Ageism in cancer care of the elderly.

This paper explores the existence and effects of ageism on cancer care of the elderly. Cancer-related care for the elderly patient has not been given appropriate attention. Many of our present attitudes are based on how history has treated the elderly. Screening programs often neglect individuals over 65 despite the increased prevalence of cancers in this age group. Little research evaluating age-related toxicities has been conducted, and no age-related guidelines for chemotherapy administration are available. Of the three modalities (chemotherapy, radiation therapy, and surgery), surgery has made the greatest change in practice based on an understanding of the aging process. Increasing prevalence of cancer in patients over 65, coupled with a projected increase in the numbers of uninsured, will change the demographics and the economics of cancer care dramatically. Early detection and prevention programs targeted toward tomorrow's elderly, who are today in their middle years, have the potential to significantly decrease both morbidity and mortality.