在丹麦癌症指南中解决老年瘤学问题,以应对未来的挑战
Katharina Skovhus1,2,3, Kristian Kirkelund Bentsen4, Lone Winther Lietzen2,3
1Department of Urology, Aarhus University Hospital.
丹麦的癌症指南提到了年龄和并发症,但缺乏具体的脆弱性评估细节. 未来的指导方针应该包括脆弱性建议,以改善老年人癌症护理.
科学领域:
- 老年瘤学 老年瘤学
- 基于证据的医学基于证据的医学.
- 卫生政策分析 卫生政策分析
背景情况:
- 癌症风险和治疗结果受到年龄和虚弱的显著影响.
- 全球人口老龄化需要量身定制,基于证据的癌症护理策略.
- 目前的丹麦国家癌症指南被评估为年龄和脆弱性整合.
研究的目的:
- 评估将脆弱性和年龄相关因素纳入丹麦国家癌症指南中的情况.
- 确定当前关于老年癌症患者管理的指导方针中的差距.
主要方法:
- 系统审查丹麦多学科癌症小组关于肺癌,乳腺癌,结直肠癌,卵巢癌,膀癌和前列腺癌的指导方针.
- 查提及年龄,虚弱,绩效状态 (PS),并发症,功能状态和个性化评估.
- 评分确定了关于特异性和临床适用性的评论.
主要成果:
- 所有指导方针都针对年龄和并发性疾病;在六个指导方针中,有四个指导方针提到了脆弱性,只有一个指导方针提出了具体建议.
- 绩效状态 (PS) 经常被列入 (5/6).
- 在六条指导方针中,有四条鼓励个性化评估,但缺乏实施的明确性.
结论:
- 丹麦的癌症指南承认年龄,PS和并发症,但需要具体的建议来评估和管理脆弱性.
- 将脆弱性评估纳入指导方针可以改善老年癌症患者的临床决策和治疗结果.
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