首页|周全性老年评估在老年头颈癌患者中的应用

周全性老年评估在老年头颈癌患者中的应用

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头颈癌的治疗以手术和放化疗为主,但临床上对老年患者实施侵入性治疗的合理性还存在质疑.尽管老年头颈癌患者的比例逐步增加,却几乎没有一致的治疗标准.本文从循证医学角度呈现当前治疗的证据水平,为老年头颈癌患者提供具体的治疗建议,并基于对文献的系统评价提出一种算法用以评估老年头颈癌患者的治疗风险.
The application of comprehensive geriatric assessment in elderly patients with head and neck cancer
The treatment of head and neck cancer is dominated by surgery and radiochemotherapy.For elderly patients,however,the rationality of invasive treatment is questioned in clinical practice.Although the proportion of geriatric patients with head and neck canc-er is increasing,there are few consistent standards in the literature and guidelines.From the perspective of evidence-based medicine,this paper presents current evidence for treatment so as to provide specific recommendations for treating head and neck cancer in the elderly.Furthermore,based on a systematic literature review,a clinical algorithm is proposed to evaluate the treatment risk of elderly patients with head and neck cancer.

head and neck cancerelderlycomorbiditygeriatric assessmentalgorithm

李晨曦、龚忠诚、赵化荣、刘英

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新疆医科大学第一附属医院(附属口腔医院)口腔颌面肿瘤外科,新疆乌鲁木齐(830054)

新疆维吾尔自治区口腔医学研究所,新疆乌鲁木齐(830054)

华中科技大学同济医学院附属协和医院口腔医学中心,口腔颌面发育与再生湖北省重点实验室,湖北武汉(430022)

新疆医科大学第一附属医院肿瘤中心一病区(头颈),新疆乌鲁木齐(830054)

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头颈癌 高龄 合并症 老年评估 循证算法

国家自然科学基金口腔颌面发育与再生湖北省重点实验室开放课题基金自治区科研创新项目"天山英才"医药卫生领导人才项目

823604812022kqhm008XJ2023G174TSYC202301A001

2024

口腔医学
南京医科大学口腔医学院

口腔医学

CSTPCD
影响因子:0.641
ISSN:1003-9872
年,卷(期):2024.44(8)