Biological aspects of aging that influence response to anticancer treatments.
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Embargo End Date
ICR Authors
Authors
Crimmin, J
Fulop, T
Battisti, NML
Fulop, T
Battisti, NML
Document Type
Journal Article
Date
2021-03-01
Date Accepted
Abstract
PURPOSE OF REVIEW: Cancer is a disease of older adults, where fitness and frailty are a continuum. This aspect poses unique challenges to the management of cancer in this population. In this article, we review the biological aspects influencing the efficacy and safety of systemic anticancer treatments. RECENT FINDINGS: The organ function decline associated with the ageing process affects multiple systems, including liver, kidney, bone marrow, heart, muscles and central nervous system. These can have a significant impact on the pharmacokinetics and pharmacodynamics of systemic anticancer agents. Comorbidities also represent a key aspect to consider in decision-making. Renal disease, liver conditions and cardiovascular risk factors are prevalent in this age group and may impact the risk of adverse outcomes in this setting. SUMMARY: The systematic integration of geriatrics principles in the routine management of older adults with cancer is a unique opportunity to address the complexity of this population and is standard of care based on a wide range of benefits. This approach should be multidisciplinary and involve careful discussion with hospital pharmacists.
Citation
Current Opinion in Supportive & Palliative Care, 2021, 15 (1), pp. 29 - 38
Source Title
Publisher
LIPPINCOTT WILLIAMS & WILKINS
ISSN
1751-4258
eISSN
1751-4266
Collections
Research Team
Breast Cancer Clinical Research
Breast Cancer Clinical Research
Breast Cancer Clinical Research