老年妇女乳腺癌的当前挑战和前景:国际老年学会(SIS)调查。

Louise Scheer, Massimo Lodi, Tolga Özmen, Khalid Alghamdi, Stanley Anyanwu, Joshi Birendra, Mohsen Boubnider, Mauricio Costa, Darius Dian, Elisabeth Elder, Luiz Henrique Gebrim, Xiaojing Guo, Damien Heitz, Shigeru Imoto, Lydia Ioannidou-Mouzaka, Cary Kaufman, Hong Liu, Mamadou Mbodj, Esther Meka, Alexander Mundinger, Jorge Novelli, Daniel Ojuka, Ruben Orda, Valerijus Ostapenko, Tadeusz Pieńkowski, Paula Podolski, Thomas Vogel, Jian Yin, Vahit Özmen, Schlomo Schneebaum, Carole Mathelin
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引用次数: 0

摘要

目的:老年妇女乳腺癌(BC)的乳房x线摄影筛查和管理是有争议的,并且仍然是一个重要的健康问题。通过国际老年学学会(SIS)的成员,调查目前全球老年妇女BC的实践,突出争论的话题并提出观点。材料与方法:问卷发送至SIS网络,包括55个问题,涉及老年妇女的定义、BC流行病学、筛查、临床和病理特征、老年妇女的治疗管理、老年肿瘤评估和观点。结果:来自六大洲21个国家的28位受访者完成并提交了调查,代表了28.6亿人口。大多数受访者认为70岁及以上的女性是老年人。在大多数国家,与年轻女性相比,BC通常在晚期被诊断出来,与年龄相关的死亡率很高。因此,参与者建议在预期寿命较长的老年妇女中继续进行个性化筛查。此外,该调查强调,需要更多地使用老年衰弱评估工具和综合老年评估,并应开发以避免治疗不足。同样,应该鼓励针对老年女性BC患者的多学科会议,以避免治疗不足和过度,并增加她们对临床试验的参与。结论:由于预期寿命的增加,老年妇女的BC将成为公共卫生中更重要的领域。因此,筛查、个性化治疗和全面的老年评估应该是未来实践的基石,以避免目前与年龄相关的死亡率过高。该调查通过SIS的成员描述了目前国际上对老年妇女BC的做法的全球概况。
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Current Challenges and Perspectives in Breast Cancer in Elderly Women: The Senologic International Society (SIS) Survey.

Objective: Mammographic screening and management of breast cancer (BC) in elderly women are controversial and continue to be an important health problem. To investigate, through members of the Senologic International Society (SIS), the current global practices in BC in elderly women, highlighting topics of debate and suggesting perspectives.

Materials and methods: The questionnaire was sent to the SIS network and included 55 questions on definitions of an elderly woman, BC epidemiology, screening, clinical and pathological characteristics, therapeutic management in elderly women, onco-geriatric assessment and perspectives.

Results: Twenty-eight respondents from 21 countries and six continents, representing a population of 2.86 billion, completed and submitted the survey. Most respondents considered women 70 years and older to be elderly. In most countries, BC was often diagnosed at an advanced stage compared to younger women, and age-related mortality was high. For this reason, participants recommended that personalized screening be continued in elderly women with a long life expectancy.In addition, this survey highlighted that geriatric frailty assessment tools and comprehensive geriatric evaluations needed to be used more and should be developed to avoid undertreatment. Similarly, multidisciplinary meetings dedicated to elderly women with BC should be encouraged to avoid under- and over-treatment and to increase their participation in clinical trials.

Conclusion: Due to increased life expectancy, BC in elderly women will become a more important field in public health. Therefore, screening, personalized treatment, and comprehensive geriatric assessment should be the cornerstones of future practice to avoid the current excess of age-related mortality. This survey described, through members of the SIS, a global picture of current international practices in BC in elderly women.

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