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Integrating Geriatric Oncology in Public Health Planning

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Geriatric Oncology

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Abstract

If more than 30% of cancers occur at present in France among elderly people, it is estimated that this proportion will reach 50–60% within the next two or three decades. To deal with and anticipate this challenge, successive national Cancer Control Plans have included specific actions on the organization of the treatment of elderly cancer patients. The organizational framework is based on an oncologist-geriatrician partnership at the head of oncogeriatrics coordination units. After a pilot phase conducted in 15 health care institutions, it has been deployed in 22 regions of mainland France and in one overseas territory. These units are mainly intended to ensure that each patient will receive a cancer treatment adapted to his overall health and not only related to his age. This organization evolves with both the evolution of the health landscape (in accordance with the modernization law of the health system of 26 January 2016), and the territorial reform that identifies13 regions in mainland France and five regions in overseas. It also has to take into account not only the therapeutic initial decision but also the patient’s pathway and his quality of life during and after the cancer treatment. His adaptation is essential to fully optimize the treatment of these elderly people suffering from cancer who will shortly represent the vast majority of people with cancer.

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Authors and Affiliations

  1. Organization and Care Pathway Department, Institut national du cancer, Boulogne-Billancourt, France

    Jeanne-Marie Bréchot & Claudia Ferrari

  2. Epidemiology Department, Institut national du cancer, Boulogne-Billancourt, France

    Philippe-Jean Bousquet

  3. Public Health and Cancer Care Division, Institut national du cancer, Boulogne-Billancourt, France

    Jérôme Viguier

  4. French National Cancer Institute, Institut national du cancer, Boulogne-Billancourt, France

    Norbert Ifrah

Authors
  1. Jeanne-Marie Bréchot
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  2. Philippe-Jean Bousquet
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  3. Claudia Ferrari
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  4. Jérôme Viguier
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  5. Norbert Ifrah
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Corresponding author

Correspondence to Jeanne-Marie Bréchot .

Editor information

Editors and Affiliations

  1. Senior Adult Oncology Program, Moffitt Cancer Center, Tampa, Florida, USA

    Martine Extermann

Section Editor information

  1. Moffitt Cancer Center, University of South Florida, 12902 Magnolia Drive, Tampa, FL, USA

    Martine Extermann Md, PhD

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Bréchot, JM., Bousquet, PJ., Ferrari, C., Viguier, J., Ifrah, N. (2017). Integrating Geriatric Oncology in Public Health Planning. In: Extermann, M. (eds) Geriatric Oncology . Springer, Cham. https://doi.org/10.1007/978-3-319-44870-1_91-1

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  • DOI: https://doi.org/10.1007/978-3-319-44870-1_91-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-44870-1

  • Online ISBN: 978-3-319-44870-1

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