Age: The Hidden Cancer Risk We Can't Avoid

The most significant risk factor for cancer is aging, an unavoidable aspect of life. This reality is increasingly pertinent as older adults constitute Canada's fastest-growing demographic. Projections indicate that by 2068, nearly 30% of Canadians will be over 65.

International guidelines advocate for geriatric assessments before cancer treatment decisions for older adults. These assessments, often involving geriatricians, help oncologists and patients understand treatment impacts on cognition, existing conditions, and remaining life, prioritizing patient wishes.

Canada has few specialized geriatric oncology clinics, with emerging services in Toronto and development noted in Ontario and Alberta. Studies indicate these clinics can save approximately $7,000 per patient, offering substantial cost benefits to the public health system.

Despite evidence and cost savings, routine specialized care for older adults with cancer is lacking. Barriers include healthcare costs, a shortage of geriatricians (though nurse-led models show promise), and systemic inertia in oncology care models.

Ageism, or discrimination based on age, also plays a significant role in this deficit. Addressing this requires innovating care models to support frail older adults, improving their quality of life and potentially yielding further financial benefits for the healthcare system.