在接受全身癌症治疗的老年患者中对脆弱性的实际评估和管理:ASCO指南更新
William Dale1, Heidi D Klepin2, Grant R Williams3
1City of Hope National Medical Center, Duarte, CA.
概括
建议对所有老年癌症患者进行老年评估 (GA),以确定脆弱性. 以老年人评估为指导的管理 (GAM) 应该被整合到治疗计划中,以改善已确定的缺陷患者的治疗结果.
科学领域:
- 老年瘤学 老年瘤学
- 基于证据的医学基于证据的医学.
- 临床实践指南 临床实践指南
背景情况:
- 美国临床瘤学会 (ASCO) 关于在老年癌症患者中评估和管理与年龄相关的弱点的指南需要更新.
- 接受癌症治疗的老年人往往有复杂的需求,这些需求通常不会通过标准的瘤学评估得到解决.
结论:
- 更新的ASCO指南强调将GA和GAM整合到癌症老年人的护理中.
- GAM涉及使用GA发现来指导癌症治疗决策,并通过干预,咨询和转诊来解决已确定的障碍.
- 基于患者人群,资源和时间限制,可以允许GA的临床适应.
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