Adequate assessment yields appropriate care—the role of geriatric assessment and management in older adults with cancer: a position paper from the ESMO/SIOG Cancer in the Elderly Working Group

K. P. Loh*, G. Liposits, S. P. Arora, N. R. Neuendorff, F. Gomes, J. L. Krok-Schoen, T. Amaral, E. Mariamidze, L. Biganzoli, E. Brain, C. Baldini, N. M.L. Battisti, M. Frélaut, R. Kanesvaran, A. R.A. Mislang, D. Papamichael, C. Steer, S. Rostoft

*Corresponding author for this work

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Abstract

With the aging population, older adults constitute a growing proportion of the new cancer cases. Given the heterogeneous health status among older adults and their susceptibility to aging-related vulnerabilities, understanding their diversity and its implications becomes increasingly crucial for prognostication and guiding diagnostics, treatment decisions, and follow-up, as well as informing supportive care interventions. Geriatric assessment and management (GAM) refers to the comprehensive evaluation of an older individual's health status with subsequent management plans focusing on both oncologic and non-oncologic interventions. In 2019, the European Society for Medical Oncology (ESMO) and the International Society of Geriatric Oncology (SIOG) established the ESMO/SIOG Cancer in the Elderly Working Group. This position paper reflects the recommendations of the working group. Our paper summarizes the existing evidence with a focus on recent key trials and based on this, we propose several recommendations and future directions.

Original languageEnglish
Article number103657
JournalESMO Open
Volume9
Issue number8
Number of pages12
ISSN2059-7029
DOIs
Publication statusPublished - Aug 2024

Keywords

  • cancer
  • geriatric assessment
  • management
  • older adults

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