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Updated: Sep 10, 2025
08:47
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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75歳未満のがん患者の 総合的な高齢診断を やめるべきでしょうか?
Elnaz Ziad1, Michael W Carter1, Robert C Grant2
1Department of Mechanical and Industrial Engineering, University of Toronto, Toronto, Ontario, Canada.
Journal of geriatric oncology
|August 23, 2025
まとめ
あらゆる年齢の高齢がん患者には 総合的な高齢診断 (CGI) が有益です 私たちの研究では,CGAが75歳未満の患者や75歳以上の患者の治療計画に ポジティブな影響を及ぼすことが分かりました この治療から利益を得るのに 年齢が障害ではないことを示唆しています
科学分野:
- 老年腫瘍学
- 癌のケア管理
背景:
- 65歳以上のがん患者に対して,OACC (Old Adults with Cancer Clinic) は包括的な高齢者診断 (CGAs) を提供しています.
- 資源の限度と待ち時間に対処するため,年齢制限を65歳から75歳に上げることを検討した.
研究 の 目的:
- 75歳未満のがん患者と75歳以上のがん患者で,CGAが初次および二次的なアウトカムに類似した影響を及ぼすかどうかを評価する.
主な方法:
- 2015年7月から2024年6月まで,治療前のCGAを受けた65歳以上の1402人の患者の遡及的分析.
- 結果には,腫瘍学治療計画変更,老年領域の異常,およびケア改善が含まれています.
- 75歳未満の患者と75歳以上の患者の Chi- スクエア試験の比較結果
主要な成果:
- 75歳以上の患者の52. 2%で,75歳未満の患者の43. 5%で,年齢グループと治療計画の変化との間に有意な関連性が見られた (p=0. 02).
- 高齢領域の異常 (気分を除く),CGAの推奨値,または介護の改善値 (p>0. 05) では,有意な差異は認められなかった.
結論:
- 75歳以上の患者は,CGA後の治療の変更の可能性がわずかに高かった.
- 75歳未満の患者の治療の変化率と二次的なアウトカムにおける差異の欠如は,両方の年齢層におけるCGAの価値を裏付けています.
- 高齢の成人がん患者のCGAの適格性を決定する要因は年齢ではありません.
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