Aging: The Overlooked Cancer Risk Factor

When you think about cancer causes, smoking, alcohol, and sun exposure might spring to mind. But here’s the shocking reality: the biggest cancer risk factor isn’t avoidable at all—it’s aging! Yes, growing older is something we all experience, and it's closely linked to cancer rates.

A Demographic Shift That Demands Attention

As the population ages, especially in Canada where over 29% will be 65 and older by 2068, the importance of addressing cancer in older adults becomes critical. With cancer being one of the leading diseases in this age group, we must rethink how we deliver cancer care.

The Geriatric Assessment Gap

For older adults facing cancer, current care practices fall short. International guidelines stress the necessity of a geriatric assessment before treatment decisions are made. This crucial step allows oncologists to provide personalized care based on a patient’s overall health and life expectancy, taking cognition and existing illnesses into account.

Canada’s Current Geriatric Oncology Landscape

At the moment, Canada has only a handful of specialized geriatric oncology clinics, with notable ones in Montréal and Toronto. Despite promising studies showing that these clinics can save the healthcare system about $7,000 per patient, such services are not widely available, especially in places like British Columbia.

The Need for Change: Voices of the Community

A study involving discussions with over 100 cancer community members highlighted a clear demand for enhanced support for older patients. Caregivers and healthcare professionals alike stressed the necessity for better resources to cater to the unique needs of older adults in cancer care.

What’s Holding Us Back?

So, why aren’t these essential services more widespread? Cost is a significant factor, but findings show that investing in geriatric assessments would result in substantial savings in the long run. A lack of geriatric specialists also poses a challenge, but innovative nurse-led care models could provide a solution.

Tackling Ageism in Cancer Care

Perhaps the most insidious barrier is ageism—discrimination based on age. While we would never tolerate a similar situation for children with cancer, society often overlooks the needs of older patients. Addressing this bias is crucial to ensuring equitable healthcare for all.

Innovative Solutions for the Future

With the increasing number of older adults diagnosed with cancer, we must innovate care models tailored specifically for those most in need. By prioritizing the frailest patients, we not only enhance their quality of life but also provide cost-effective solutions.

It’s high time we change the conversation about cancer care for older adults. Armed with personal stories and robust data, we must advocate for a system that recognizes their unique needs and ultimately, saves lives.