{"title":"Review of current best practice in radiation oncology for older adults with cancer: Updates from the International Society of Geriatric Oncology (SIOG) Task Force","authors":"Lucinda Morris , Niluja Thiruthaneeswaran , Anita O'Donovan , Noam VanderWalde , Anthea Cree , Surbhi Grover , Stefan Starup Jeppesen , Richard Simcock","doi":"10.1016/j.jgo.2025.102839","DOIUrl":"10.1016/j.jgo.2025.102839","url":null,"abstract":"<div><div>Radiotherapy (RT) is a vital and effective cancer treatment that contributes to over 40 % of cancer cures. RT is also fundamental to palliation and improving quality of life in almost all advanced malignancies. The specialty of radiation oncology has undergone dramatic technological advances over the past decade with increasing sophistication of treatment planning and delivery leading to improved cure rates and reduced side effects. For older adults with cancer, RT represents an excellent treatment option due to its effectiveness, limited systemic toxicity, convenience, and tolerability. Advanced techniques such as stereotactic body radiotherapy (SBRT) and hypofractionated regimens are highly effective non-invasive treatment options that may avoid the need for hospital admission, the potential mortality and morbidity of surgery and/or the toxicities of systemic therapy. Historically, the role of RT for older adults has not been comprehensively assessed or defined due to the limited recruitment of older adults to clinical trials. Fortunately, the increasing number of RT trials tailored to specifically explore outcomes for older people is expanding the body of evidence for this priority research area.</div><div>This updated expert position paper from the SIOG (International Society of Geriatric Oncology) Task Force seeks to provide an overview of the current role of RT in the management of older adults with cancer. The position paper is informed by the geriatric radiation oncology clinical expertise of the SIOG Task Force and emerging evidence in the field since the publication of the original 2014 position paper. Topics covered include the fundamentals of geriatric oncology as applied to radiation oncology, options for dose fractionation schedules and techniques across pre-defined tumor sites and appropriate individualised modifications of regimens in the setting of frailty, discussion of expected tolerability and toxicity (if any) in older adults, and the unique perspectives of care around older adults requiring RT in low- and middle-income countries.</div></div>","PeriodicalId":15943,"journal":{"name":"Journal of geriatric oncology","volume":"17 2","pages":"Article 102839"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145809518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jorge Browne , Verónica Araya , Natalie Pinto , Estefany Quintana , Ignacio Salazar , Bruno Nervi , Benjamin Walbaum
{"title":"Finding the sweet spot between standardisation and tailoring, using the implementation science principles in oncogeriatrics","authors":"Jorge Browne , Verónica Araya , Natalie Pinto , Estefany Quintana , Ignacio Salazar , Bruno Nervi , Benjamin Walbaum","doi":"10.1016/j.jgo.2026.102849","DOIUrl":"10.1016/j.jgo.2026.102849","url":null,"abstract":"","PeriodicalId":15943,"journal":{"name":"Journal of geriatric oncology","volume":"17 2","pages":"Article 102849"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Juthani , K. Pugh , C.M. Eochagain , C. Soudant , P. Torka , N.R. Neuendorff
{"title":"Reporting of older subgroups in registration trials of FDA and EMA approvals between 2017 and 2023 for diffuse large B-cell lymphoma: A systematic review","authors":"R. Juthani , K. Pugh , C.M. Eochagain , C. Soudant , P. Torka , N.R. Neuendorff","doi":"10.1016/j.jgo.2026.102877","DOIUrl":"10.1016/j.jgo.2026.102877","url":null,"abstract":"","PeriodicalId":15943,"journal":{"name":"Journal of geriatric oncology","volume":"17 2","pages":"Article 102877"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147448489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Lin , S. Sattar , J. Papadakos , R. Fazelzad , K. Haase , S. Alibhai , F. Bennie , S. Anand , I. Paul , M. Antonio , S. Hirji , I. Steenstra , S. Mirzaei , M. Puts
