Investigating the usefulness of functional assessment of the elderly for lung cancer patients undergoing surgical treatment

DOI IR Open Access
  • Zhang Lin wan
    Department of Oncological Medical Services, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan
  • Kondo Kazuya
    Department of Oncological Medical Services, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan
  • Imai Yoshie
    Department of Oncology Nursing, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan
  • Inoue Yuta
    Department of Oncological Medical Services, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan
  • Bando Takae
    Department of Medical Treatment Recovery Care Nursing, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan
  • Kawakita Naoya
    Department of Thoracic, Endocrine Surgery and Oncology, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan
  • Toba Hiroaki
    Department of Thoracic, Endocrine Surgery and Oncology, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan
  • Takizawa Hiromitsu
    Department of Thoracic, Endocrine Surgery and Oncology, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan

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Other Title
  • 外科治療を受ける肺がん患者に対する高齢者機能評価の有用性の検討

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Description

<p>　　Objective : We compared between the evaluation by the use of 6 Geriatric Assessments （GA） and surgeonʼs preoperative decision of vulnerable cases in lung cancer patients undergoing surgical treatment.</p><p>　　Methods : One hundred-ten lung cancer patients who underwent lung resection at Tokushima University Hospital between 2021 and 2023 were included in the study.　GA tools defined by JCOG for use in studies of the elderly : 1） G8 （Geriatric 8） Health status screening tool 2） Instrumental activities of daily living （IADL） scale, （3） Charlson Comorbidity Index （CCI） scale, （4） residential status, （5） Mini-Cog, and （6） Mini Nutritional Assessment （MNA） were completed.</p><p>　　Results : Of the 110 patients, 64．5％ were below baseline on at least one of five scales, including MNA, G8, IADL, Mini-Cog, and CCI （n=71）, and 12．7% （n=14） were below baseline on three or more scales.　The G8 and CCI scale items significantly influenced the surgeonʼs preoperative decision to be frail and vulnerable.</p><p>　　Conclusions : The medical staffs should examine the status of the surgical patients with lung cancer using comprehensively GA.</p>

Journal

  • SHIKOKU ACTA MEDICA

    SHIKOKU ACTA MEDICA 80 (1.2), 53-62, 2024-06-21

    Tokushima Medical Association

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