内容紹介
Geriatric Oncology
Summary
The number of older adults in Japan is rising, and healthcare for older patients differs from those of younger patients. We have limited available data regarding the outcomes of cancer treatment in this population. In addition, we have few guidelines to address the evaluation and treatment of older cancer patients in Japan. The Japan Agency for Medical Research and Development(AMED)has funded clinical research focusing on elderly cancer patients. We organized the Geriatric Study Committee in Japan Clinical Oncology Group(JCOG)to develop geriatric research policy in this area. This policy includes the(1)definition of a selection policy for the subjects of geriatric research,(2)establishment of standard endpoints and methodological schemes for geriatric research, and(3)recommendations for standard tools of geriatric assessment. We are also developing a curriculum in geriatric oncology for medical doctors and oncology nurses to improve the evidence-based evaluation and treatment of elderly cancer patients. Japanese society is progressing to address the increasing number of elderly patients using a team approach in a broad sense, which consists of cancer professionals, healthcare providers, and government.
要旨
超高齢社会を迎え,多くのがん患者を高齢者が占めている。高齢者の治療法決定の際,疾患の評価に加え,身体,精神機能などを多次元的に評価する高齢者機能評価(geriatric assessment: GA)の活用が,がん診療においても期待されている。高齢がん患者を対象とした臨床研究の現状を踏まえ,多様性の高い高齢者へGAを実施,その結果を多職種でサポートすることが重要である。今後は腫瘍学と老年医学が関係を深め,老年腫瘍学として研究や診療体制を整えていく。
目次
Summary
The number of older adults in Japan is rising, and healthcare for older patients differs from those of younger patients. We have limited available data regarding the outcomes of cancer treatment in this population. In addition, we have few guidelines to address the evaluation and treatment of older cancer patients in Japan. The Japan Agency for Medical Research and Development(AMED)has funded clinical research focusing on elderly cancer patients. We organized the Geriatric Study Committee in Japan Clinical Oncology Group(JCOG)to develop geriatric research policy in this area. This policy includes the(1)definition of a selection policy for the subjects of geriatric research,(2)establishment of standard endpoints and methodological schemes for geriatric research, and(3)recommendations for standard tools of geriatric assessment. We are also developing a curriculum in geriatric oncology for medical doctors and oncology nurses to improve the evidence-based evaluation and treatment of elderly cancer patients. Japanese society is progressing to address the increasing number of elderly patients using a team approach in a broad sense, which consists of cancer professionals, healthcare providers, and government.
要旨
超高齢社会を迎え,多くのがん患者を高齢者が占めている。高齢者の治療法決定の際,疾患の評価に加え,身体,精神機能などを多次元的に評価する高齢者機能評価(geriatric assessment: GA)の活用が,がん診療においても期待されている。高齢がん患者を対象とした臨床研究の現状を踏まえ,多様性の高い高齢者へGAを実施,その結果を多職種でサポートすることが重要である。今後は腫瘍学と老年医学が関係を深め,老年腫瘍学として研究や診療体制を整えていく。