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新冠疫情对老年癌症患者的影响:国际老年放射治疗小组提出的解决方案

Impact of COVID-19 pandemic on older cancer patients: Proposed solution by the International Geriatric Radiotherapy Group.

作者信息

Nguyen Nam Phong, Karlsson Ulf Lennart, Lehrman David, Mazibuko Thandeka, Saghatelyan Tatul, Thariat Juliette, Baumert Brigitta G, Vinh-Hung Vincent, Gorobets Olena, Giap Huan, Singh Sankalp, Chi Alexander, Alessandrini Graciana, Ahluwalia Abhinav, Durosinmi-Etti Francis, Zegarra Cárdenas Jorge, Diabate Koniba, Oboite Joan, Oboite Eromosele, Mehmood Tahir, Vuong Te, Kim Lyndon, Page Brandi R

机构信息

Department of Radiation Oncology, Howard University, Washington, DC, United States.

Department of Radiation Oncology, International Geriatric Radiotherapy Group, Washington, DC, United States.

出版信息

Front Oncol. 2023 Mar 7;13:1091329. doi: 10.3389/fonc.2023.1091329. eCollection 2023.

Abstract

Older cancer patients are disproportionally affected by the Coronavirus 19 (COVID-19) pandemic. A higher rate of death among the elderly and the potential for long-term disability have led to fear of contracting the virus in these patients. This fear can, paradoxically, cause delay in diagnosis and treatment that may lead to a poor outcome that could have been prevented. Thus, physicians should devise a policy that both supports the needs of older patients during cancer treatment, and serves to help them overcome their fear so they seek out to cancer diagnosis and treatment early. A combination of telemedicine and a holistic approach, involving prayers for older cancer patients with a high level of spirituality, may improve vaccination rates as well as quality of life during treatment. Collaboration between health care workers, social workers, faith-based leaders, and cancer survivors may be crucial to achieve this goal. Social media may be an important component, providing a means of sending the positive message to older cancer patients that chronological age is not an impediment to treatment.

摘要

老年癌症患者受新型冠状病毒肺炎(COVID-19)大流行的影响尤为严重。老年人较高的死亡率以及长期残疾的可能性导致这些患者害怕感染病毒。矛盾的是,这种恐惧可能会导致诊断和治疗延迟,进而可能导致本可避免的不良后果。因此,医生应制定一项政策,既支持老年患者在癌症治疗期间的需求,又有助于他们克服恐惧,从而促使他们尽早寻求癌症诊断和治疗。远程医疗与整体方法相结合,包括为精神层面较高的老年癌症患者祈祷,可能会提高疫苗接种率以及治疗期间的生活质量。医护人员、社会工作者、宗教领袖和癌症幸存者之间的合作对于实现这一目标可能至关重要。社交媒体可能是一个重要组成部分,它提供了一种向老年癌症患者传递积极信息的方式,即实际年龄并非治疗的障碍。

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