Geriatric assessment in the older adult with genitourinary cancer: A narrative review

Surbhi Singhal; Julianna G Marwell; Ali Raza Khaki

doi:10.3389/fonc.2023.1124309

Geriatric assessment in the older adult with genitourinary cancer: A narrative review

Front Oncol. 2023 Feb 2:13:1124309. doi: 10.3389/fonc.2023.1124309. eCollection 2023.

Authors

Surbhi Singhal¹, Julianna G Marwell², Ali Raza Khaki¹

Affiliations

¹ Division of Medical Oncology, Department of Medicine, Stanford University, Stanford, CA, United States.
² Section of Geriatric Medicine, Division of Primary Care and Population Health, Department of Medicine, Stanford University, Stanford, CA, United States.

Abstract

Genitourinary (GU) cancers including bladder, prostate, and kidney cancers affect older adults with a higher prevalence compared to younger adults. GU cancer treatment is associated with poorer outcomes in older adults compared to their younger counterparts. To better identify and support older adults receiving cancer care, oncologic societies recommend the use of a geriatric assessment (GA) to guide management. However, little is known about the implementation and usefulness of the GA in older adults with GU cancers. We performed a narrative review to investigate the utility of the GA in older adults with GU cancers and propose strategies to optimize the real-world use of the GA. Here, we describe a framework to incorporate GA into the routine cancer care of older adults with GU cancers and provide several implications for future research.

Keywords: bladder cancer; geriatric assessment; kidney cancer; older adult; prostate cancer.

Publication types

Review

Grants and funding

This work was supported by the Stanford Cancer Center Clinical Innovation Fund. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Stanford Cancer Center.