Priorities for the global advancement of care for older adults with cancer: an update of the International Society of Geriatric Oncology Priorities Initiative

Extermann M 1 , Brain E 2 , Canin B 3 , Cherian MN 4 , Cheung KL 5 , de Glas N 6 Show all authors , Devi B 7 , Hamaker M 8 , Kanesvaran R 9 , Karnakis T 10 , Kenis C 11 , Musolino N 4 , O'Donovan A 12 , Soto-Perez-de-Celis E 13 , Steer C 14 , Wildiers H 11 , International Society of Geriatric Oncology

Affiliations 

  • 1 Moffitt Cancer Center, University of South Florida, Tampa, FL, USA. Electronic address: [email protected]
  • 2 Institut Curie-Hôpital René Huguenin, Saint-Cloud, France
  • 3 Patient Representative from the Cancer and Aging Research Group, City of Hope Comprehensive Cancer Center, Duarte, CA, USA
  • 4 International Society of Geriatric Oncology, Geneva, Switzerland
  • 5 Professional Unit of Surgery, University of Nottingham, Derby, UK
  • 6 Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands
  • 7 Normah Medical Specialist Centre, Kuching, Sarawak, Malaysia
  • 8 Diakonessenhuis Utrecht, Utrecht, The Netherlands
  • 9 Division of Medical Oncology, National Cancer Centre, Singapore
  • 10 Division of Geriatrics, Department of Internal Medicine, University of Sao Paulo, Sao Paulo, Brazil
  • 11 Department of Medical Oncology University Hospitals Leuven, Leuven, Belgium
  • 12 Discipline of Radiation Therapy, School of Medicine, Trinity College, Dublin, Ireland
  • 13 Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico
  • 14 Border Medical Oncology, Albury Wodonga Regional Cancer Centre, Albury, NSW, Australia; Rural Clinical School, University of New South Wales, Albury, NSW, Australia
Lancet Oncol, 2021 01;22(1):e29-e36.
PMID: 33387502 DOI: 10.1016/S1470-2045(20)30473-3

Abstract

In 2011, the International Society of Geriatric Oncology (SIOG) published the SIOG 10 Priorities Initiative, which defined top priorities for the improvement of the care of older adults with cancer worldwide.1 Substantial scientific, clinical, and educational progress has been made in line with these priorities and international health policy developments have occurred, such as the shift of emphasis by WHO from communicable to non-communicable diseases and the adoption by the UN of its Sustainable Development Goals 2030. Therefore, SIOG has updated its priority list. The present document addresses four priority domains: education, clinical practice, research, and strengthening collaborations and partnerships. In this Policy Review, we reflect on how these priorities would apply in different economic settings, namely in high-income countries versus low-income and middle-income countries. SIOG hopes that it will offer guidance for international and national endeavours to provide adequate universal health coverage for older adults with cancer, who represent a major and rapidly growing group in global epidemiology.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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