作者
Supriya G Mohile, William Dale, Mark R Somerfield, Mara A Schonberg, Cynthia M Boyd, Peggy S Burhenn, Beverly Canin, Harvey Jay Cohen, Holly M Holmes, Judith O Hopkins, Michelle C Janelsins, Alok A Khorana, Heidi D Klepin, Stuart M Lichtman, Karen M Mustian, William P Tew, Arti Hurria
发表日期
2018/8/1
期刊
Journal of clinical oncology
卷号
36
期号
22
页码范围
2326-2347
出版商
American Society of Clinical Oncology
简介
Purpose
To provide guidance regarding the practical assessment and management of vulnerabilities in older patients undergoing chemotherapy.
Methods
An Expert Panel was convened to develop clinical practice guideline recommendations based on a systematic review of the medical literature.
Results
A total of 68 studies met eligibility criteria and form the evidentiary basis for the recommendations.
Recommendations
In patients ≥ 65 years receiving chemotherapy, geriatric assessment (GA) should be used to identify vulnerabilities that are not routinely captured in oncology assessments. Evidence supports, at a minimum, assessment of function, comorbidity, falls, depression, cognition, and nutrition. The Panel recommends instrumental activities of daily living to assess for function, a thorough history or validated tool to assess comorbidity, a single question for falls, the Geriatric Depression Scale to screen for …
引用总数
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