dostęp otwarty

Tom 5, Nr 1 (2020)
Artykuły przeglądowe / Review articles
Opublikowany online: 2020-03-05
Pobierz cytowanie

Oncogeriatrics (part 4.) Pre-operative assessment of elderly patients with cancer

Jakub Kenig1
Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2020;5(1):18-21.
Afiliacje
  1. Department of General, Oncological and Geriatric Surgery, Jagiellonian University Medical College, Krakow

dostęp otwarty

Tom 5, Nr 1 (2020)
Artykuły przeglądowe / Review articles
Opublikowany online: 2020-03-05

Streszczenie

Older patients comprise a highly heterogeneous group, and chronological age, comorbidities, or the type of surgical pro­cedure performed cannot adequately describe the risk of adverse post-operative outcomes. Therefore, current routine pre­-operative assessment also cannot adequately identify patients at risk. The Comprehensive Geriatric Assessment, the mean life expectancy and the treatment goals of a patient must be included in the pre-operative evaluation. The Comprehensive Geriatric Assessment helps to determine the primary status of an older patient, to diagnose frailty syndrome and to identify how to optimize a patient’s condition before surgery. Surgery is one of the primary triggers for disability in older patients. In this age group, being independent is more important than prolonging life. This is particularly true in patients with frailty syndrome, or decreased physiological reserves, which arise from cumulative deficits in several physiological systems and result in a diminished resistance to stressors. Therefore, a standardized pre-operative diagnostic approach, individualized surgical technique selection and tailored post-operative care are essential for successful treatment of elderly patients.

Streszczenie

Older patients comprise a highly heterogeneous group, and chronological age, comorbidities, or the type of surgical pro­cedure performed cannot adequately describe the risk of adverse post-operative outcomes. Therefore, current routine pre­-operative assessment also cannot adequately identify patients at risk. The Comprehensive Geriatric Assessment, the mean life expectancy and the treatment goals of a patient must be included in the pre-operative evaluation. The Comprehensive Geriatric Assessment helps to determine the primary status of an older patient, to diagnose frailty syndrome and to identify how to optimize a patient’s condition before surgery. Surgery is one of the primary triggers for disability in older patients. In this age group, being independent is more important than prolonging life. This is particularly true in patients with frailty syndrome, or decreased physiological reserves, which arise from cumulative deficits in several physiological systems and result in a diminished resistance to stressors. Therefore, a standardized pre-operative diagnostic approach, individualized surgical technique selection and tailored post-operative care are essential for successful treatment of elderly patients.

Pobierz cytowanie

Słowa kluczowe

older patient; pre-operative assessment; comprehensive geriatric assessment

Informacje o artykule
Tytuł

Oncogeriatrics (part 4.) Pre-operative assessment of elderly patients with cancer

Czasopismo

Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory

Numer

Tom 5, Nr 1 (2020)

Strony

18-21

Opublikowany online

2020-03-05

Wyświetlenia strony

378

Wyświetlenia/pobrania artykułu

135

Rekord bibliograficzny

Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2020;5(1):18-21.

Słowa kluczowe

older patient
pre-operative assessment
comprehensive geriatric assessment

Autorzy

Jakub Kenig

Referencje (14)
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  12. Kenig J, Zychiewicz B, Olszewska U, et al. Six screening instruments for frailty in older patients qualified for emergency abdominal surgery. Arch Gerontol Geriatr. 2015; 61(3): 437–442.
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