在资源有限的环境中,将老年评估纳入胃肠道瘤学的实用指南

Radu Vidra^1,2,3, Paula-Viorica Alexander⁴, Gábor Liposits⁵

¹MEDFUTURE Biomedical Research Institute, Department of Personalized Medicine and Rare Diseases, Iuliu Hatieganu University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania.

Journal of clinical medicine

|December 11, 2025

概括

老年评估 (GA) 对患有胃肠癌的老年人至关重要,改善治疗安全性和生活质量. 实施GA,特别是在资源有限的环境中,优化了对面对不断增加的癌症负担的老年人口的护理.

科学领域:

老年瘤学老年瘤学
胃肠道癌症胃肠道癌症
医疗保健服务研究医疗服务研究

背景情况:

在老年人群中,胃肠道 (GI) 癌症的全球发病率和死亡率不断上升.
在评估老年癌症患者时,传统绩效尺度 (例如,ECOG,KPS) 的局限性.
整合老年评估 (GA) 的必要性,以便在老年人中量身定制治疗策略.

研究的目的:

为在胃肠道瘤学中实施老年病评估和管理 (GAM) 提供一个实际的框架.
突出验证的查仪器用于老年癌症患者的临床整合.
在资源有限的环境中解决实施问题.

主要方法:

从2019年1月到2025年8月进行系统的文献搜索 (PubMed,Scopus,科学网).
关键词:老年评估,胃肠癌,脆弱查,老年人,瘤学,综合老年评估.
审查国际/区域临床实践指南 (ASCO,ESMO,SIOG);包括对验证工具,瘤学策略和GA结果的研究.

主要成果:

老年医学评估 (GA) 提高了对治疗毒性的预测,并支持个性化治疗规划.
GA改善了老年癌症患者的生活质量和功能结果.
两步查 (脆弱性查之后进行全面的GA) 是有效的;实用模型和远程医疗是可行的,即使在低收入和中等收入国家.

结论:

将GA整合到胃肠道瘤学中可以促进以患者为中心,基于证据的护理,优化治疗耐受性和减少并发症.
GA使治疗目标与患者价值观保持一致,增强老年癌症患者的整体护理.
机构的承诺,跨学科的合作和有针对性的培训是建立GA作为护理标准的必要条件.

关键词:

在G8中,G8是什么?这就是VES-13的特征.脆弱性查脆弱性查这是胃肠道癌症.老年人的评估.个性化瘤学个性化瘤学资源有限的设置设置.

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