TY - CHAP M1 - Book, Section TI - Special Issues Concerning Systemic Anticancer Therapy in Older Cancer Patients A1 - Kumar, Satish A2 - Ring, Alistair A2 - Harari, Danielle A2 - Kalsi, Tania A2 - Mansi, Janine A2 - Selby, Peter Y1 - 2018 N1 - T2 - Problem Solving in Older Cancer Patients AB - People over the age of 65 are the fastest growing segment of the UK population. By 2034, their number is projected to rise by 50%,1 when the over-65s will make up more than 20% of the population. This changing demographic has resulted in a >50% cancer incidence in the 50-74 age group; a third of all new cancer diagnoses are in the >75 age group.2 Three-quarters of all cancer deaths occur in the >65 age group and a half of all cancer deaths occur in the >70 age group. While the cancer burden is highest in the older age group, the evidence for systemic anticancer therapy (SACT) comes largely from retrospective and subgroup analyses of prospective clinical trials, and caution should be exercised in extrapolating results to the general older population. The data, however, suggest that SACT can be safe and effective for these patients, although there is a tendency to greater treatment-related morbidity. This chapter will consider the important aspects of SACT prescribing and the clinical data underpinning its use in older people. SN - PB - Clinical Publishing CY - New York, NY Y2 - 2021/03/05 UR - hemonc.mhmedical.com/content.aspx?aid=1152357784 ER -