Friedrich Christoph, Schultheis Beate S, Pientka Ludger
Klinik für Altersmedizin und Frührehabilitation, Klinikum der Ruhr-Universitat Bochum, Herne, Deutschland.
Onkologie. 2009;32 Suppl 3:19-23. doi: 10.1159/000228650. Epub 2009 Sep 25.
Due to demographic changes there is an increasing number of elderly and old patients with cancer. This group of patients shows a significant heterogeneity and differs from the average young patient. Identification of relevant functional deficits and comorbidities remains crucial for an efficient treatment strategy of this patient group. For this reason, the geriatric assessment has been developed and integrated in daily oncological practice. Within this diagnostic approach oncologists can for example identify elderly fit patients suitable for aggressive treatments or identify at-risk patients for complications. Recent studies have shown that this approach is feasible in daily practice and capable of improving outcome. There is still the need for more specific instruments for different cancers.
由于人口结构的变化,患癌症的老年患者数量不断增加。这组患者表现出显著的异质性,与一般年轻患者不同。识别相关的功能缺陷和合并症对于该患者群体的有效治疗策略仍然至关重要。因此,老年评估已被开发并纳入日常肿瘤学实践中。在这种诊断方法中,肿瘤学家例如可以识别适合积极治疗的健康老年患者,或识别有并发症风险的患者。最近的研究表明,这种方法在日常实践中是可行的,并且能够改善治疗结果。对于不同的癌症,仍然需要更具针对性的工具。