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Background <p>With the ageing of the population, the number of older adults with cancer and older cancer survivors is increasing substantially. While oncological therapies are becoming increasingly individualized, follow-up care remains largely focused on the detection of recurrence and often fails to adequately address the complex functional, somatic, and psychosocial long-term needs of older patients.</p> Objective <p>This review aims to describe the specific biological, functional, and health care-related challenges faced by older adults with cancer; to critically appraise existing survivorship care models; and to substantiate the need for geriatric oncology-oriented survivorship structures.</p> Methods <p>This narrative review is based on a&#xa0;literature search and the synthesis of international guidelines, reviews, and care models in geriatric oncology and cancer survivorship. In addition, the conceptual care model IMPULS‑A is presented as a&#xa0;practice-oriented example.</p> Results <p>Older cancer survivors exhibit a&#xa0;distinct vulnerability profile characterized by age-related biological changes, multimorbidity, frailty, and disease- and treatment-related long-term effects. International models indicate that structured, integrated survivorship concepts with strong involvement of primary care are better suited to address these needs than purely oncology-centered follow-up approaches.</p> Conclusion <p>Function- and participation-oriented geriatric oncology survivorship models are required for older cancer survivors. Programs such as IMPULS‑A address this gap through systematic screening, care navigation, and interdisciplinary coordination and show high potential for transfer into routine care.</p>

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Versorgung von älteren Krebsbetroffenen

  • 期刊论文

  • 发表日期：

    2026年3月27日

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  • Julien Frick,
  • Daniela Doege,
  • Till J. Bugaj,
  • Annette Eidam,
  • Jürgen M. Bauer,
  • Hans-Christoph Friederich,
  • Volker Arndt

摘要

Background

With the ageing of the population, the number of older adults with cancer and older cancer survivors is increasing substantially. While oncological therapies are becoming increasingly individualized, follow-up care remains largely focused on the detection of recurrence and often fails to adequately address the complex functional, somatic, and psychosocial long-term needs of older patients.

Objective

This review aims to describe the specific biological, functional, and health care-related challenges faced by older adults with cancer; to critically appraise existing survivorship care models; and to substantiate the need for geriatric oncology-oriented survivorship structures.

Methods

This narrative review is based on a literature search and the synthesis of international guidelines, reviews, and care models in geriatric oncology and cancer survivorship. In addition, the conceptual care model IMPULS‑A is presented as a practice-oriented example.

Results

Older cancer survivors exhibit a distinct vulnerability profile characterized by age-related biological changes, multimorbidity, frailty, and disease- and treatment-related long-term effects. International models indicate that structured, integrated survivorship concepts with strong involvement of primary care are better suited to address these needs than purely oncology-centered follow-up approaches.

Conclusion

Function- and participation-oriented geriatric oncology survivorship models are required for older cancer survivors. Programs such as IMPULS‑A address this gap through systematic screening, care navigation, and interdisciplinary coordination and show high potential for transfer into routine care.