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为老年癌症患者提供姑息治疗和支持性护理:姑息医学与老年医学之间的相互作用。

Delivering Palliative and Supportive Care for Older Adults with Cancer: Interactions between Palliative Medicine and Geriatrics.

作者信息

Castelo-Loureiro Alicia, Perez-de-Acha Andrea, Torres-Perez Ana Cristina, Cunha Vanessa, García-Valdés Paola, Cárdenas-Reyes Paula, Soto-Perez-de-Celis Enrique

机构信息

Department of Medical Oncology, Hospital 12 de Octubre, 28041 Madrid, Spain.

Department of Geriatrics, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, Mexico.

出版信息

Cancers (Basel). 2023 Jul 29;15(15):3858. doi: 10.3390/cancers15153858.

Abstract

The world's population is aging rapidly, with projections indicating that by 2050 one in six people will be aged ≥65 years. As a result, the number of cancer cases in older people is expected to increase significantly. Palliative care is an essential component of cancer care with a direct impact on quality of life. However, older adults with cancer often suffer from multiple comorbidities, cognitive impairment, and frailty, posing unique challenges in the delivery of palliative care. The complex healthcare needs of older patients with cancer therefore require a comprehensive assessment, including a geriatric evaluation. Collaboration between geriatrics and palliative care can offer a solution to the challenges faced by older people with cancer, since this is a population with overlapping concerns for both disciplines. This review highlights the importance of palliative care for older adults with cancer and the benefits of a multidisciplinary approach. It also addresses the coordination of palliative care and geriatrics for specific symptom management and decision making.

摘要

世界人口正在迅速老龄化,预计到2050年,每六人中就有一人年龄≥65岁。因此,老年人中的癌症病例数预计将显著增加。姑息治疗是癌症治疗的重要组成部分,对生活质量有直接影响。然而,患有癌症的老年人常常伴有多种合并症、认知障碍和身体虚弱,这给姑息治疗的实施带来了独特的挑战。因此,老年癌症患者复杂的医疗需求需要进行全面评估,包括老年医学评估。老年医学与姑息治疗之间的合作可以为老年癌症患者所面临的挑战提供解决方案,因为这一人群是两个学科共同关注的对象。本综述强调了姑息治疗对老年癌症患者的重要性以及多学科方法的益处。它还讨论了姑息治疗与老年医学在特定症状管理和决策方面的协调。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f1e/10417379/b3c2afe37138/cancers-15-03858-g001.jpg

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