Evaluation system for standardized surgery in elderly patients with lung cancer
- VernacularTitle:老年肺癌患者标准化手术评价体系
- Author:
Xingqi MI
1
;
Nan CHEN
1
;
Jiandong MEI
1
;
Hecheng LI
2
;
Shuguang ZHANG
3
;
Huanwen CHEN
4
;
Peng JIAO
5
;
Jun WANG
6
;
Chunfang ZHANG
7
;
Guangjian ZHANG
8
;
Xin LI
9
;
Qiang PU
1
;
Peng LIN
10
;
Lunxu LIU
1
Author Information
1. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
2. Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, P. R. China
3. Department of Thoracic Surgery, The First Hospital of China Medical University, Shenyang, 110001, P. R. China
4. Department of Thoracic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, P. R. China
5. Department of Thoracic Surgery, Beijing Hospital, Beijing, 100730, P. R. China
6. Department of Thoracic Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, P. R. China
7. Department of Thoracic Surgery, Xiangya Hospital, Central South University, Changsha, 410008, P. R. China
8. Department of Thoracic Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, 710061, P. R. China
9. Department of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, 300052, P. R. China
10. Department of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, 510060, P. R. China
- Publication Type:Journal Article
- Keywords:
Lung cancer;
elderly;
surgery;
quality control;
evaluation system
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2026;33(06):866-873
- CountryChina
- Language:Chinese
-
Abstract:
To address the growing challenge of an increasing number of elderly lung cancer patients amidst China's aging population and to fill the gap in quality control standards for surgical treatment in this special population, this study aimed to develop a standardized surgical evaluation system for elderly lung cancer patients tailored to China's national conditions. The system was established through a literature review, integrated the pathophysiological characteristics of elderly patients, and was constructed following review, feedback, and revision by experts from multiple thoracic surgery centers. Employing a 100-point scoring system, it comprises three primary domains: physical infrastructure and geriatric adaptability foundational conditions (10 points); management level and perioperative care models (20 points); and technical proficiency and clinical outcomes (70 points). The system places a strong emphasis on geriatric adaptability, proposing specific, quantifiable indicators for age-friendly facility modifications, control of elderly-specific complications, multidisciplinary collaboration, and standardized perioperative management. It provides a convenient and measurable assessment tool for quality control in the surgical treatment of elderly lung cancer in China, which is expected to promote the standardization and homogenization of diagnosis and treatment.
