Geriatric oncology and palliative medicine.

People age 65 years and older are the fastest growing segment of the US population. Cancer is one of the leading causes of death in the elderly. Geriatric oncology has developed since most cancer cases are diagnosed in elderly patients and the majority of cancer deaths occur in elderly patients. Little is known on how to best treat elderly patients with cancer and deal with treatment side effects and palliative care. Most recommendations have focused on the need for clinical trials specifically for the elderly with cancer, and a short, easy tool to predict chemotherapy toxicity. The focus of geriatric oncologists has been to integrate geriatric assessment into the care of the elderly cancer patient and find new assessment tools to predict chemotherapy tolerance, toxicity, and outcomes. Understanding the importance of supportive management during antineoplastic treatment and developing an intentional approach to palliative care issues (which are an important part of treating elderly patients with cancer) will help patients complete a full treatment course and maintain quality of life.