Aging: The True Cancer Risk No One Avoids

Age is identified as the most significant, yet unavoidable, risk factor for cancer, a critical consideration given that older adults constitute Canada's fastest-growing population segment. By 2068, nearly 30% of Canadians are projected to be over 65. Current approaches to cancer care for this demographic are inadequate, though they present an opportunity for innovation.

International guidelines, such as those from the American Society of Clinical Oncology, advocate for geriatric assessments for older adults before cancer treatment decisions. These assessments, often involving geriatricians, evaluate how treatment might affect cognition, function, existing illnesses, and life expectancy, prioritizing patient wishes and support systems. Specialized geriatric oncology clinics, though few in number, are demonstrating positive patient outcomes and significant cost savings for the public health system.

Despite evidence of cost-effectiveness and patient need, the implementation of specialized geriatric cancer care across Canada faces barriers. These include cost concerns, a shortage of geriatricians (though nurse-led models show promise), and systemic inertia within oncology care models. Ageism, or discrimination based on age, is also identified as a significant, deeply embedded obstacle.

There is a clear need to innovate care models to support older adults with cancer, particularly focusing on those most frail and likely to benefit from tailored interventions. Prioritizing these services for those who need them most can improve quality of life and achieve substantial financial impacts for the healthcare system.