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Updated: Sep 10, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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高齢者評価:ASCOグローバルガイドライン
Cristiane Decat Bergerot1, Sarah Temin2, Haydee C Verduzco-Aguirre3
1Oncoclinicas&Co - Medica Scientia Innovation Research (MEDSIR), Brasilia, Brazil.
JCO global oncology
|August 27, 2025
まとめ
この研究は,資源の限られた環境で高齢がん患者の高齢治療のニーズを評価するためのガイドラインを提供します. 既存のガイドラインを改定し,重要な高齢者診断が がん治療計画に役立つようにしました.
科学分野:
- 老年腫瘍学
- グローバル・ヘルス・エクイティ
- 臨床ガイドラインの適応
背景:
- 癌を患っている高齢者は 世界的に増加しています
- 資源が限られている環境では 総合的な高齢者介護の提供が困難です
- 既存の腫瘍学ガイドラインは,しばしば最大限のリソースの可用性を前提としています.
研究 の 目的:
- 資源の限られた環境における高齢者のニーズ評価のための最大設定腫瘍学ガイドラインを適応させる.
- 高齢がん患者 (65歳以上) を評価するためのツールを臨床医と政策立案者に提供する.
- 資源が不足しているときに 癌治療計画に情報を提供することを保証します
主な方法:
- 多分野,多国籍の専門家パネルが招集されました
- 既存のアメリカ臨床腫瘍学会 (ASCO) のガイドラインをレビューした.
- 改変された ADAPTE と 適応のための正式なコンセンサスプロセスを採用した.
主要な成果:
- ASCOのリソースニュートラルなガイドラインは,リソース制限の設定にうまく適応されました.
- 勧告は,正式なコンセンサスによって≥75%の合意に達した.
- 改訂されたガイドラインは,重要な高齢者評価領域を強調しています.
結論:
- 高齢がん患者の脆弱性を特定するための 高齢診断 (GA) を支持する.
- GAによる管理は,全身療法を受けている既知の欠乏症の患者にとって極めて重要です.
- 簡潔な高齢者のスクリーニングツールを推奨し,検証された局所的な代替手段に柔軟性を与えます.
- GAで特定された赤字のカットオフは,地元の検証と慣行に基づいて異なる場合があります.
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