The leading risk factor for cancer isn't what you think. While smoking, alcohol, and the sun are well-known culprits, the most significant factor is something we all face: ageing. This might seem counterintuitive, but it's a crucial insight as the global population of older adults grows. By 2068, nearly a third of Canadians will be over 65, and cancer is a leading concern in this demographic. This demographic shift highlights the need for innovative cancer care tailored to the unique challenges of older adults. International guidelines recommend geriatric assessments for all older adults before cancer treatment decisions, emphasizing the importance of considering their overall health, cognition, and life expectancy. These assessments, conducted by geriatricians, focus on patient wishes and support systems, offering a more holistic approach than traditional cancer treatment plans. However, specialized geriatric oncology clinics are scarce in Canada, with only a handful of clinics nationwide. This is despite evidence of cost savings and improved patient outcomes. The absence of these services in British Columbia, for instance, has been attributed to cost, healthcare workforce shortages, and inertia within the oncology care model. Ageism, a pervasive form of discrimination, also plays a role in the reluctance to provide specialized care for older adults. The challenge lies in the overwhelming number of older adults diagnosed with cancer, making universal specialized services impractical. Instead, a targeted approach focusing on the most frail and vulnerable patients is proposed, leveraging cost savings and improved quality of life. This strategy not only addresses the immediate needs of older adults but also aligns with the growing demand for personalized healthcare. As we navigate this evolving landscape, it's crucial to recognize the importance of geriatric assessments and tailored care for older adults, ensuring that cancer treatment remains effective and compassionate in the face of an ageing population.
