title: The illness trajectory of elderly cancer patients across cultures: SIOG position paper.
abstract: BACKGROUND
  Due to the aging of the population, cancer has become a health priority worldwide. While the number of elderly cancer patients is rapidly increasing, many barriers still exist to their effective management. Compared with their younger counterparts, the elderly are less likely to receive optimal medical, psychological and spiritual treatment provided in a culturally competent manner.
  
  
  METHODS
  The scanty literature on cultural competence in elderly cancer patients has been reviewed. Additional material has been selected based on the authors' clinical research in medical oncology and psycho-oncology, and on their scholarly work in anthropology and bioethics.
  
  
  RESULTS
  The aging process is a synergistic product of biological, behavioral and social issues within a cultural context. Knowledge about how older people understand, perceive and experience their illness trajectory and make choices is essential to the planning and delivering of effective cancer care.
  
  
  CONCLUSIONS
  This position paper of the SIOG Task Force on Cultural Competence in the Elderly creates awareness of the influence of culture in geriatric oncology. Negotiating cross-cultural issues in geriatric oncology helps managing possible conflicts between patients, families and physicians over differing health care values, beliefs, or practices. Possible areas of future scholarly investigation and clinical research are identified.
authors.affiliation: European School of Oncology, Via del Bollo 4, 20123 Milan, Italy. surbone@esoncology.org
authors.forename: A
authors.initials: A
authors.lastname: Surbone
authors.forename: M
authors.initials: M
authors.lastname: Kagawa-Singer
authors.forename: C
authors.initials: C
authors.lastname: Terret
authors.forename: L
authors.initials: L
authors.lastname: Baider
mesh_terms: D000368:Aged; D000375:Aging; D003469:Culture; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000453:epidemiology / Q000628:therapy*; D012727:Sex Characteristics; D012944:Social Support