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Geriatric Assessment-Guided Care for Older Adults with Cancer: A Clinical Practice Review

ACTA MEDICA INDONESIANA · Vol. 58 No. 3 (2026)

ISSN
2338-2732, 0125-9326
Terbit
2026-09-28
Penerbit
The Indonesian Society of Internal Medicine
Bahasa
eng
Lisensi
creativecommons.org/licenses/by/4.0

Abstrak

Cancer is a growing global health burden among older adults, with incidence rising most rapidly in low- and middle-income countries. Chronological age alone poorly reflects physiological reserve, comorbidity, frailty, and functional status, which together determine how well an older patient tolerates cancer therapy. This clinical practice review summarizes contemporary geriatric oncology approaches based on international consensus guidelines and current literature. Comprehensive geriatric assessment (CGA), evaluating functional status, comorbidity, falls, cognition, mood, nutrition, polypharmacy, and social support, outperforms performance status alone in predicting chemotherapy toxicity, treatment completion, functional decline, and mortality. Beyond prognostication, randomized trials have shown that geriatric assessment-guided management reduces severe chemotherapy toxicity and improves communication about ageing-related concerns without compromising survival, which is the strongest argument for embedding assessment into routine oncology care. Validated brief screening tools such as the Geriatric-8 (G8) can identify patients who warrant full assessment, and chemotherapy toxicity calculators such as the Cancer and Aging Research Group and Chemotherapy Risk Assessment Scale for High-Age Patients scores improve risk estimation and support shared decision-making. Implementation remains the principal barrier in resource-limited settings, where geriatrician availability, clinic time, and reimbursement constrain routine use; pragmatic adaptations include nurse-led or self-administered assessment and stepwise screening pathways. Geriatric assessment-guided multidisciplinary care, adapted to local resources, should be regarded as the standard of care for older adults with cancer rather than an optional refinement, and deserves explicit incorporation into national cancer control planning.

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  • Universitas Teknologi Sumbawa
  • Universitas Gadjah Mada
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Siti SetiatiAfiliasi tidak diketahui5
Cosphiadi IrawanAfiliasi tidak diketahui5
Kuntjoro HarimurtiAfiliasi tidak diketahui3
Lisnawati LisnawatiUniversitas Teknologi Sumbawa2
Noto DwimartutieAfiliasi tidak diketahui2
Muchtaruddin MansyurAfiliasi tidak diketahui2
Achmad Fauzi KamalAfiliasi tidak diketahui2
Marlinda AdhamAfiliasi tidak diketahui2
Mardiah Suci HardiantiAfiliasi tidak diketahui2
Thariqah SalamahAfiliasi tidak diketahui2
Murdani AbdullahAfiliasi tidak diketahui2
Muhammad Khifzhon AzwarAfiliasi tidak diketahui2
Hamzah ShatriAfiliasi tidak diketahui2
Roza MulyanaAfiliasi tidak diketahui2
Rensa RensaAfiliasi tidak diketahui2
Rahmi IstantiAfiliasi tidak diketahui2
IGP Suka AryanaAfiliasi tidak diketahui2
Nur AtikahAfiliasi tidak diketahui1
Gurmeet SinghAfiliasi tidak diketahui1
Hasan MaulahelaAfiliasi tidak diketahui1
Adi UtariniUniversitas Gadjah Mada1
Retna S PadmawatiAfiliasi tidak diketahui1
Esthika DewiastyAfiliasi tidak diketahui1
Aida LydiaAfiliasi tidak diketahui1
M SadikinAfiliasi tidak diketahui1
Indra G MansurAfiliasi tidak diketahui1
Reyhan Eddy YunusAfiliasi tidak diketahui1
Ika FitrianaHasanuddin University1
Eka Dian SafitriAfiliasi tidak diketahui1
Siti Rizny F SaldiAfiliasi tidak diketahui1
Rudi PutrantoAfiliasi tidak diketahui1
Ratih Arianita AgungAfiliasi tidak diketahui1
Eric Daniel TendaAfiliasi tidak diketahui1
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Sumber metadata: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Geriatric Assessment-Guided Care for Older Adults with Cancer: A Clinical Practice Review</dc:title>
	<dc:creator>Rizka, Aulia</dc:creator>
	<dc:creator>Soejono, Czeresna Heriawan </dc:creator>
	<dc:creator>Prasetyawaty, Findy </dc:creator>
	<dc:creator>Cahyanur, Rahmat</dc:creator>
	<dc:subject xml:lang="en-US">geriatric oncology</dc:subject>
	<dc:subject xml:lang="en-US">elderly</dc:subject>
	<dc:subject xml:lang="en-US">frailty</dc:subject>
	<dc:subject xml:lang="en-US">cancer</dc:subject>
	<dc:subject xml:lang="en-US">Geriatric assessment</dc:subject>
	<dc:subject xml:lang="en-US">neoplasms</dc:subject>
	<dc:subject xml:lang="en-US">Aged</dc:subject>
	<dc:subject xml:lang="en-US">medical oncology</dc:subject>
	<dc:subject xml:lang="en-US">drug-related side effects and adverse reactions</dc:subject>
	<dc:description xml:lang="en-US">Cancer is a growing global health burden among older adults, with incidence rising most rapidly in low- and middle-income countries. Chronological age alone poorly reflects physiological reserve, comorbidity, frailty, and functional status, which together determine how well an older patient tolerates cancer therapy. This clinical practice review summarizes contemporary geriatric oncology approaches based on international consensus guidelines and current literature. Comprehensive geriatric assessment (CGA), evaluating functional status, comorbidity, falls, cognition, mood, nutrition, polypharmacy, and social support, outperforms performance status alone in predicting chemotherapy toxicity, treatment completion, functional decline, and mortality. Beyond prognostication, randomized trials have shown that geriatric assessment-guided management reduces severe chemotherapy toxicity and improves communication about ageing-related concerns without compromising survival, which is the strongest argument for embedding assessment into routine oncology care. Validated brief screening tools such as the Geriatric-8 (G8) can identify patients who warrant full assessment, and chemotherapy toxicity calculators such as the Cancer and Aging Research Group and Chemotherapy Risk Assessment Scale for High-Age Patients scores improve risk estimation and support shared decision-making. Implementation remains the principal barrier in resource-limited settings, where geriatrician availability, clinic time, and reimbursement constrain routine use; pragmatic adaptations include nurse-led or self-administered assessment and stepwise screening pathways. Geriatric assessment-guided multidisciplinary care, adapted to local resources, should be regarded as the standard of care for older adults with cancer rather than an optional refinement, and deserves explicit incorporation into national cancer control planning.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2026-09-28</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/3557</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 58 No. 3 (2026): Acta Medica Indonesiana; 479</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/3557/898</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2026 Aulia Rizka, Czeresna Heriawan  Soejono, Findy  Prasetyawaty, Rahmat Cahyanur</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by/4.0</dc:rights>
</oai_dc:dc>