对患有多发性骨髓瘤的老年人进行老年评估指导干预:可行性和可接受性研究
Christopher E Jensen1, Allison M Deal2, Kirsten A Nyrop3
1Division of Hematology, Department of Medicine, University of North Carolina at Chapel Hill, 170 Manning Drive, Physicians Office Building, CB# 7305, Chapel Hill, NC 27599, USA; Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, 450 West Drive, Chapel Hill, NC 27599, USA.
老年人评估 (GA) 可以指导多发性骨髓瘤 (MM) 的老年人的支持性护理. 向瘤学药剂师的转诊得到了很好的接收,但物理治疗转诊需要改进,以获得更好的结果.
科学领域:
- 老年瘤学 老年瘤学
- 支持性护理是一种支持性护理.
- 血液学恶性瘤是什么
背景情况:
- 以老年学评估 (GA) 为指导的支持性护理改善了有固体瘤的老年人的治疗结果.
- 老年人多发性骨髓瘤 (MM) 治疗可以从量身定制的支持性护理干预中受益.
研究的目的:
- 评估GA指导的支持性护理转诊计划对MM的老年人的可行性和可接受性.
- 在这个人群中确定常见的缺陷和首选的支持性护理资源.
主要方法:
- 从血细胞疾病登记册中对60岁以上MM患者的回顾性审查.
- 根据GA识别的缺陷,提供物理治疗 (PT),瘤学临床药剂师实践者 (CPP) 或综合癌症支持计划 (CCSP) 的转诊.
- 对推接受率的分析.
主要成果:
- 在有缺陷的58名患者中,79%的患者有身体功能缺陷,57%的患者有多种药物.
- 总体而言,推接受率为50%.
- CPP转介的接受率最高 (55%),而CCSP转介的接受率为0%.
结论:
- 对于患有MM的老年人来说,GA指导的支持性护理转诊是可行的.
- 瘤学CPP推得到高度接受,但PT和CCSP推需要优化.
- 需要个性化的方法来改善对老年MM患者支持性护理服务的参与.
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