Asia Pacific is emerging as one of the key regions to witness significant growth of the elderly population. According to the estimates published by the United Nations in 2012, the global geriatric population will reach nearly 809.4 million and is projected to reach nearly 1.13 billion by 2022 and exceed a value of over 2 billion by 2050. As older patients have a variable health status, the need for proper integration of an oncologic and a geriatric approach has become increasingly important. Geriatric oncology is therefore rapidly expected to come to the foreground of oncology practice. It is therefore, important to make physicians, governments, health agencies, international and local organisations, academic institutions, and the medical community at large as well as the general public aware that cancer treatment is not a one-size-fits-all proposition.

Breast Cancer is one of the most common malignancies in the Philippines. A number of other cancers are quite distinct in Southeast Asia e.g. head and neck (including nasopharyngeal cancer), oesophago-gastric and their aetiologies (some with a regionally relevant infection related cause) and pathologies (with preponderance of certain histological types).

The SIOG Advanced Course aims to bridge the area of geriatrics with oncology players. The course Faculty is organised in such a manner so as to complement the works and findings of local/regional experts. As SIOG, the core faculty conducts these sessions, by injecting knowledge, skills and experience focusing on the geriatric oncology perspective, which could include (1) tumour perspective – but highlighting the relevance of age and differing biology when relevant; (2) geriatric aspects – e.g. the impact of physiological reserve on treatment options/dosing etc. if for systemic therapy, the value of geriatric assessment (GA) in selecting treatment (systemic vs local (surgery/radiation) and in optimizing treatment once selected (with intervention following GA).



Medical oncologists, surgical oncologists, radiation oncologists, geriatricians, gerontologists, anaesthesiologists and all other experts interested in developing geriatric oncology programs for their home institutions.



Day 1: May 16, 2019

Module I
09:00 – 09:30 Cancer in the older person: what is different? - Hans Wildiers (BE)
09:30 – 10:00 Biology of Aging - Dr. Roy J. Cuison (PH)
10:00 – 10:30 Screening Tools - Hans Wildiers (BE)
10:30 – 11:00 COFFEE BREAK
Module II
11:00 – 11:45 Geriatric assessment and interventions in oncology -
Etienne Brain (FR) and Siri Rostoft (NO)
11:45 – 12:15 Delirium, Depression & Dementia - Dr. Maurice Sañosa (PH)
12:15 – 12:45 Aging, Frailty and Sarcopenia - Dr. Deana Santos-Ringor (PH)
12:45 – 13:45 LUNCH BREAK
Module III
13:45 – 14:30 Live Asssessment with 2 patients -
Moderator: Siri Rostoft (NO)
Panelists: Hans Wildiers (BE),
                  Etienne Brain (FR),
                  Dr. Roy J. Cuison (PH),
                  Prasert Assantachai (TH),
                  Divaynshu Dua (AU)
14:30 – 15:00 Polypharmacy - Prasert Assantachai (TH)
15:00 – 15:30 Nutrition - Virgith Buena (PH)
15:30 – 16:00 COFFEE BREAK
Module IV
16:00 – 16:30 Supportive care issues - Siri Rostroft (NO)
16:30 – 17:00 Prehabilitation and Rehabilitation - Siri Rostroft (NO)
12:15 – 12:45 Prediction and possible reduction of toxicity of chemotherapy in older patients - Martine Extermann (US)
17:30 – 18:00 Fatigue - Leila Ferrer (PH)

Day 2: May 17, 2019

Module V
09:00 – 10:15 Breast Cancer: Case & Discussion - Hans Wildiers (BE), Etienne Brain (FR)
10:15 – 10:45 COFFEE BREAK
Module VI
10:45 – 12:00 Lung Cancer: Case & Discussion - Ravi Kanesvaran (SG) & nomination by PCS
12:00 – 13:00 LUNCH BREAK
Module VII
13:00 – 14:15 Colorectal Cancer: Case & Discussion - Martine Extermann (US) + for nomination by PCS
Module VIII
14:15 – 15:30 Hepatocellular Carcinoma: Case & Discussion - for nomination by PCS
15:30 – 16:00 COFFEE BREAK
Module IX
16:00 – 17:15 Prostate Cancer: Case & Discussion - Divaynshu Dua (AU) + for nomination by PCS

Day 3: May 18, 2019

Module X
09:00 – 09:20 Access to drugs / Cost- as most healthcare systems here are not reimbursed - for nomination by PCS
09:20 – 09:40 General lack of geriatric expertise - and the need for oncologists to learn how to assess with geriatric screening / geriatric assessment - Divaynshu Dua (AU)
09:40 – 10:00 Educating Nurses for improved quality care - Hans Wildiers (BE) + nurse practitioner
10:00 – 10:30 Social and cultural attitudes - especially perception about ageing, and the role of extended families in decision making, collusion etc. - Dr. Nickamil Sanchez (PH)
10:30 – 11:00 COFFEE BREAK
Module XI
11:00 – 12:00 Moving Froward: what is next after this? -
Moderator: Arthur Catli (PH)
Panelist: Susan Mercado (PH),
                Sandra Tempongko (TH),
                Martine Extermann (USA)


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