Implications of aging in surgical oncology

被引：30

作者：

Ramesh, HSJ ^{[1
]}

Jain, S ^{[1
]}

Audisio, RA ^{[1
]}

机构：

[1] Whiston Hosp, Dept Surg, Prescot L35 5DR, England

来源：

CANCER JOURNAL | 2005年 / 11卷 / 06期

关键词：

elderly; cancer; comorbidity; surgery; PACE; operative risk;

D O I：

10.1097/00130404-200511000-00008

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Global growth of the elderly population is requiring health care providers to cater to an expanding elderly cancer subpopulation. Surgeons are called upon to provide optima cancer management for this heterogeneous group in par with care provided for younger patients, an ethical dilemma that is compounded by an ill-understood tumor biology. Delivery of suboptimal surgical cancer treatment due to ageist attitudes and personal beliefs is no longer acceptable. Cancer surgeons have to offer optimal surgery in consideration of individualized operative risk. The need for a tool to assess operative risk and predict postoperative outcome is obvious. This article wishes to raise awareness among surgeons about epidemiology, physiologic changes, performance status and comorbidities, and patterns of care and ways to improve them. We visit existing tools to assess operative risk, reveal interim results from the Preoperative Assessment of Cancer in Elderly (PACE) study, and discuss the future of oncogeriatrics.

引用

页码：488 / 494

页数：7

共 68 条

[31]

LEMMENS VE, 2005, BRIT J SURG, V92, P915

[32] TOTAL RECTAL RESECTION AND COLOANAL ANASTOMOSIS FOR LOW RECTAL TUMORS - COMPARATIVE RESULTS IN A GROUP OF YOUNG AND OLD PATIENTS [J].