How do we include geriatricians in geriatric oncology? The geriatrician's perspective.

Older adults represent most patients with cancer, yet geriatric expertise remains underrepresented in oncology practice. This review explores practical strategies to integrate geriatricians throughout the continuum of cancer care, from diagnosis to survivorship and palliative care. We discuss models of interdisciplinary collaboration, optimal timing of geriatric involvement, and innovative solutions to address the global shortage of geriatricians. Evidence demonstrates that comprehensive geriatric assessment enhances treatment tolerance, quality of life, and survival among older adults with cancer [1-5]. Despite widespread endorsement, implementation barriers persist due to workforce limitations, time constraints, and lack of institutional support. Emerging strategies include task-shifting, telehealth-enabled assessments, and education programs that empower oncologists and allied health professionals to apply geriatric principles in daily practice [6-10]. Integrating geriatricians into multidisciplinary oncology teams is essential to deliver equitable, personalized, and value-based care for aging populations. We advocate for structured collaboration models, institutional prioritization of geriatric oncology, and policy-level initiatives that reinforce the indispensable role of geriatricians in modern cancer care.