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How do we include geriatricians in geriatric oncology? The geriatrician's perspective
Celia Gabriela Hernández Favela1, Carolina Gómez Moreno2, Wee Kheng Soo3
1Department of Geriatric Medicine, University of Toronto, Toronto, Canada; Geriatric Service, Sunnybrook Health Sciences Centre, Toronto, Canada.
Integrating geriatricians into cancer care improves outcomes for older adults. Strategies address workforce shortages and implementation barriers, enhancing quality of life and survival.
Area of Science:
- Geriatric Medicine
- Oncology
- Cancer Care
Background:
- Older adults comprise the majority of cancer patients.
- Geriatric expertise is currently underrepresented in oncology.
- This gap impacts care quality and patient outcomes.
Purpose of the Study:
- To review practical strategies for integrating geriatricians across the cancer care continuum.
- To explore models of collaboration and innovative solutions for geriatrician shortages.
- To highlight the benefits of comprehensive geriatric assessment in older cancer patients.
Main Methods:
- Literature review of existing evidence and emerging strategies.
- Analysis of interdisciplinary collaboration models.
- Discussion of implementation barriers and potential solutions.
Main Results:
- Comprehensive geriatric assessment improves treatment tolerance, quality of life, and survival.
- Implementation barriers include workforce limitations, time constraints, and lack of support.
- Emerging strategies include task-shifting, telehealth, and education.
Conclusions:
- Integrating geriatricians into multidisciplinary oncology teams is crucial for equitable, personalized cancer care.
- Structured collaboration, institutional support, and policy initiatives are needed.
- Geriatric oncology is essential for optimizing care for aging populations with cancer.
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