Ageing: Cancer's Unavoidable Risk Factor

Ageing is identified as the most significant and unavoidable risk factor for cancer. This is a critical issue as older adults constitute a rapidly growing population segment in Canada, projected to be 29% by 2068. Despite international recommendations for geriatric assessments prior to cancer treatment decisions, Canada has a limited number of specialized geriatric oncology clinics.

These specialized clinics, like those in Montréal and Toronto, offer a patient-centered approach, considering factors beyond cancer itself. Evidence suggests these assessments are more accurate than standard tests for identifying underlying issues and significantly improve patients' quality of life. Furthermore, studies indicate substantial cost savings, approximately $7,000 per older adult, benefiting the public healthcare system.

Barriers to wider implementation include healthcare costs, a shortage of geriatricians, and systemic inertia within oncology care models. Ageism is also cited as a significant, though difficult to address, factor. Innovations like nurse-led models offer potential solutions to address the demand and optimize care for frail older adults most likely to benefit from tailored treatment.