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

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 pro...

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Published in:ESMO open 2024-08, Vol.9 (8), p.103657, Article 103657
Main Authors: Loh, K.P., Liposits, G., Arora, S.P., Neuendorff, N.R., Gomes, F., Krok-Schoen, J.L., Amaral, T., Mariamidze, E., Biganzoli, L., Brain, E., Baldini, C., Battisti, N.M.L., Frélaut, M., Kanesvaran, R., Mislang, A.R.A., Papamichael, D., Steer, C., Rostoft, S.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
cancer
geriatric assessment
Geriatric Assessment - methods
Geriatrics - methods
Humans
management
Medical Oncology - methods
Medical Oncology - standards
Neoplasms - therapy
older adults
Review
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Summary: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. •GAM informs oncological and non-oncological management.•Several large randomized trials have demonstrated the positive effects of GAM on outcomes in older adults with cancer.•The ESMO/SIOG Cancer in the Elderly Working Group proposes several recommendations on GAM in older adults with cancer.
ISSN:2059-7029
2059-7029
DOI:10.1016/j.esmoop.2024.103657