Survivorship Care of Older Adults With Cancer: Priority Areas for Clinical Practice, Training, Research, and Policy

Abstract

Article Tools REVIEW ARTICLES Caring for Older Adults With Cancer Article Tools OPTIONS & TOOLS Export Citation Track Citation Add To Favorites Rights & Permissions COMPANION ARTICLES No companion articles ARTICLE CITATION DOI: 10.1200/JCO.21.00226 Journal of Clinical Oncology - published online before print May 27, 2021 PMID: 34043450 Survivorship Care of Older Adults With Cancer: Priority Areas for Clinical Practice, Training, Research, and Policy Erin E. Kent , PhD, MS1,2xErin E. KentSearch for articles by this author; Eliza M. Park , MD, MSc1,2xEliza M. ParkSearch for articles by this author; William A. Wood , MD, MPH1,2xWilliam A. WoodSearch for articles by this author; Ashley Leak Bryant , PhD1,2xAshley Leak BryantSearch for articles by this author; and Michelle A. Mollica , PhD, MPH3xMichelle A. MollicaSearch for articles by this author Show More 1University of North Carolina at Chapel Hill, Chapel Hill, NC2Lineberger Comprehensive Cancer Center, Chapel Hill, NC3National Cancer Institute, Rockville, MD https://doi.org/10.1200/JCO.21.00226 First Page Full Text PDF Figures and Tables © 2021 by American Society of Clinical OncologyCONTEXTKey ObjectiveThe growing number of older adults living with cancer are a population in need of improved integration of oncology and primary care. We provide a conceptual review of topics critical and contemporary for cancer survivorship care of older adults.Knowledge GeneratedWe begin with a review with recent frameworks for cancer survivorship care and current topics in clinical oncology for older adults to provide context and impetus. We provide a conceptual evidence-based review of the current state of cancer survivorship care of older adults (age ≥ 65 years) focused on four key domains for consideration: the integration of geriatric assessment into survivorship care, care coordination, patient and family caregiver engagement, and health equity considerations for geriatric oncology.RelevanceTo maintain and improve upon our ability to provide patient-centered, responsive, and equitable cancer care, our care delivery systems must adapt to the growing number of older adults living with cancer.SUPPORTE.M.P. receives funding from a National Cancer Institute academic career development award (5K07CA218167).AUTHOR CONTRIBUTIONSConception and design: All authorsCollection and assembly of data: Erin E. Kent, Michelle A. MollicaData analysis and interpretation: Erin E. Kent, Michelle A. MollicaManuscript writing: All authorsFinal approval of manuscript: All authorsAccountable for all aspects of the work: All authorsAUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTERESTSurvivorship Care of Older Adults With Cancer: Priority Areas for Clinical Practice, Training, Research, and PolicyThe following represents disclosure information provided by authors of this manuscript. All relationships are considered compensated unless otherwise noted. Relationships are self-held unless noted. I = Immediate Family Member, Inst = My Institution. Relationships may not relate to the subject matter of this manuscript. For more information about ASCO's conflict of interest policy, please refer to www.asco.org/rwc or ascopubs.org/jco/authors/author-center.Open Payments is a public database containing information reported by companies about payments made to US-licensed physicians (Open Payments).Eliza M. ParkHonoraria: UpToDateWilliam A. WoodStock and Other Ownership Interests: Koneksa Health, Elektra LabsConsulting or Advisory Role: Koneksa, Best Doctors Inc, Elektra LabsResearch Funding: Genentech/Roche, PfizerAshley Leak BryantConsulting or Advisory Role: ServierNo other potential conflicts of interest were reported.

Topics & Concepts