Comorbidity and cancer in the aged: the geriatrician's point of view

Demographic trends in Italy and Western countries show a progressive aging of the population, which concerns the 80+ segment. The aging population is characterized by increased comorbidity and functional decline. The "frail elderly", who has problems in a variety of areas, including the physical, cognitive, psychological, social and economic ones, represents the paradigm of the emerging demographic and epidemiologic reality. In oncology, there is increasing awareness of the impact of comorbidity on cancer management in the elderly (including both screening and treatment). The Comprehensive Geriatric Assessment represents the only answer to such problems, allowing to improve the quality of life, prolong survival and maintain functional status.