Incorporating Geriatric Medicine Providers into the Care of the Older Adult with Cancer.
A significant proportion of cancer patients and survivors are age 65 and over. Older adults with cancer often have more complex medical and social needs than their younger counterparts. Geriatric medicine providers (GMPs) such as geriatricians, geriatric-trained advanced practice providers, and geriatric certified registered nurses have expertise in caring for older adults, managing complex medical situations, and optimizing function and independence for this population. GMPs are not routinely incorporated into cancer care for older adults; however, their particular skill set may add benefit at many points along the cancer care continuum. In this article, we review the role of geriatric assessment in the care of older cancer patients, highlight specific case scenarios in which GMPs may offer additional understanding and insight in the care of older adults with cancer, and discuss specific mechanisms for incorporating GMPs into oncology care.
University of Rochester, Rochester, NY, USA. Allison_magnuson@urmc.rochester.edu.|Wilmot Cancer Institute, Strong Memorial Hospital, 601 Elmwood Avenue, Box 704, Rochester, NY, 14642, USA. Allison_magnuson@urmc.rochester.edu.
Allison
A
Magnuson
SCOREBoard, Rochester, NY, USA.
Beverly
B
Canin
University of Pittsburgh, Pittsburgh, PA, USA.
G J
GJ
van Londen
University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Beatrice
B
Edwards
Lifespan Oncology Clinical Research, Newport, RI, USA.
Pamela
P
Bakalarski
Geriatric Oncology Solutions, La Jolla, CA, USA.
Ira
I
Parker
D000328:Adult; D000368:Aged; D015577:Geriatric Assessment; D006282:Health Personnel / Q000592:standards*; D006299:Health Services for the Aged / Q000592:standards* / Q000600:supply & distribution* / Q000639:trends; D006801:Humans; D009369:Neoplasms / Q000628:therapy*
Geriatric medicine provider; Geriatric oncology; Models of care