Transcription of 1 高齢者がんの特徴と評価 - 一般社団法人 ...
1 1 . 1.. Q1 . A1 65 85 .. 65 65 . 1980 161,764 94,596 1990 217,413 137,094 2000 295,484 216,030 2010 353,499 284,115 2017 373,334 322,608 .. Q2 . A2 65 70 .. 65 65 . 1980 251,041 126,336 1990 401,941 215,626 2000 532,233 344,342 2010 806,236 557,820 2014 876,713 631,924 .. Q3-1 .. A3-1.. 2017 2014 . 65 65 . 7,454 6,149 19,013 12,565 5,328 4,318 13,272 8,602 2,126 1,831 5,741 3,963 74,120 66,765 114,550 92,947 53,002 47,486 77,617 63,327 21,118 19,279 36,933 29,615 11,568 9,670 22,784 16,756 9,580 8,017 19,233 14,198 1,988 1,653 3,551 2,558 45,226 40,004 129,239 102,117 29,745 26,234 89,049 70,109 15,481 13,770 40,145 32,008 50,681 43,345 135,434 99,479 27,334 22,836 77,504 55,780 23,347 20,509 57,930 43,699 27,114 24,224 40,666 32,951 17,822 15,441 27,119 21,023 9,292 8,783 13,547 11,928 18,179 16,827 22,257 19,679 9,237 8,422 11,582 10,016 8,942 8,405 10,675 9,663 34,224 29,743 36,239 29,201 17,401 14,547 18,654 14.
2 232 16,823 15,196 17,585 14,969 14,285 9,034 78,529 33,789 6,611 4,216 25,784 9,222 4,745 3,042 10,048 4,117 12,013 11,608 74,459 64,132 4,397 3,997 6,563 5,208 2,290 2,038 3,488 2,720 2,107 1,959 3,075 2,488 8,570 6,971 12,068 7,185 5,215 4,214 7,211 4,192 3,355 2,757 4,857 2,993 65 .. Q3-2 .. A3-2.. 1 2 3 4.. 2017 ) 74,120 50,681 45,226 34,224. 2014 135,434 129,239 114,550 40,666.. 2017 ) 53,002 29,745 27,334 17,822. 2014 89,094 77,617 77,504 74,459.. 2017 ) 23,347 21,118 16,823 15,481. 2014 78,529 57,940 40,145 36,933.. 2.. Q1 .. A1.. Comprehensive Geriatric Assessment CGA .. CGA . CGA .. CGA .. Geriatric Assessment (GA) 1).
3 2018 ASCO . 2) .. 65 GA .. GA . GA . / / .. 1) Wildiers H, et al. International Society of Geriatric Oncology consensus on geriatric assessment in older patients with cancer. J Clin Oncol. 2014;32:2595-2603. 2) Mohile SG, et al. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology. J Clin Oncol. 2018;36:2326-2347. Q2-1 .. A2-1.. NCCN 1).. ASCO 2) .. CARG Cancer and Aging Research Group CRASH Chemotherapy Risk Assessment scale for High-Age Patients . G8 VES-13 ASCO .. G8 VES-13 .. CARG CRASH .. IADL (Instrumental Activity of Daily Living). CCI.
4 cumulative illness Rating scale CIRS . 6 . GDS (Geriatric Depression scale ). Mini-Cog BOMC (Blessed Orientation Memory Concentration) test BMI (Body Mass Index). ASCO .. 1) Network NCC: NCCN Gidelines 2018. 2) Mohile SG, et al. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology. J Clin Oncol. 2018;36:2326-2347.. Q2-2.. A2-2 3 .. Performance status(PS) . PS ADL IADL .. 3 fit vulnerable . unfit 3 . 1 .. 1) Mahoney FI and Barthel DW. Functional evaluation : The Barthel St Med J 14:61-65,1965. 2) Lawton MP & Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily 9:179-168,1969.
5 3) Vellas B et al. Overview of the MNA--Its history and challenges. J Nut Health Aging 2006 ;10 :456-465. 4) Charlson ME et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chron Dis 1987; 40:373-383. 5) Miller MD et al. Rating chronic medical illness burden in geropsychiatric practice and research: application of the cumulative illness Rating Res 1992; 41: 237-248. 6) (Samsa GP et al. A summated score for the medication appropriateness index: development and assessment of clinimetric properties including content Clin Epidemiol 1994; 47: 891-896). 7) . HDS-R.
6 11 1339-1347,1991. 8) Folstein MF et al. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-198. 9) Yesavage JA et al. Development and validation of a geriatric depression screening scale : a preliminary report. J Psychiat Res 17:37-49,1983. 10 Inoue SK et al. Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann Intern Med 1990; 113: 941-948. 11) Sherbourne CD and Stewart AL. The MOS social support survey. Soc Sci Med 1991;. 32: 705-714). Q2-3 . A2-3 3 .. 1 . G8 .. Q3 .. A3.. ASCO 1) GA .. / .. ASCO.
7 GA .. 1) Mohile SG, et al. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology. J Clin Oncol. 2018;36:2326-2347.