{"title":"Patient education for older adults with cancer and their caregivers: A scoping review","authors":"L. Lin , S. Sattar , J. Papadakos , R. Fazelzad , K. Haase , S. Alibhai , F. Bennie , S. Anand , I. Paul , M. Antonio , S. Hirji , I. Steenstra , S. Mirzaei , M. Puts","doi":"10.1016/j.jgo.2026.102902","DOIUrl":"10.1016/j.jgo.2026.102902","url":null,"abstract":"","PeriodicalId":15943,"journal":{"name":"Journal of geriatric oncology","volume":"17 2","pages":"Article 102902"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147448848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Vetter , D.E. Chiru , R.-P. Charles , J. Beyer , M. Gagesch , J. Gaertner , F.U. Honecker , L. Poudens Gaudout , W. Rösler , M. Schloegel , K. Vollmer , A. Margulies , V. Dougoud-Chauvin , SGOG
{"title":"Geriatric oncology in Switzerland: Insights from a nationwide survey","authors":"M. Vetter , D.E. Chiru , R.-P. Charles , J. Beyer , M. Gagesch , J. Gaertner , F.U. Honecker , L. Poudens Gaudout , W. Rösler , M. Schloegel , K. Vollmer , A. Margulies , V. Dougoud-Chauvin , SGOG","doi":"10.1016/j.jgo.2026.102863","DOIUrl":"10.1016/j.jgo.2026.102863","url":null,"abstract":"","PeriodicalId":15943,"journal":{"name":"Journal of geriatric oncology","volume":"17 2","pages":"Article 102863"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147448957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Torka , T. Feldman , K. Savage , N. Ganesan , E. Drill , A. Boardman , P. Caron , K. David , Z. Epstein-Peterson , L. Falchi , P. Ghione , S. Horwitz , A. Intlekofer , W. Johnson , A. Kumar , J. Lue , E. Luttwak , A. Noy , C. Owens , M. Palomba , A. Moskowitz
{"title":"Longitudinal impact of Nivolumab-AVD on geriatric impairments in older adults (OA) with newly diagnosed (ND) classic Hodgkin Lymphoma (cHL): A prospective, multicenter study","authors":"P. Torka , T. Feldman , K. Savage , N. Ganesan , E. Drill , A. Boardman , P. Caron , K. David , Z. Epstein-Peterson , L. Falchi , P. Ghione , S. Horwitz , A. Intlekofer , W. Johnson , A. Kumar , J. Lue , E. Luttwak , A. Noy , C. Owens , M. Palomba , A. Moskowitz","doi":"10.1016/j.jgo.2026.102882","DOIUrl":"10.1016/j.jgo.2026.102882","url":null,"abstract":"","PeriodicalId":15943,"journal":{"name":"Journal of geriatric oncology","volume":"17 2","pages":"Article 102882"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147448961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Poles, P. Papayanis, A. Okray, C. Ustun, M. Bednarczyk
{"title":"Impact of frailty clinic on POA documentation rates and changes in code status in patients being evaluated for hematopoietic stem cell transplant","authors":"A. Poles, P. Papayanis, A. Okray, C. Ustun, M. Bednarczyk","doi":"10.1016/j.jgo.2026.102876","DOIUrl":"10.1016/j.jgo.2026.102876","url":null,"abstract":"","PeriodicalId":15943,"journal":{"name":"Journal of geriatric oncology","volume":"17 2","pages":"Article 102876"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147449070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on “Effect of geriatric co-management on independence, quality of life, and severe toxicity in vulnerable older patients with cancer: Results of a randomized clinical trial”","authors":"Daniel Sibley , Adeline Gonzales , Martine Puts","doi":"10.1016/j.jgo.2026.102935","DOIUrl":"10.1016/j.jgo.2026.102935","url":null,"abstract":"","PeriodicalId":15943,"journal":{"name":"Journal of geriatric oncology","volume":"17 2","pages":"Article 102935"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147355353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}