It was all part of a special kind of medical fitness test for older patients that's starting to catch on among cancer doctors. Instead of assuming that elderly patients are too frail for treatment or recommending harsh drugs tested only in younger patients, they are taking a broader look.
"It gave me encouragement. Then I felt like I am OK and I can get through this and will get through this," said Simpson, who lives in Fairport, New York, near Rochester. Almost 1 million U.S. adults aged 65 and older will be diagnosed with cancer this year, the American Cancer Society estimates. Nearly two-thirds of all cancer patients are in that age group. And yet, most cancer treatments stem from studies on younger, often healthier patients. That leaves doctors with limited information on how treatments will affect elderly patients. Geriatric assessments can help bridge that gap, said Dr.
Mohile co-authored a recent study that found just 1 in 4 U.S. cancer specialists did the assessments. She said doctors say it takes too long and that patients don't want it. But she hears from patients and caregivers: "I'm so happy you're asking me about these things. Nobody ever asked me."' Cancer "gave me a different perspective on what is important in life and what isn't and I'm still adjusting to that," Simpson said.
Beverly Canin, 84, of Rhinebeck, New York, became an advocate after declining chemotherapy following surgery for early breast cancer 20 years ago. She didn't have an assessment, and says her doctor dismissed her concerns about harsh side effects and refused to consider other options.
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