Management of elderly patients with head and neck cancer
Management of elderly patients with head and neck cancer
复制标题
老年头颈癌患者的治疗
DOI：
10.1093/jjco/hyac013
复制
发表时间：
2022
影响因子：
2.4
通讯作者：
the Japan Clinical Oncology Group (JCOG) Head and Neck Cancer Study Group
中科院分区：
文献类型：
--
作者：
Ishii Ryo;Ohkoshi Akira;Kiyota Naomi;Matsuura Kazuto;Yasuda Koichi;Imamura Yoshinori;Saito Yuki;Homma Akihiro;the Japan Clinical Oncology Group (JCOG) Head and Neck Cancer Study Group
对于老年头颈癌患者的治疗，目前还没有既定的指导方针。大多数定义当前标准治疗的临床试验包括很少的老年患者。另一方面，患者的合并症、身体功能、认知功能、家庭和经济背景以及价值观有很大的差异。关键点似乎是适当的老年评估，澄清患者的结果和多学科团队的方法，包括治疗决策政策。尽管这些过程本质上应该是科学的，但用于治疗老年头颈部癌症患者的证据非常有限。本文综述了有关老年头颈部癌症患者的老年评估管理、每种治疗方式以及多学科团队方法的现有证据。
There are no established guidelines for managing older patients with head and neck cancer. Most clinical trials that define current standard therapy included few elderly patients. On the other hand, there is great variability in patients’ comorbidities, physical functions, cognitive function, familial and financial background and values. The key point appears to be appropriate geriatric assessment, clarifying the patients’ outcomes and a multidisciplinary team approach, including the treatment decision-making policy. Although these processes should be scientific in nature, the evidence for the treatment of elderly head and neck patients is very limited.This review summarizes the evidence available regarding the management of geriatric assessment, each treatment modality and the multidisciplinary team approach for older patients with head and neck cancers.