Giallauria Francesco, Testa Crescenzo, Cuomo Gianluigi, Di Lorenzo Anna, Venturini Elio, Lauretani Fulvio, Maggio Marcello Giuseppe, Iannuzzo Gabriella, Vigorito Carlo
Department of Translational Medical Sciences, University of Naples Federico II, via S. Pansini 5, 80131 Naples, Italy.
Faculty of Sciences and Technology, University of New England, Armidale, NSW 2351, Australia.
Cancers (Basel). 2023 Mar 8;15(6):1671. doi: 10.3390/cancers15061671.
Due to the aging of the population, in 70% of cases, a new cancer diagnosis equals a cancer diagnosis in a geriatric patient. In this population, beyond the concept of mortality and morbidity, functional capacity, disability, and quality of life remain crucial. In fact, when the functional status is preserved, the pathogenetic curve towards disability will stop or even regress. The present systematic review investigated the effectiveness of physical exercise, as part of a holistic assessment of the patient, for preventing disability and improving the patient's quality of life, and partially reducing all-cause mortality. This evidence must point towards decentralization of care by implementing the development of rehabilitation programs for elderly cancer patients either before or after anti-cancer therapy.
由于人口老龄化,在70%的病例中,新的癌症诊断等同于老年患者的癌症诊断。在这一人群中,除了死亡率和发病率的概念外,功能能力、残疾状况和生活质量仍然至关重要。事实上,当功能状态得以保持时,导致残疾的发病曲线将会停止甚至逆转。本系统评价研究了体育锻炼作为患者整体评估一部分,在预防残疾、改善患者生活质量以及部分降低全因死亡率方面的有效性。这一证据必然指向通过在抗癌治疗之前或之后开展老年癌症患者康复项目来实现医疗服务的去中心化。