Challenging Ageism: Optimising Lung Cancer Treatment in Older Adults

In this episode of Conversations in Lung Cancer Research, hosted by Dr Michael Krasovitsky, a medical oncologist at St. Vincent's Hospital in Sydney, the focus is on lung cancer in older adults. The distinction and application of geriatric oncology are explored through comprehensive discussions with experts: A/Prof Christopher Steer, Prof Shalini Vinod, and Ms Nicole Webb. The conversation delves into the importance of geriatric assessments, the unique challenges faced by older patients undergoing cancer treatment, the impact of ageism, and the necessity of tailored, supportive care. Practical tools and approaches for assessing frailty, treatment decision making, and addressing the stigma surrounding lung cancer and aging are also detailed. The episode underscores the critical need for an open, compassionate, and holistic approach to cancer care in older populations. (00:00) Introduction and Acknowledgements(00:58) Meet the Experts(02:01) Understanding Geriatric Oncology(03:22) Challenges in Clinical Trials for Older Adults(06:53) Geriatric Assessment Tools(10:47) Frailty and Treatment Decisions(14:21)Quality of Life Considerations(17:51) Systemic Therapy Considerations(24:15) Radiotherapy in Older Adults(29:21) Support Systems and Practical Considerations(34:56) Addressing Ageism in Cancer Care(46:19) Stigma and Lung Cancer(49:28) Conclusion and Final Thoughts

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