Management of The Elderly Cancer Patients Complexity: The Radiation Oncology Potential

被引：15
作者：
Colloca, Giuseppe [1 ,3 ]
Tagliaferri, Luca [1 ]
Di Capua, Beatrice [1 ,3 ]
Gambacorta, Maria Antonietta [1 ]
Lanzotti, Vito [1 ]
Bellieni, Andrea [2 ,3 ]
Monfardini, Silvio [4 ]
Balducci, Lodovico [5 ]
Bernabei, Roberto [2 ]
Cho, William C. [6 ]
Valentini, Vincenzo [1 ]
机构：
[1] Fdn Policlin Univ Agostino Gemelli IRCCS, UOC Radioterapia, Dipartimento Sci Radiol Radioterap & Ematol, Rome, Italy
[2] Univ Cattolica Sacro Cuore, Ist Med Interna & Geriatria, Rome, Italy
[3] GIOGER Grp Italiano Oncol Geriatr, Genoa, Italy
[4] Ist Palazzolo, Geriatr Oncol Program, Milan, Italy
[5] H Lee Moffitt Canc Ctr & Res Inst, Senior Adult Oncol Program, Tampa, FL USA
[6] Queen Elizabeth Hosp, Dept Clin Oncol, Hong Kong, Peoples R China
来源：
AGING AND DISEASE | 2020年 / 11卷 / 03期
关键词：
radiation oncology; elderly; cancer; frailty; quality of life; sarcopenia; complexity; personalized treatment; OLDER PATIENTS; INTERNATIONAL SOCIETY; THERAPY; RADIOTHERAPY; TOXICITY; OUTCOMES; ADULTS; RECOMMENDATIONS; PREVALENCE; CONSENSUS;
D O I：
10.14336/AD.2019.0616
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
Radiation oncology has the potential to be an excellent option for the frail elderly cancer patients because of its limited systemic toxicities. It can be effective for curative, prophylactic, disease control or palliative purposes. Currently about 60% of all cancer patients undergoing active treatment at some point receive radiation treatment. However, though widely used, there are limited clinical trials strictly designed for the elderly. This paper will review the key points in the assessment and treatment of elderly cancer patient including quality of life, active life expectancy, cognitive performance, frailty, sarcopenia and how the new technologies can help to reach the key goal of maintaining autonomy and independence for the elderly cancer patient.
引用
收藏
页码：649 / 657
页数：9
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