支持患有乳腺癌的老年人的初步经验:成功,挑战,以及嵌入乳腺瘤中心的计划的下一步
Madeleine Ling1, Karen Ruderman2, Sydney Simo2
1Medical College of Georgia, AU/UGA Medical Partnership, Augusta, GA, USA.
Journal of geriatric oncology
|May 7, 2025
概括
乳腺癌老年人计划 (OABC) 成功确定了乳腺癌患者的与衰老相关的需求. 然而,许多患者拒绝推的支持性护理转诊,强调需要改善服务采用.
科学领域:
- 老年瘤学 老年瘤学
- 乳腺癌护理 乳腺癌护理
- 支持服务 支持服务
背景情况:
- 患有癌症的老年人面临功能脆弱性和更高的治疗毒性风险.
- 推老年评估 (GA),但很难将其纳入临床实践.
- 乳腺癌老年人的特殊需求需要量身定制的方法.
研究的目的:
- 实施和评估乳腺癌老年人计划 (OABC).
- 系统地进行老年评估 (GA),并促进乳腺癌患者的转诊.
- 确定患者接受支持性护理服务的挑战.
主要方法:
- 在2022年5月推出嵌入乳腺瘤中心的OABC计划.
- OABC协调员提供了GA,并根据确定的需求促进了转诊.
- 在程序数据库中跟踪GA建议和服务使用情况.
主要成果:
- 108名患者完成了GA;32.1%的患者年龄在70-75岁之间,10%的患者≥86.
- 通常推的服务包括老年医疗 (67%) 和社会工作 (36%).
- 只有60%的患者同意至少接受一次支持性护理转诊.
结论:
- OABC有效地识别了与衰老相关的需求高风险的乳腺癌老年人.
- 服务协调取得了成功,但患者转诊率经常下降.
- 需要进一步的战略来增加GA完成和服务推的吸收.
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