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Updated: May 11, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
[Geriatric assessment prior to oncological therapy]
1Abteilung für Palliativmedizin, Klinik für Innere Medizin II, Universitätsklinikum Jena, Erlanger Allee 101, 07747 Jena, Deutschland. ulrich.wedding@med.uni-jena.de
Cancer risk increases with age, particularly for genitourinary cancers. Structured geriatric assessment is crucial for tailoring cancer treatments in elderly patients, despite current low integration rates.
Area of Science:
- Oncology
- Geriatrics
- Epidemiology
Context:
- Ageing is the primary risk factor for cancer, including genitourinary malignancies.
- Demographic shifts towards an aging population globally are increasing the number of elderly cancer patients.
- Cancer therapies carry significant risks of toxic side effects, especially in older adults.
Purpose:
- To highlight the growing challenge of cancer in elderly populations.
- To emphasize the limitations of chronological age in assessing elderly patients' fitness for cancer treatment.
- To advocate for the integration of geriatric assessment in oncological decision-making.
Summary:
- Cancer incidence rises significantly with age, affecting genitourinary organs prominently.
- Elderly patients present heterogeneous health statuses, not accurately reflected by chronological age alone.
- Structured geriatric assessment offers a method to evaluate individual patient resources and risks for cancer therapy.
Impact:
- Increased adoption of geriatric assessment in oncology can personalize cancer care for older adults.
- Improved treatment tolerance and outcomes for elderly cancer patients are anticipated.
- Addressing the needs of aging cancer patients is a critical future task in cancer care.
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