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

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。

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.