JAKARTA - As life expectancy in Indonesia increases, the number of cancer survivors in the elderly group also continues to increase. However, a major challenge looms: GLOBOCAN data estimates that the burden of cases and deaths from cancer in the country could jump up to 63% in the period 2025-2040 if there is no significant change in strategy.
Ironically, early detection is still a big "housework". In fact, about 50% of cancer cases can actually be prevented through a healthy lifestyle and regular health checks (screening). The good news is that advances in diagnostic and therapeutic technologies that are increasingly precise now provide new hope for elderly patients to still have a meaningful old age.
It's Not Just About Age, But Biological Fitness
Cancer treatment in the elderly is unique because it cannot use a one-size-fits-all approach. Dr. Daniel Rizky, Sp.PD-KHOM, Internal Medicine Specialist Consultant Hematology Oncology from Primaya Hospital Semarang, explains the importance of understanding the frailty index or the patient's biological fitness level.
"Chronological age often does not reflect the actual condition of the body. A 70-year-old patient can have a very different fitness. That's why therapy should be personalized, both in terms of type and dose, to be safe but effective," explained dr. Daniel.
Balancing Therapy and Happiness
One of the myths that often hinders is the assumption that cancer treatment in the elderly is always high risk so that therapy is often limited. In fact, the medical world today has provided a more "friendly" therapy regimen for the elderly.
The focus of the success of the therapy has now shifted. Not only chasing survival rates, but also ensuring that patients can still carry out activities comfortably. "The ideal therapy is one that is able to control the tumor without drastically lowering the patient's quality of life," added dr. Daniel.
Strength Support System and Nutrition
Beyond medical actions, family support is no less important. Dr. Daniel highlights a common mistake where families often limit the patient's diet to extremes due to myths. In fact, cancer survivors need adequate nutrition intake for recovery and maintaining energy during treatment.
"Cancer has a huge social and emotional impact. A strong support system from the family helps the elderly to stay motivated and not feel isolated during treatment," he said.
Preventive Measures and Routine Monitoring
As a form of real support for early detection, Primaya Hospital provides a comprehensive cancer screening package throughout 2026. This screening is a crucial step, considering that cancer found in the early stage has a much better chance of recovery and quality of life.
After completing the treatment phase, routine monitoring is still mandatory to detect possible recurrence and manage long-term side effects.
"The ultimate goal of any cancer treatment in the elderly is to ensure that they not only live a long life, but can still enjoy their old age with optimal quality of life with their loved ones," concluded Dr. Daniel.
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