Prostate Cancer in Older Adults: 2024 Chinese Expert Consensus
The 2024 consensus emphasizes tailored assessment of older adults with prostate cancer, balancing life expectancy, comorbidities, and goals of care across localized and advanced disease.
Understanding Prostate Cancer in Older Adults
Prostate cancer mainly affects older men, with risk rising sharply with age. Most deaths occur in men over 70. Family history matters for younger patients.
Comprehensive Health Assessment
Before treatment, clinicians should assess overall health, frailty, and life expectancy rather than age alone. Comorbidities guide the intensity of therapy.
Localized Disease Management
For localized cancer, options range from active surveillance to surgery or radiation. The chosen approach depends on tumor risk and the patient's functional status.
Advanced Disease and Supportive Care
Advanced prostate cancer often needs hormone therapy and systemic treatment. Supportive care addresses symptoms, bone health, and quality of life throughout the journey.
Shared Decision Making
Treatment plans should reflect patient values and goals. Open discussion between family, patient, and care team improves outcomes and satisfaction.
