Oops, you're using an old version of your browser so some of the features on this page may not be displaying properly.

MINIMAL Requirements: Google Chrome 24+Mozilla Firefox 20+Internet Explorer 11Opera 15–18Apple Safari 7SeaMonkey 2.15-2.23

ESMO E-Learning: Geriatric Oncology: An Introduction

New E-Learning module by Prof Dal Lago and Dr Pondé is now available. Watch the presentation and take the CME test today!

ESMO members

Take the CME test and receive

1 ESMO - MORA point

65 slides / 44 minutes

Learning objectives

  1. Understand the relationship between cancer and aging
  2. Understand the particular issues, including frailty, that affect cancer management among older patients
  3. Understand how comprehensive geriatric assessment works and what its uses are in oncology – including in predicting chemotherapy toxicity
  4. Understand the challenges for including older patients in clinical trials

Description

In this E-Learning module, the authors elaborate demographics of cancer and aging, issues related to chronological versus functional age, the aging process and its impact on organs and systems, comprehensive geriatric assessment, prediction scores related to chemotherapy toxicity in older patients and the participation of older patients with cancer in clinical research.

This is an update of a previous ESMO E-Learning module that captures advances in this field occurred in the last several years and now performed within the umbrella of the ESMO/SIOG Cancer in the Elderly Working Group activities dedicated to better education of oncologists on cancer issues in older patients with cancer.

Elderly is a subjective cultural concept that varies from culture to culture, depending on a mixture of health-related, social and economic factors. In industrialised societies, 70 years old is a standard cut-off point used to define a person as older; however, in other, poorer or more traditional societies, a lower age may be more appropriate.

People with the same chronological age can have widely different functional ages. In geriatric oncology, it is the functional age that determines management and the authors emphasise that a great deal of effort is dedicated to accurately evaluate functionality and its maintaining during the treatment.

Aging leads to decline in organ functions and this decline can be less than obvious based on tests alone. The authors elaborate a concept of frailty related to the aging process, screening tools, principles of comprehensive geriatric assessment and a range of problems relevant in geriatric oncology practice like a functional status, comorbidities, estimating life expectancy, cognition, psychological state, nutrition, fatigue, social support, use of medications, and geriatric syndromes.

The authors also provide examples of scales/tools with regard to different domains, they compare the tools, elaborate prediction tools in terms of chemotherapy associated toxicities and provide a completely new chapter on the participation of older patients with cancer in clinical trials.

The authors conclude that older patients will dominate future oncology practice. More initiatives are necessary to educate oncologists and integrate geriatrics into usual oncology practice and services. Critically, more elderly-centred studies with appropriate endpoints are necessary to provide the basis for more specific treatment standards that will allow to close the gap that currently exists between younger and older patients, and will lead to better outcomes in this patients population.

Last update: 24 Feb 2022

Dr Dal Lago has no interests to declare

Dr Pondé has reported no conflicts of interest in relation to this E-Module

This site uses cookies. Some of these cookies are essential, while others help us improve your experience by providing insights into how the site is being used.

For more detailed information on the cookies we use, please check our Privacy Policy.

Customise settings
  • Necessary cookies enable core functionality. The website cannot function properly without these cookies, and you can only disable them by changing your browser preferences.