在皇家马斯登医院实施老年瘤服务
Colm Mac Eochagain1, Annie Barrell2, Vanya Slavova-Boneva2
1Trinity St James' Cancer Institute, Dublin, Ireland; Royal Marsden Hospital, London, United Kingdom.
Journal of geriatric oncology
|January 14, 2024
概括
专门的老年瘤学项目在英国未得到充分利用. 查老年癌症患者发现了显著的老年障碍,较高的东部合作性瘤组绩效状态 (ECOG-PS) 预测了对多学科干预的更大需求.
科学领域:
- 老年医学 老年医学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 综合性瘤老年学评估有利于老年癌症患者.
- 在英国,老年瘤学计划的采用率不高.
- 缺乏关于临床模型和患者特征的数据,阻碍了服务的发展.
研究的目的:
- 描述一个新的老年瘤学项目的结构和结果.
- 确定老年癌症患者中老年障碍和多学科转诊的预测因素.
- 评估查对多学科团队推的影响.
主要方法:
- 244名老年癌症患者使用老年人瘤计划-3 (SAOP3) 工具进行了查.
- 基线临床因素 (包括ECOG-PS,查尔森并发症指数,CIRS-G,Katz,Barthel) 被评估为预测因素.
- 用于分析的负二项式回归和点-二次联系.
主要成果:
- 平均年龄为77岁,75.8%是女性,61.9%是乳腺癌.
- 86.5%的患者至少有一种老年障碍.
- 较高的ECOG-PS与老年障碍和需要多学科干预的需求密切相关.
结论:
- 皇家马斯登高级成人瘤学计划是英国第一个三级癌症中心老年瘤学服务.
- SAOP3查显著增加了多学科转诊,揭示了以前未得到满足的需求.
- 在这一群体中,ECOG-PS是多学科干预需求的关键预测指标.
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