Treatment of elderly patients with head and neck cancer in an aging society: Focus on geriatric assessment and surgical treatment

IF 1.6 4区医学 Q2 OTORHINOLARYNGOLOGY Auris Nasus Larynx Pub Date : 2024-04-16 DOI:10.1016/j.anl.2024.04.005

Ryo Ishii, Akira Ohkoshi, Yukio Katori

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Abstract

Previous studies of the treatment of elderly head and neck cancer (HNC) patients were very limited and sometimes controversial. Although conclusions differ across various reports, it is often concluded that advanced chronological age does not directly affect prognosis, but that comorbidities and declines in physical and cognitive functions promote the occurrence of adverse events, especially with surgical treatment. Geriatric assessment (GA) and its screening tools are keys to help us understand overall health status and problems, predict life expectancy and treatment tolerance, and to influence treatment choices and interventions to improve treatment compliance. In addition, personal beliefs and values play a large role in determining policies for HNC treatment for elderly patients, and a multidisciplinary approach is important to support this. In this review, past research on HNC in older adults is presented, and the current evidence is explained, focusing on the management of elderly HNC patients, with an emphasis on the existing reports on each treatment stage and modality, especially the surgical procedures.

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在老龄化社会中治疗老年头颈癌患者：关注老年评估和手术治疗

以往对老年头颈癌（HNC）患者治疗的研究非常有限，有时还存在争议。虽然各种报告的结论不尽相同，但通常的结论是，高龄并不会直接影响预后，但合并症以及身体和认知功能的下降会导致不良事件的发生，尤其是手术治疗。老年医学评估（GA）及其筛查工具是帮助我们了解总体健康状况和问题、预测预期寿命和治疗耐受性、影响治疗选择和干预措施以提高治疗依从性的关键。此外，个人信仰和价值观在决定老年患者 HNC 治疗政策方面也发挥着重要作用，而多学科方法对支持这种治疗非常重要。在这篇综述中，介绍了以往关于老年人 HNC 的研究，并解释了当前的证据，重点是老年 HNC 患者的管理，重点是关于每个治疗阶段和治疗方式的现有报告，尤其是外科手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Auris Nasus Larynx 医学-耳鼻喉科学

CiteScore

3.40

自引率

5.90%

发文量

169

审稿时长

30 days

期刊介绍： The international journal Auris Nasus Larynx provides the opportunity for rapid, carefully reviewed publications concerning the fundamental and clinical aspects of otorhinolaryngology and related fields. This includes otology, neurotology, bronchoesophagology, laryngology, rhinology, allergology, head and neck medicine and oncologic surgery, maxillofacial and plastic surgery, audiology, speech science. Original papers, short communications and original case reports can be submitted. Reviews on recent developments are invited regularly and Letters to the Editor commenting on papers or any aspect of Auris Nasus Larynx are welcomed. Founded in 1973 and previously published by the Society for Promotion of International Otorhinolaryngology, the journal is now the official English-language journal of the Oto-Rhino-Laryngological Society of Japan, Inc. The aim of its new international Editorial Board is to make Auris Nasus Larynx an international forum for high quality research and clinical sciences.