About this Research Topic
Most of the scientific research and clinical protocols on urological diseases and treatments are generally based on the ‘normal’ adult population. However, these clinical procedures are now facing serious limitations, due to the increased aging population, as a result of the decrease in birth-rate as well as increased life expectancy. Surgical or systemic treatment or radiotherapy are the current therapeutic standards. Personalization of treatment in the elderly population is essential, in taking into account an individuals' general health status and physiological reserves. Therefore, to reduce treatment-associated undesired events, understanding how to properly evaluate, select, and prepare candidates for active treatment appears to be critical in the daily urological practice.
Although plenty of publications demonstrate that older age, comorbidities, and frailty/senility expose urological patients to adverse surgical and oncological outcomes, there is a lack of research structuring a multidisciplinary-spanned decision-making model and protocol for the preparation and after-care following treatment for severe urological conditions. These tools could help clinicians to personalize treatment and to reduce treatment-associated undesired events in the treated elderly population.
The goals of this Research Topic are to provide the reader with valuable and up to date information regarding the different aspects related to active treatment for urologic cancers in the elderly population, focusing specifically on holistic evaluation and preparation, perioperative outcomes, and the disease-related survival outcomes.
The scope of this Research Topic is to collect scientific evidence on surgical and non-surgical management of elderly patients with urological diseases, focusing more on the general multidisciplinary assessment of the patient, rather than age per se. We will accept original research and review articles on the following topics:
• Decision-making models for the elderly population (surgery or systemic treatment or radiotherapy) and identification of the candidates for treatment.
• Holistic preparation of the patient for surgery or systemic treatment or radiotherapy.
• Interdisciplinary evaluation of the elderly patient.
• Preoperative, intraoperative and postoperative care.
• Assessment of surgical complications and how to prevent them.
• Short and long-term functional outcomes.
• Short and long-term oncologic outcomes.
Keywords: Urology, surgery, Ageing, geriatric, Oncology
Important Note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.