Wells N L, Balducci L
H. Lee Moffitt Cancer Center & Research Institute, University of South Florida, Tampa, USA.
Cancer Pract. 1997 Mar-Apr;5(2):87-91.
The authors aim to promote cancer control in the older person through an understanding of medical and psychosocial issues related to early detection, evaluation, and management of care.
The management of cancer in the older adult is an increasingly common aspect of oncologic practice. Over the next decades, special concerns will be generated by the rapid rise in the number and proportion of older persons in our society. This article addresses the following: the identification of those patients who would benefit from interventions; the need for individualized treatment plans and a multidisciplinary approach; factors affecting incidence, clinical course, and treatment of cancer, barriers to cancer screening and treatment; psychological adjustment to cancer; and the medical and psychosocial management of the older person with cancer.
Cancer control in the older person may be improved by removal of the barriers to appropriate screening and by individual treatment plans focused on the special needs of individual patients. The Comprehensive Geriatric Assessment allows adequate appraisal of functional status, comorbidity, life expectancy, quality of life, and economic and emotional needs of individual patients. Treatment strategies based on a global evaluation of the older person are more likely to be successful in terms of compliance and effectiveness.
作者旨在通过了解与癌症早期检测、评估及护理管理相关的医学和社会心理问题，促进老年人的癌症控制。
老年癌症患者的管理是肿瘤学实践中日益常见的一个方面。在未来几十年里，社会中老年人数量和比例的迅速增长将引发一些特殊问题。本文探讨以下内容：确定那些将从干预措施中受益的患者；制定个性化治疗方案和采用多学科方法的必要性；影响癌症发病率、临床病程及治疗的因素，癌症筛查和治疗的障碍；对癌症的心理调适；以及老年癌症患者的医学和社会心理管理。
消除适当筛查的障碍，并制定针对个体患者特殊需求的个性化治疗方案，可能会改善老年人的癌症控制。综合老年评估能够充分评估个体患者的功能状态、合并症、预期寿命、生活质量以及经济和情感需求。基于对老年人全面评估的治疗策略在依从性和有效性方面更有可能取得成功。
