Cancer Res Treat.  2010 Jun;42(2):61-68.

Geriatric Oncology: An Overview of Progresses and Challenges

Affiliations
  • 1Senior Adult Oncology, Moffitt Cancer Center, University of South Florida, Tampa, USA. martine.extermann@moffitt.org

Abstract

Thanks to the global improvement of health care and living conditions, the world population is aging. Already, in developed countries half of the cancers occur in patients aged 70 and older. In booming Asian nations, such as South Korea, the aging trend is particularly striking, and therefore geriatric oncology is rapidly coming at the foreground of oncology practice. As older patients have a very variable health status, the need for proper integration of an oncologic and a geriatric approach has become increasingly clear. The last two decades have seen the development of geriatric oncology programs and research, which we review here. An increasing amount of data is making clear that a geriatric assessment identifies many problems in older people with cancer, adds prognostic information, and might improve the outcomes of these patients. The near future will likely deliver the following: Operationalization of geriatric assessment into assessment and decision tools, as well as multidisciplinary interventions, in oncology; cooperation of aging and cancer research in the understanding of cancer biology, aging physiology, pharmacology of anticancer drugs; improved clinical study designs; development of geriatric oncology programs, and screening tools accessible to the private practitioner.

Keyword

Geriatric oncology; Geriatric assessment; Aging

MeSH Terms

Aged
Aging
Asian Continental Ancestry Group
Biology
Delivery of Health Care
Developed Countries
Geriatric Assessment
Humans
Mass Screening
Republic of Korea
Social Conditions
Strikes, Employee
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