Geriatric Radiation Oncology: Partnering with and Personalizing Cancer Care for Older Adults
Several national societies' guidelines, including NCCN and ASCO, recommend screening of older adults with cancer with comprehensive geriatric assessment (CGA) or similar tools. Recent large randomized controlled trials have found management of issues identified on geriatric screening tools is associated with improved tolerance of cancer treatment and decreased toxicity. Radiation oncologists may see a greater portion of older patients who are deemed ineligible for surgery or systemic therapy. It is critical for radiation oncologists to understand how best to screen older patients with cancer and how best to personalize management in a multidisciplinary setting. As the population continues to age, there is a great opportunity for radiation oncologists to become informed and educated in treatment of older patients who may not tolerate surgery or systemic therapy.
- Management of the Older Patient Receiving Cancer Treatment and Impact on Outcomes
Kavita V. Dharmarajan, MD, MS
- Screening for Frailty Using Clinical and Artificial Intelligence Tools
Raymond K. Mak, MD
- Geriatric Radiation Oncology: Practical Tools for Practicing Clinicians
Noam VanderWalde, MD, MS
- Q and A
This activity is available from February 20, 2024, through 11:59 p.m. Eastern time on February 19, 2026.
This activity was originally recorded at the 2023 ASTRO Annual Meeting.
The activity is designed to meet the interests of medical oncologists, radiation oncologists, surgeons, nurses, radiation dosimetrists, radiation therapists, biologists, residents, geriatricians and primary care providers.
Upon completion of this activity, participants should be able to:
- Describe barriers to care for older adults with cancer.
- Determine the difference between a "fit" older adult versus a "frail" older adult using Geriatric screening tools.
- Identify specific clinical scenarios where radiation therapy management is specifically impacted by issues specific to older patients.
- Anurag Saraf, MD, is employed by Brigham and Women's Hospital/Dana-Farber Cancer Institute.
- Raymond H. Mak, MD, is employed by Brigham and Women's Hospital/Dana-Farber Cancer Institute. Dr. Mak receives research funding from ViewRay and NIH. He sits on the advisory board of ViewRay and AstraZeneca. He serves a a consultant and/or receives honoraria from Varian Medical Systems, Sio Capital Management, Novartis, AAPM, and Springer Nature.
- Kavita Vyas Dharmarajan, MD, MS, is employed by Icahn School of Medicine at Mount Sinai. She receives research funding from NIH.
- Noam A. VanderWalde, MD, MS, is employed by West Cancer Center and Research Institute. He receives travel expenses from Alpha Tau Medical.
The person(s) above served as the developer(s) of this activity. Additionally, the Education Committee had control over the content of this activity. All relevant relationships have been mitigated.
The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council of Continuing Medical Education to provide continuing education to physicians.
ASTRO is awarded Deemed Status by the American Board of Radiology to provide SA-CME as part of Part II Maintenance of Certification.
- 1.00 AMA PRA Category 1 Credit™The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council for Continuing Medical Education for physicians. ASTRO designates this for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 Certificate of AttendanceThis activity was designated for 1.00 AMA PRA Category 1 Credit™.
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