老年共病管理的临床挑战与应对策略

Challenges and strategies for management of comorbidity in the elderly

摘要:

当前我国已经进入老龄化社会,老年共病发生率逐年递增,共存疾病的数量和复杂性也随着年龄的增长而增加。而目前的临床诊治和研究主要集中于单一疾病的管理,很少关注共病带来的复杂性问题。本文重点回顾了老年共病管理的新理念、临床多学科诊疗决策、老年共病领域的挑战性问题和研究热点等,针对老年共病管理提出应对策略。

Abstract:

With the aging society comes the increasing incidence of comorbidities. The number and the complexity of comorbid conditions increase with advancing age. Current clinical practice and research, however, mainly target single disease-specific care, without much attention to the complexities imposed by comorbid conditions. This review focuses on comorbidity management in the elderly in terms of the emerging concepts, clinical multidisciplinary decision-making in diagnosis and treatment, challenging issues, and highly sought-after research topics. Strategies are put forward for the management of comorbidities in the elderly.