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People with dementia who develop cancer are often either overtreated or written off, and decisions are made without them. A clear pathway for assessment, consent and treatment planning would improve both.
Dementia is common among older cancer patients and complicates diagnosis, capacity assessment, consent, adherence, and toxicity recognition. There is little guidance. A pathway combining cognitive screening at diagnosis, structured capacity assessment, involvement of carers and, where appropriate, advance care planning, simplified regimens, and supported adherence would reduce both undertreatment of those who could benefit and harmful treatment of those who cannot.
Shares Patients lack understanding, navigation and agency, Fragmented care and guideline gaps.
Shares Geriatric assessment, Older and multimorbid patients are excluded and undertreated.
Shares Older and multimorbid patients are excluded and undertreated, Patients lack understanding, navigation and agency.
Shares Older and multimorbid patients are excluded and undertreated, Fragmented care and guideline gaps.
Shares Geriatric assessment, Older and multimorbid patients are excluded and undertreated.
Shares Older and multimorbid patients are excluded and undertreated, Fragmented care and guideline gaps.
Shares Geriatric assessment, Older and multimorbid patients are excluded and undertreated.
Shares Geriatric assessment, Older and multimorbid patients are excluded and undertreated.