Jakarta, ThedailyID — The number of cancer survivors in Indonesia has continued to rise over the past decade, including among older adults. Data from the Global Cancer Observatory (GLOBOCAN) show that without significant strategic changes, the cancer burden and mortality rate in Indonesia between 2025 and 2040 could increase by as much as 63%.
Early detection remains a major challenge. Many patients are diagnosed at an advanced stage, even though around 50% of cancer cases can be prevented through healthy lifestyles and regular medical check-ups.
According to Daniel Rizky, an internal medicine specialist and consultant hematology-oncology physician practicing at Primaya Hospital Semarang, rising survival rates are closely linked to advances in diagnostic technology, more precise therapies, and wider access to cancer screening programs.
As part of its commitment to early detection, Primaya Hospital is offering general and women-specific cancer screening packages throughout 2026 to encourage more proactive health monitoring.
Despite improved survival rates, cancer treatment in older patients presents unique challenges. One key factor is frailty index — a measure of biological fitness that does not always correspond with chronological age. Daniel explained that treatment decisions cannot be standardized solely based on age and must involve careful assessment before determining the type and dosage of therapy.
Advanced age does not automatically mean treatment should be limited. Management remains based on cancer type and stage, while also considering organ function, comorbidities, and overall physical condition. In many cases, collaboration with geriatric specialists is necessary to ensure that therapy remains safe and effective. He also noted that modern regimens are increasingly tailored to older patients, balancing effectiveness with quality of life.
Beyond medical care, family support plays a crucial role. Extreme dietary restrictions driven by myths can harm patients who need adequate nutrition during treatment. Daniel emphasized that cancer affects not only the body but also social and emotional well-being, making strong support systems essential. Even after completing treatment, elderly survivors require regular follow-up to monitor recurrence and manage side effects, with the ultimate goal not only to extend life expectancy but also to preserve quality of life.
