A novel perioperative comprehensive care model for elderly patients with lung cancer
- VernacularTitle:老年肺癌患者围术期综合治疗新模式
- Author:
Daiping LI
1
;
Rui LIANG
1
;
Nan CHEN
2
;
Peng JIAO
3
;
Wenxin TIAN
4
;
Yixiao CHEN
1
;
Jirong YUE
1
;
Birong DONG
1
;
Lunxu LIU
2
;
Ning GE
1
Author Information
1. Department of Geriatrics and National Clinical Research Center for Geriatrics, West China Hospital of Sichuan University, Chengdu, 610041, P. R. China
2. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
3. Department of Thoracic Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100005, P. R. Chins
4. Department of Thoracic Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100005, P. R. Chims
- Publication Type:Journal Article
- Keywords:
Elderly lung cancer;
comprehensive geriatric assessment;
perioperative period;
treatment modality;
frailty;
delirium;
sarcopenia;
cognitive impairment;
malnutrition
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2026;33(09):1375-1387
- CountryChina
- Language:Chinese
-
Abstract:
With the accelerating aging of the population, the proportion of elderly patients with lung cancer continues to rise, presenting multiple challenges to perioperative management. This paper systematically reviews the clinical characteristics of elderly lung cancer patients. Based on the comprehensive geriatric assessment, it proposes incorporating seven major geriatric syndromes—frailty, delirium, sarcopenia, cognitive impairment, malnutrition, dysphagia, and mood disorders—into the core evaluation system. By integrating multimorbidity management with complication prevention and control, an integrated "geriatric syndrome-multimorbidity-complication" perioperative management model is constructed. Furthermore, this paper outlines stratified intervention strategies for geriatric syndromes, a "five-step" workflow for comorbidity management, and a comprehensive intervention pathway for complications across the preoperative, intraoperative, and postoperative phases. Multidisciplinary team (MDT) collaboration serves as the core mechanism to achieve individualized comprehensive treatment. This paper aims to provide a novel perioperative comprehensive treatment model for elderly lung cancer patients, which is centered on geriatrics, supported by multidisciplinary collaboration, and guided by precision medicine.
