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Geriatric assessment for older people with cancer:policy recommendations

Global Health Research and Policy 2023年第1期8卷 168-175页

作者： P.A.L.Seghers Shabbir M.H.Alibhai Nicolo Matteo Luca Battisti Ravindran Kanesvaran Martine extermann Anita O’Donovan Sophie Pilleron Anna Rachelle Mislang Najia Musolino Kwok-Leung Cheung Anthony Staines Charis Girvalaki Pierre Soubeyran johanneke e.a.portielje Siri Rostoft Marije e.Hamaker Dominic Trepel Shane O’Hanlon Department of Geriatric Medicine Diakonessenhuis3582 KE UtrechtThe Netherlands Department of Medicine University Health NetworkTorontoON M5G 2C4Canada Department of Medicine University of TorontoTorontoON M5G 2C4Canada Institute of Health Policy Managementand EvaluationUniversity of TorontoTorontoON M5G 2C4Canada Department of Medicine The Royal Marsden NHS Foundation TrustDowns RoadSuttonLondon SM25PTUK Breast Cancer Research Division The Institute of Cancer Research15 Cotswold RoadSuttonLondon SM25NGUK National Cancer Centre Singapore SingaporeSingapore Department of Oncology Moffitt Cancer CenterUniversity of South FloridaTampaFLUSA Applied Radiation Therapy Trinity(ARTT) School of MedicineTrinity College DublinDublinIreland Nuffield Department of Population Health Big Data InstituteUniversity of OxfordOxfordUK Department of Medical Oncology Flinders Centre for Innovation in CancerCollege of Medicine and Public HealthFlinders UniversityBedford ParkSA 5042Australia International Society of Geriatric Oncology(SIOG) International Environmental House 2Chemin de Balexert 7-91219 ChatelaineSwitzerland School of Medicine University of NottinghamNottinghamUK School of Nursing Psychotherapy and Community HealthDublin City UniversityDublinIreland european Network for Smoking and Tobacco Prevention(eNSP) BrusselsBelgium Department of Medical Oncology Institut BergonieInserm U1312SIRIC BRIOUniversite de Bordeaux33076 BordeauxFrance Department of Medical Oncology Leiden University Medical Center-LUMC2333 ZA LeidenThe Netherlands Department of Geriatric Medicine Oslo University Hospital0424 OsloNorway Institute of Clinical Medicine University of Oslo0318 OsloNorway Global Brain Health Institute Trinity College DublinThe University of DublinDublinIreland Trinity Institute of Neurosciences School of MedicineTrinity College DublinDublinIreland Department of Geriatric Medicine St Vincent’s University HospitalDublin D04 T6F4Ireland Department of Geriatric Medicine

Most cancers occur in older people and the burden in this age group is *** the past two decades the evidence on how best to treat this population has increased ***,implementation of new best practices has been slow and needs involvement of *** perspective paper explains why older people with cancer have different needs than the wider *** overview is given of the recommended approach for older people with cancer and its benefits on clinical outcomes and *** older patients,the geriatric assessment(GA)is the gold standard to measure level of fitness and to determine treatment *** GA,with multiple domains of physical health,functional status,psychological health and socio-environmental factors,prevents initiation of inappropriate oncologic treatment and recommends geriatric interventions to optimize the patient’s general health and thus resilience for receiving *** studies have proven its benefits such as reduced toxicity,better quality of life,better patient-centred communication and lower healthcare *** GA might require investment of time and resources,this is relatively small compared to the improved outcomes,possible cost-savings and compared to the large cost of oncologic treatments as a whole.

关键词： Geriatric assessment Aged 80 and over Decision making Shared Neoplasms Quality of life Survival Toxicity Health policy Medical oncology

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