Models of Care in Geriatric Oncology

The highest incidence of cancer occurs among older adults, and the approach to cancer treatment and supportive measures in this age group is continuously evolving. Incorporating geriatric assessment (GA) into the care of the older patient with cancer has been shown to be feasible and predictive of outcomes; there are unique aspects of the traditional geriatric domains that can be considered in this population. Geriatric assessment-guided interventions can also be developed to support patients during their treatment course. There are several existing models of incorporating geriatrics into oncology care, including a consultative geriatric assessment, a geriatrician “embedded” within an oncology clinic, and primary management by a dual-trained geriatric oncologist. Although the geriatric assessment is led by a geriatrician or geriatric oncologist, it is a true multidisciplinary assessment, and often includes evaluation by a physical therapist, occupational therapist, pharmacist, social worker, and nutritionist.