Published in:
01-10-2020 | Geriatric Assessment | Geriatric Oncology (L Balducci, Section Editor)
Systemic Therapy of Common Tumours in Older Patients: Challenges and Opportunities. A Young International Society of Geriatric Oncology Review Paper
Authors:
Nicolò Matteo Luca Battisti, Gabor Liposits, Nienke Aafke De Glas, Fabio Gomes, Capucine Baldini, Supriya Mohile
Published in:
Current Oncology Reports
|
Issue 10/2020
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Abstract
Purpose of Review
Decision-making for systemic treatments in older patients with cancer is difficult because of concerns for decreased organ function, risk of toxicity, limited life expectancy due to comorbidities and the lack of evidence available to guide its management in this population. Here, we review the data on the role of systemic agents for the treatment of common malignancies in this age group.
Recent Findings
Evidence on the use of systemic treatments for older patients with cancer is increasing, especially for newer options including immune checkpoint inhibitors and targeted agents that provide comparable benefit in older and younger patients. Nonetheless, the risks for short- and long-term toxicities need to be considered. More research is warranted and represents a unique opportunity to increase the knowledge on cancer treatment for older adults.
Summary
Healthy, older individuals should be considered for standard systemic treatment options, whereas those at risk based on geriatric assessments require adjusted plans. Geriatric assessments are key for decision-making.