Purpose of review 

This review summarizes recent research on the impact of ageism in older adults with cancer and how society can best address the issue. Despite older individuals representing the vast majority of those with cancer, with a dramatic increase in incidence anticipated in the coming decades, ageism remains an under-recognized and extremely detrimental phenomenon in cancer care.

Recent findings 

We examine the associations between ageism and health, and highlight the consequences of higher mortality, a deterioration in mental and physical health, worse functional status and increased comorbidity burden. We then discuss the oncologic-specific impacts of ageism, including lower rates of cancer screening, decreased histological confirmation of cancer, decreased surgical intervention and systemic therapy prescription and poorer survivorship experience. To conclude, we illustrate the opportunities within oncologic systems of care to engage with, and dismantle, the damaging effects of ageism, namely policy and legislation, education and intergenerational contact.

Summary 

Despite recognition of the numerous negative sequelae of ageism, there remains a paucity of literature regarding the intersection between ageism and cancer. Our piece summarizes the key developments in this field, but further evaluation is desperately required.

中文翻译：

---

年龄歧视对老年癌症患者护理的影响

审查目的 

这篇综述总结了最近关于年龄歧视对患有癌症的老年人的影响以及社会如何最好地解决这个问题的研究。尽管老年人占癌症患者的绝大多数，预计未来几十年的发病率会急剧增加，但年龄歧视仍然是癌症治疗中未被充分认识和极其有害的现象。

最近的发现 

我们研究了年龄歧视与健康之间的关联，并强调了更高死亡率、身心健康恶化、功能状态更差和合并症负担增加的后果。然后，我们讨论了年龄歧视对肿瘤学的特定影响，包括较低的癌症筛查率、癌症的组织学确认率降低、手术干预和全身治疗处方减少以及生存体验较差。最后，我们说明了在肿瘤护理系统中参与和消除年龄歧视的破坏性影响的机会，即政策和立法、教育和代际接触。

概括 

尽管认识到年龄歧视的许多负面后果，但关于年龄歧视和癌症之间的交叉点的文献仍然很少。我们的文章总结了该领域的主要发展，但迫切需要进一步评估。