The Impact of Comorbidity on Surgical Outcomes in Older Adults with Cancer

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• 作者：Virginia Sun ; ^vsun@coh.orgAuthor Vitae ; Peggy S. BurhennAuthor Vitae ; Lily LaiAuthor Vitae ; Arti HurriaAuthor Vitae
• 关键词：cancer ; comorbidity ; geriatrics ; surgery
• 刊名：Seminars in Oncology Nursing
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：33
• 期：1
• 页码：80-86
• 全文大小：137 K
• 卷排序：33

文摘

To provide an overview of the impact of comorbidity on surgical outcomes and postoperative geriatric events in older adults with cancer, and review key components of quality perioperative nursing care of older adults with cancer.Data SourcesJournal articles, research reports, state of the science papers, position papers, and clinical guidelines from professional organizations.ConclusionThe high prevalence of multiple comorbidities and the associated burden of geriatric events in older adults after cancer surgery have a substantial impact on surgical outcomes, quality of life, and health care costs. Practical and efficient models of comprehensive assessment, prevention, and management of postoperative geriatric events and comorbid conditions are needed to improve surgical outcomes for this vulnerable cancer population.Implications for Nursing PracticeOncology nurses practicing in clinical and research settings have a responsibility to arm themselves with evidence-based knowledge and resources to improve the perioperative care of older adults with cancer.