New horizons in systemic anti-cancer therapy in older people

J L Parry1, P S Hall1, J Young2

  • 1Edinburgh Cancer Research Centre, University of Edinburgh, Edinburgh EH4 2XR, UK.

Age and Ageing
|April 5, 2018
PubMed

Insights

Cancer treatment for older adults faces challenges due to under-representation in clinical trials. This review focuses on optimizing systemic anti-cancer therapy for seniors, improving patient selection, and managing treatment toxicity.

Area of Science:

  • Geriatric Oncology
  • Clinical Pharmacology

Background:

  • Cancer incidence rises with age, making older adults a growing patient population.
  • Older adults are under-represented in clinical trials, limiting evidence-based treatment guidelines.
  • Unique physiological and comorbidity factors complicate cancer treatment decisions in the elderly.

Purpose of the Study:

  • To review strategies for optimizing cancer treatment in older patients.
  • To focus on systemic anti-cancer therapies for the geriatric population.
  • To address challenges in patient selection, treatment tolerance, and novel agent toxicity.

Main Methods:

  • Literature review of studies on cancer treatment in older adults.
  • Analysis of factors influencing systemic anti-cancer therapy in the elderly.
  • Examination of newer anti-cancer agents and their toxicity profiles in older patients.

Main Results:

  • Older adults require tailored approaches to systemic anti-cancer therapy.
  • Patient selection criteria need refinement to include geriatric-specific assessments.
  • Strategies to improve treatment tolerance and manage unique toxicities are crucial for efficacy.

Conclusions:

  • Optimizing cancer care for older adults necessitates individualized treatment plans.
  • Further research and inclusion of seniors in clinical trials are essential.
  • Addressing age-related complexities in systemic therapy improves outcomes for elderly cancer patients.

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