Geriatric Oncology: Treatment, Assessment and Management

ISBN-13: 9780387890692 / Angielski / Miękka / 2009 / 346 str.

Arti Hurria; Lodovico Balducci

Opis

Cancer and aging are integrally related. Cancer incidence and mortality increase with age, with most cancer diagnoses and deaths occurring in patients aged 65 and older. The aging of the Baby Boomer population, along with an overall increase in life expectancy, points to a doubling of the U.S. population over age 65 by the year 2030. This demographic shift, combined with the known association of cancer and aging, is expected to bring about a rapid growth in the older cancer-patient population. It is clear that geriatric principles must become part of oncology care. The evaluation and development of treatment recommen- tions for an older adult with cancer can be challenging for many reasons. Tumor biology and response to therapy are affected by age. In addition, age-related factors may impact treatment patterns, tolerance, and efficacy. These age-related factors include functional status declines, comorbid conditions, changes in cognitive function, weakening of organ function, decreases in physiologic reserve, and faltering social support.

Recenzje

From the reviews:

"This is a review of all relevant topics in geriatric oncology for practicing oncologists, oncology nurses, geriatricians, or primary care providers. The purpose is to provide clinically useful material for practitioners. ... The book would best be used by physicians or nurses in the field medical oncology, but it also might be useful for others who care for elderly patients with cancer. ... The chapters are easy to read ... . The strength of this book lies in its common sense approach and practical usefulness." (James F. Brandman, Doody's Review Service, November, 2009)

Spis treści

Aging and Cancer: What Oncologists Need to Know.- Assessing the Older Cancer Patient.- Cancer Screening in Older Adults.- Physiological Consequences of Aging.- Assessment and Impact of Comorbidity in Older Adults with Cancer.- Geriatric Syndromes Defined and Explained for Oncology Practice.- Family Caregivers.- Surgical Management of the Older Patient with Cancer.- Chemotherapy for the Older Adult with Cancer.- Radiation Therapy in Geriatric Oncology.- Palliative Care: Special Considerations for Older Adults with Cancer.

Blurb

The management of the older person with cancer is based on the estimate of life expectancy, tolerance of treatment, patient preference, and socio-economic barriers to treatment. The thrust of this book is to make medical oncologists and other health professionals managing older patients with cancer aware of recent developments in geriatric assessment and in cancer management for the older adult. After consulting this text the practitioner will be able to provide individualized treatment to the older cancer patient, reflecting that patient's physiologic age and personal needs. This book will also provide a scaffold to organize rapidly developing advances in geriatric assessment. This is particularly relevant for oncologists since the majority of patients with cancer are 65 and older.

 

The target audiences for this book are oncologists of all specialties, oncology nurses, primary care physicians, geriatricians, and all other health professionals involved in the management of older patients with cancer.