[瘤药物对老年患者的副作用]
1HFR Spital Freiburg, Freiburg.
Therapeutische Umschau. Revue therapeutique
|November 16, 2023
概括
老年人面临更高的化疗毒性风险. 老年人的评估有助于识别易受伤害的患者,而免疫疗法则有望在这个人群中提供有效且耐受良好的癌症治疗.
科学领域:
- 老年瘤学 老年瘤学
- 临床药理学 临床药理学
- 癌症免疫疗法癌症免疫疗法
背景情况:
- 癌症不成比例地影响到老年人 (≥65岁),预测表明病例的增加.
- 化疗,免疫疗法和向疗法是标准的癌症治疗方法.
- 老年患者面临化学疗法诱导的毒性和口服疗法的挑战的风险增加.
研究的目的:
- 突出老年评估在老年人化疗管理中的重要性.
- 讨论免疫治疗对老年癌症患者的疗效和耐受性.
主要方法:
- 对现有文献的审查和对元分析的子组分析.
- 专注于老年评估变量用于毒性风险评估.
- 考虑老年人的生理变化 (免疫性,炎症).
主要成果:
- 老年人的评估变量可以识别高风险的老年人严重的化疗毒性.
- 口腔瘤疗法对老年患者来说存在独特的挑战和潜在的缺点.
- 免疫疗法在老年患者中似乎有效且耐受良好,尽管与年龄相关的生理变化.
结论:
- 个性化瘤治疗规划,包括老年人的评估,对于老年癌症患者至关重要.
- 免疫疗法对患有癌症的老年人来说是一个可行的和安全的治疗选择.
- 对优化老年人群癌症治疗的进一步研究是有必要的.
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