SummaryIntroductionPeri‐operative medicine is becoming increasingly relevant in the context of managing frail patients with cancer. This paper outlines how demographic shifts in populations are affecting cancer incidence and frailty rates, the relevance this holds to the management of cancer care, and the outcome measures that should be used to gauge best clinical practice to ensure patient‐centred care.MethodsA targeted literature review was conducted using the search terms ‘surgical oncology’, ‘outcomes’, ‘frailty’, ‘quality of life’ and ‘end of life’ from 10 to 17 June 2024. Articles were reviewed by all authors and core themes from the literature review were identified. Core themes were then discussed by the authors to construct a narrative review.ResultsThe review identified several core themes in relation to patient‐centred outcome measures for oncological surgery. The UK population is ageing and consequently, the number of older people being diagnosed with cancer is increasing. There is much evidence to show that older patients have poorer outcomes in terms of mortality and postoperative complications across all types and severities of cancer. Traditional outcome measures such as 30‐day mortality, duration of stay and recurrence rates fail to capture the outcomes that are most pertinent to this patient cohort. These include patient quality of life and treatment burden. We discuss the measurement of quality of life through the use of patient‐reported outcome measures and their limitations. We also highlight the need for patient‐centred, holistic care with the use of tools such as comprehensive geriatric assessment, which have been shown to improve patient outcomes.DiscussionThere is need for a greater emphasis on quality‐of‐life measures alongside mortality and patient‐reported outcome measures. We argue that holistic care approaches should play a greater role in enabling the measurement of outcome states beyond simply dead or alive.

中文翻译：

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以患者为中心的肿瘤手术结局测量：叙述性评价


摘要简介围手术期医学在管理虚弱的癌症患者方面变得越来越重要。本文概述了人口结构变化如何影响癌症发病率和虚弱率，这与癌症护理管理的相关性，以及应用于衡量最佳临床实践以确保以患者为中心的护理的结果指标。方法在 2024 年 6 月 10 日至 17 日期间使用搜索词“外科肿瘤学”、“结果”、“虚弱”、“生活质量”和“生命终结”进行有针对性的文献综述。所有作者都对文章进行了综述，并确定了文献综述的核心主题。然后，作者讨论了核心主题以构建叙述性综述。结果本综述确定了与肿瘤手术以患者为中心的结局测量相关的几个核心主题。英国人口正在老龄化，因此，被诊断出患有癌症的老年人人数正在增加。有大量证据表明，老年患者在所有类型和严重程度的癌症的死亡率和术后并发症方面的结局都较差。传统的结局指标，如 30 天死亡率、住院时间和复发率，无法捕捉到与该患者群体最相关的结局。这些因素包括患者的生活质量和治疗负担。我们讨论了通过使用患者报告的结果测量及其局限性来衡量生活质量。我们还强调需要使用综合老年评估等工具进行以患者为中心的整体护理，这些工具已被证明可以改善患者的预后。讨论除了死亡率和患者报告的结果测量外，还需要更加重视生活质量测量。我们认为，整体护理方法应该在衡量结果状态方面发挥更大的作用，而不仅仅是死亡或活着。