and high rates of comorbid conditions make navigating general medication reconciliation complicated. This review will highlight the recent literature describing the roles of the oncology pharmacist in caring for older adults with cancer.
The body of literature highlighting oncology pharmacist roles in this population is mainly focused on polypharmacy and potentially inappropriate medication assessments, deprescribing nonessential therapies, drug-drug interaction reviews, and immunization optimization. Outcomes associated with oncology pharmacist interventions are still lacking as well as the development of benchmarks for appropriate pharmacy-based care in the older adult oncology population.
Oncology pharmacist interventions in older adults with cancer have the potential to improve patient care. Future randomized studies in this area of practice are warranted in order to clearly define the optimal impact of oncology pharmacists.
正确的药物管理是老年癌症患者护理的重要组成部分。人口老龄化、抗癌治疗选择的增加以及合并症的高发率使得普通药物调整变得复杂。本综述将重点介绍描述肿瘤药师在照顾老年癌症患者中的作用的最新文献。
强调肿瘤药师在该人群中作用的文献主要集中在药物的多重用药和潜在不适当的药物评估、减少不必要的治疗方案、药物相互作用的审查以及免疫接种的优化上。与肿瘤药师干预相关的结果仍然缺乏,也缺乏为老年肿瘤患者制定适当的基于药学的护理基准。
肿瘤药师对癌症老年患者的干预有可能改善患者的护理。在这一实践领域进行未来的随机研究是有必要的,以便明确界定肿瘤药师的最佳影响。