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

Objective : We compared between the evaluation by the use of 6 Geriatric Assessment（GA） and surgeonʼs preoperative decision of vulnerable cases in lung cancer patients undergoing surgical treatment.
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.
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.
Conclusions : The medical staffs should examine the status of the surgical patients with lung cancer using comprehensively GA.