Life expectancy, comorbidity and quality of life: the treatment equation in the older cancer patients

被引:65
作者
Repetto, L [1 ]
Comandini, D [1 ]
Mammoliti, S [1 ]
机构
[1] Ist Nazl Ric Canc, Div Med Oncol 1, I-16132 Genoa, Italy
关键词
life expectancy; comorbidity; quality of life; elderly cancer patient;
D O I
10.1016/S1040-8428(00)00104-9
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
With ageing, function preservation and maintenance of quality of life represent a major goal in an increasing proportion of patients. Life expectancy is a function of age, comorbidity, disability and cancer type and stage. Decision-making involves a delicate balance among all these factors, evaluation of treatment related complications of the overall effects of cancer and cancer treatment on the patients' quality of life. Despite several instruments for the assessment of quality of life being validated, none have been calibrated to the special requirements of the older patients. The structured interview administered by a trained clinician represents a standard approach for geriatric research and even for clinical practice because of the frailty of the older population. The combination of this approach with the self-administered questionnaire appears the most effective way to minimise missing data in collecting information for patients unable to complete the form. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:147 / 152
页数:6
相关论文
共 37 条
[31]   MEASURING THE QUALITY OF LIFE OF CANCER-PATIENTS - A CONCISE QL-INDEX FOR USE BY PHYSICIANS [J].
SPITZER, WO ;
DOBSON, AJ ;
HALL, J ;
CHESTERMAN, E ;
LEVI, J ;
SHEPHERD, R ;
BATTISTA, RN ;
CATCHLOVE, BR .
JOURNAL OF CHRONIC DISEASES, 1981, 34 (12) :585-597
[32]  
Yancik R, 1998, CANCER, V82, P2123, DOI 10.1002/(SICI)1097-0142(19980601)82:11<2123::AID-CNCR6>3.0.CO
[33]  
2-W
[34]  
YANCIK R, 1989, CANCER, V64, P335, DOI 10.1002/1097-0142(19890701)64:1+<335::AID-CNCR2820641335>3.0.CO
[35]  
2-4
[36]  
YANCIK R, 1983, FRAME REFERENCE OLD, P5
[37]  
YANCIK R, 1997, CANCER, V80, P1311