Comprehensive evaluation of the results of bone marrow biopsy in our geriatric clinic: diagnosis, presentation and mortality

Öz

With aging, the frequency of hematologic diseases is increasing. Bone marrow biopsy is a procedure that allows diagnosis of many diseases affecting bone marrow. In this study, the most common hematologic pathologies and their presentation, functional and mortality effects were identified in our patient group. It was seen that the biopsy results were compatible with the preliminary diagnoses made by considering the presentation and laboratory values of the patients. In the areas of malignancy diagnosis, survival times were found to be long. Considering the existence of comorbid diseases in the elderly, the performance of the patient, and the benefit of treatment after diagnosis, bone marrow biopsy should be performed indefinitely and should not be avoided due to age.

Anahtar Kelimeler

• bone marrow biopsy,elderly,comprehensive geriatric assessment,life span

Geriatri Kliniğimizde Yapılan Kemik İliği Biyopsi Sonuçlarının Çok Yönlü Değerlendirilmesi: Tanı, Prezentasyon ve Mortalite

Öz

ÖZET: Yaşlanma ile birlikte hematolojik hastalıkların sıklığı artmaktadır. Kemik iliği biyopsisi, kemik iliğini etkileyen pek çok hastalığın tanı almasını sağlayan bir işlemdir. Bu çalışmamızda kendi hasta grubumuzda en sık görülen hematolojik patolojilerin ve prezentasyonlarının belirlenmesi; bunların fonksiyonelliğe ve mortaliteye etkilerinin incelenmesi amaçlandı. Hastaların prezentasyon ve laboratuar değerleri göz önüne alınarak yapılan ön tanılar ile biyopsi sonuçlarının uyumlu olduğu görüldü. Malignite tanısı alanlarda, sağ kalım sürelerinin uzun olduğu görülmüştür. ÇYGD (çok yönlü geriatrik değerlendirme) testlerinde özellikle yürüme hızı ile ilişkili olduğu tespit edilmiştir. Yaşlıda komorbid hastalıkların varlığı, hastanın performansı, tanı konduktan sonra verilecek tedaviden fayda görebilme durumu göz önünde bulundurularak  endikasyon dahilinde kemik iliği biyopsisi mutlaka yapılmalı, yaştan dolayı kaçınılmamalıdır.

ABSTRACT: With aging, the frequency of hematologic diseases is increasing. Bone marrow biopsy is a procedure that allows diagnosis of many diseases affecting bone marrow. In this study, the most common hematologic pathologies and their presentation, functional and mortality effects were identified in our patient group. It was seen that the biopsy results were compatible with the preliminary diagnoses made by considering the presentation and laboratory values of the patients. In the areas of malignancy diagnosis, survival times were found to be long. Considering the existence of comorbid diseases in the elderly, the performance of the patient, and the benefit of treatment after diagnosis, bone marrow biopsy should be performed indefinitely and should not be avoided due to age.

Anahtar Kelimeler

• kemik iliği biyopsisi,yaşlı,kapsamlı geriatrik değerlendirme

Kaynakça

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