The surgical management of elderly cancer patients: recommendations of the SIOG surgical task force

被引:134
作者
Audisio, RA [1 ]
Bozzetti, F
Gennari, R
Jaklitsch, MT
Koperna, T
Longo, WE
Wiggers, T
Zbar, AP
机构
[1] Univ Liverpool, Whiston Hosp, Prescot, England
[2] Ist Nazl Tumori, I-20133 Milan, Italy
[3] European Inst Oncol, Milan, Italy
[4] Brigham & Womens Hosp, Boston, MA 02115 USA
[5] Hosp Mistelbach, Mistelbach, Austria
[6] Yale Univ, Sch Med, New Haven, CT USA
[7] Univ Groningen Hosp, Groningen, Netherlands
[8] Univ W Indies, St Michael, Barbados
关键词
surgery; solid neoplasms; cancer in the elderly; operative risk; quality of life; nutrition; anaesthetics; SIOG;
D O I
10.1016/j.ejca.2004.01.016
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Although cancer in the elderly is extremely common, few health professionals in oncology are familiar with caring for series of oncogeriatric patients. Surgery is at present the first choice, but is frequently delivered suboptimally: under-treatment is justified by concerns about unsustainable toxicity, whilst over-treatment is explained by the lack of knowledge in optimising preoperative risk assessment. This article summarises the point of view of the Surgical Task Force @ SIOG (International Society for Geriatric Oncology), pointing out differences from, and similarities to, the younger cohorts of cancer patients, and highlighting the latest updates and trends specifically related to senior cancer patients. (C) 2004 Elsevier Ltd. All rights reserved.
引用
收藏
页码:926 / 938
页数:13
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