Management of elderly patients with head and neck cancer

被引：7

作者：

Ishii, Ryo ^{[1
]}

Ohkoshi, Akira ^{[1
]}

Kiyota, Naomi ^{[2
]}

Matsuura, Kazuto ^{[3
]}

Yasuda, Koichi ^{[4
]}

Imamura, Yoshinori ^{[2
]}

Saito, Yuki ^{[5
]}

Homma, Akihiro ^{[6
,7
]}

机构：

[1] Tohoku Univ, Dept Otolaryngol Head & Neck Surg, Grad Sch Med, Sendai, Miyagi, Japan

[2] Kobe Univ Hosp, Dept Med Oncol & Hematol, Kobe, Hyogo, Japan

[3] Natl Canc Ctr Hosp East, Dept Head & Neck Surg, Kashiwa, Chiba, Japan

[4] Hokkaido Univ Hosp, Dept Radiat Oncol, Sapporo, Hokkaido, Japan

[5] Univ Tokyo, Dept Otolaryngol Head & Neck Surg, Tokyo, Japan

[6] Fac Med, Dept Otolaryngol Head & Neck Surg, Sapporo, Hokkaido, Japan

[7] Grad Sch Med, Sapporo, Hokkaido, Japan

来源：

JAPANESE JOURNAL OF CLINICAL ONCOLOGY | 2022年 / 52卷 / 04期

关键词：

head and neck cancer; elderly; geriatric assessment; medical oncology; SQUAMOUS-CELL CARCINOMA; COMPREHENSIVE GERIATRIC ASSESSMENT; LOCALLY ADVANCED HEAD; FREE-FLAP RECONSTRUCTION; QUALITY-OF-LIFE; OLDER-ADULTS; PHASE-II; CONCURRENT RADIOTHERAPY; PALLIATIVE RADIOTHERAPY; MULTIDISCIPLINARY TEAM;

D O I：

10.1093/jjco/hyac013

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

In the absence of clear evidence, the key points in managing elderly patients with head and neck cancer are: geriatric assessment, patients' outcomes and the multidisciplinary team approach. 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.

引用

页码：313 / 321

页数：9

共 119 条

[1] Prognostic Indication of Sarcopenia for Wound Complication After Total Laryngectomy [J].