Tom 4, Nr 2 (2019)
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Oncogeriatrics (part 1.). Frailty in older adults with cancer

Jakub Kenig
Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2019;4(2):69-71.

dostęp płatny

Tom 4, Nr 2 (2019)
Artykuły przeglądowe

Streszczenie

About onehalf of cancer cases and two-thirds of cancer deaths occur in patients 65 years of age or older. Therefore, understanding the health status of an older patient is just as important as staging of the cancer. Frailty is a complex, multidimensional syndrome of increased vulnerability and loss of adaptive capacity/resistance to external stressors, resulting in an increased risk of adverse outcomes. Clinical presentation is non-specific: fatigue, unexplained weight loss, frequent infections, decline in physical mobility/balance/gait speed. Therefore, the routine format of preoperative investigations often does not allow for adequate frailty identification. There are two principal models of frailty: the phenotype model and the accumulation of deficits model. There is no consensus on an operational definition of frailty. However, it has been demonstrated that frailty, not chronological age, is the most important risk factor for poor outcome. Therefore, frailty identification should be obligatory before the beginning of the oncologic treatment.

Streszczenie

About onehalf of cancer cases and two-thirds of cancer deaths occur in patients 65 years of age or older. Therefore, understanding the health status of an older patient is just as important as staging of the cancer. Frailty is a complex, multidimensional syndrome of increased vulnerability and loss of adaptive capacity/resistance to external stressors, resulting in an increased risk of adverse outcomes. Clinical presentation is non-specific: fatigue, unexplained weight loss, frequent infections, decline in physical mobility/balance/gait speed. Therefore, the routine format of preoperative investigations often does not allow for adequate frailty identification. There are two principal models of frailty: the phenotype model and the accumulation of deficits model. There is no consensus on an operational definition of frailty. However, it has been demonstrated that frailty, not chronological age, is the most important risk factor for poor outcome. Therefore, frailty identification should be obligatory before the beginning of the oncologic treatment.

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Słowa kluczowe

oral cancer, knowledge, risk factors, HPV, high school students, tobacco smoking, electronic cigarettes smoking, alcohol consumption, health education

Informacje o artykule
Tytuł

Oncogeriatrics (part 1.). Frailty in older adults with cancer

Czasopismo

Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory

Numer

Tom 4, Nr 2 (2019)

Strony

69-71

Rekord bibliograficzny

Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2019;4(2):69-71.

Słowa kluczowe

oral cancer
knowledge
risk factors
HPV
high school students
tobacco smoking
electronic cigarettes smoking
alcohol consumption
health education

Autorzy

Jakub Kenig

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