The impact of ageism in the care of older adults with cancer

Abstract

Purpose of review This review summarizes recent research on the impact of ageism in older adults with cancer and how society can best address the issue. Despite older individuals representing the vast majority of those with cancer, with a dramatic increase in incidence anticipated in the coming decades, ageism remains an under-recognized and extremely detrimental phenomenon in cancer care. Recent findings We examine the associations between ageism and health, and highlight the consequences of higher mortality, a deterioration in mental and physical health, worse functional status and increased comorbidity burden. We then discuss the oncologic-specific impacts of ageism, including lower rates of cancer screening, decreased histological confirmation of cancer, decreased surgical intervention and systemic therapy prescription and poorer survivorship experience. To conclude, we illustrate the opportunities within oncologic systems of care to engage with, and dismantle, the damaging effects of ageism, namely policy and legislation, education and intergenerational contact. Summary Despite recognition of the numerous negative sequelae of ageism, there remains a paucity of literature regarding the intersection between ageism and cancer. Our piece summarizes the key developments in this field, but further evaluation is desperately required.

Supportive and palliative care for older adults with cancer

“…Ageism refers to pervasive stigmatization and prejudice faced by older individuals, and its negative impacts are gaining more recognition in cancer care. Krasovitsky et al [4] explore ageism's effects in cancer care, both at the individual and system level. Many clinical trials are developed based on ageist assumptions, which actively excludes older adults from participating.…”

“…Krasovitsky et al . 4 explore ageism’s effects in cancer care, both at the individual and system level. Many clinical trials are developed based on ageist assumptions, which actively excludes older adults from participating.…”