2. Falls are important.
The most common cause of accidental death in >75s
Each year 1 in 3 adults >65 will fall
20% of those who have fallen require medical attention

Incidence in older patients with cancer may be high as 50%
https://academic.oup.com/ageing/article/30/suppl_4/3/39672
3. Falls are an important part of geriatric syndromes where older adults are “vulnerable to situational changes and poor outcomes”
5. We fall in part because we lose muscle (after age 30 muscle strength declines at rate of 3-8% every decade, accelerating to 10-15% after 50)
https://pubmed.ncbi.nlm.nih.gov/7825481/ 
Sarcopenia may be present in up to 40% of cancer patients
https://pubmed.ncbi.nlm.nih.gov/28734552 
6. If patients fall then they will fear another fall – the post fall syndrome leading to inactivity (and ironically increased risk of falls)
https://pubmed.ncbi.nlm.nih.gov/8169336/ 
9. The (likely) most useful intervention to reduce/prevent falls in older adults is exercise although evidence of high quality is lacking (Cochrane review, 11RCTs only one on falls)
https://www.cochrane.org/CD011687/SYMPT_exercise-reducing-falls-people-living-and-beyond-cancer
10 (and out). Oncologists need to proactively screen for falls.
At the very least just ask about them
Better still a 30s chair stand test or timed up and go.

Make it routine. Just ask. It's easy.
#gerionc
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