老年人治疗与老年人评估为老年头癌患者提供支持性护理的随机临床试验
Kaveh Zakeri1, Amir H Safavi1, Daphna Gelblum1
11Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Journal of the National Comprehensive Cancer Network : JNCCN
|August 14, 2025
概括
老年评估 (GA) 可以减少接受头癌治疗的老年人的住院时间. 由GA指导的支持性护理显示出更少的住院和更低的资源需求的前景.
科学领域:
- 老年医学 老年医学
- 在瘤学瘤学.
- 临床试验 临床试验
背景情况:
- 老年医学评估 (GA) 确定缺陷并指导干预措施,以改善老年人的结果.
- 患有头癌,同时接受化疗放射治疗 (CRT) 的老年人有高风险发生不良事件,包括住院治疗.
研究的目的:
- 评估老年医学评估 (GA) 有或没有老年医学共同管理是否会降低接受CRT治疗头癌的老年人住院的风险.
主要方法:
- 一个随机的试点临床试验,涉及年龄≥65岁的头部和部状细胞癌患者接受CRT.
- 患者接受了电子GA,并随机分配到老年人共同管理或由放射瘤学团队管理的GA引导的支持性护理.
- 主要终点是CRT期间住院率.
主要成果:
- 整体住院率为42.9%. 接受GA指导支持性护理的患者的住院率 (21.4%) 与老年人联合治疗 (64.3%) 相比较低.
- 累积老年缺陷 (AGD) 和跌倒史是住院治疗的重要预测因素.
- 在CRT完成后或在30天内没有死亡.
结论:
- 年龄增长障碍和跌倒史强烈地预测了这一群体的住院风险.
- 这两个干预部门都表现出高度的合规性,但GA指导的支持性护理在实施方面更具资源效率.
- 以GA为指导的支持性护理可能是一个可行的策略,以减少CRT接受头癌的老年人住院治疗.
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