Rehabilitation of older cancer patients / Lodovico Balducci, Sophia Dorothe Fossa
Material type:
Continuing resourceISSN: 1651-226X
In:
Acta Oncologica -- 2013, v 52, n 2, p.233-238Summary: Cancer is a disease of aging. With the aging of the population and the improved survival of cancer patients, rehabilitation
of older cancer survival is an increasingly common problem. Defi nition and assessment of aging. Age may be constructed as
a progressive reduction in functional reserve of multiple organ systems leading to decreased life expectancy and reduced
stress tolerance. Physiologic age may be different from chronologic age and is best assessed with a comprehensive geriatric
assessment (CGA). The goals of cancer treatment in the older aged person include prolongation of active life expectancy
that is prevention of functional dependence. Cancer condition in which rehabilitation of older individuals may be needed. Cancer
and cancer treatment may accelerate physiologic aging. Rehabilitation is especially necessary in the case of curable malignancies or malignancies for which a prolonged survival is likely. Rehabilitation needs in older cancer survivors. Long-term
complications of cancer treatment that may compromise life expectancy and functional independence include fatigue cognitive decline and peripheral neuropathy. This paper reviews the risk factors and the management of these complications.
Conclusions. The number of older cancer survivors is expected to increase with the aging of the population. Prevention and
management of fatigue, cognitive decline and peripheral neuropathy appear as the most important issue to prolong the
active life expectancies of these individuals.
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Bibliografía: p.237-238
Cancer is a disease of aging. With the aging of the population and the improved survival of cancer patients, rehabilitation
of older cancer survival is an increasingly common problem. Defi nition and assessment of aging. Age may be constructed as
a progressive reduction in functional reserve of multiple organ systems leading to decreased life expectancy and reduced
stress tolerance. Physiologic age may be different from chronologic age and is best assessed with a comprehensive geriatric
assessment (CGA). The goals of cancer treatment in the older aged person include prolongation of active life expectancy
that is prevention of functional dependence. Cancer condition in which rehabilitation of older individuals may be needed. Cancer
and cancer treatment may accelerate physiologic aging. Rehabilitation is especially necessary in the case of curable malignancies or malignancies for which a prolonged survival is likely. Rehabilitation needs in older cancer survivors. Long-term
complications of cancer treatment that may compromise life expectancy and functional independence include fatigue cognitive decline and peripheral neuropathy. This paper reviews the risk factors and the management of these complications.
Conclusions. The number of older cancer survivors is expected to increase with the aging of the population. Prevention and
management of fatigue, cognitive decline and peripheral neuropathy appear as the most important issue to prolong the
active life expectancies of these individuals.
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