Geriatric Oncology Unit

A Collaborative Initiative by
the Departments of Medical Oncology & Geriatric Medicine

Geriatric Oncology Unit

Kerala’s First
Geriatric Oncology Unit

Geriatric Oncology Unit

Delivering Specialized
Cancer Care for Older Adults

24/7 Support

Medical Trust Hospital

Geriatric Oncology Unit

A Collaborative Initiative by the Departments of Geriatric Medicine & Oncology

Age-Adapted, Holistic Cancer Care for Kerala’s Ageing Population

Cancer treatment requires a completely different approach when it involves our senior citizens. At Medical Trust Hospital in Kochi, our dedicated Geriatric Oncology Clinic delivers comprehensive cancer care designed specifically for older adults. As Kerala's first dedicated multidisciplinary geriatric oncology unit and a cancer hospital for the elderly in Kochi, we address the unique medical, functional, nutritional, psychological, and social needs of elderly patients diagnosed with cancer.

Our approach combines advanced cancer treatment with comprehensive geriatric assessment, ensuring that every treatment plan is tailored to the individual's overall health, functional status, personal goals, and quality of life.

The Changing Reality: Cancer and Ageing in Kerala

According to data from the Indian Council of Medical Research - National Centre for Disease Informatics and Research (ICMR-NCDIR), Kerala faces a unique healthcare landscape:

  • High NCD Burden: Non-Communicable Diseases (NCDs) account for a striking 74.6% of the total disease burden in Kerala.
  • Cancer Mortality: Neoplasms (cancers) are responsible for 16.4% of all medically certified deaths from NCDs across the state.
  • Extended Longevity: Kerala leads India in life expectancy (78.7 years for females and 73.8 years for males), creating an unprecedentedly large population of vibrant, older adults who deserve targeted, low-toxicity cancer care.

As life expectancy rises, the intersection of aging and oncology becomes our most critical clinical challenge, making it essential to evaluate the age-related cancer risk Kerala faces today.

Science of Ageing: Why Cancer Risk Escalates with Age

Many families wonder why cancer becomes more common as we get older. The link between advancing age and a rising cancer risk comes down to a few natural biological changes in our bodies over time. Over a lifespan of 70 or 80 years, our cells are continually exposed to internal stress and lifestyle factors, causing tiny genetic mutations to accumulate until they reach a tipping point, adding to the general age-related cancer risk Kerala has witnessed over the years.

When we are young, our bodies have highly efficient "repair shops" that fix these cellular mistakes instantly, but these defence mechanisms naturally slow down as we age. At the same time, the immune system undergoes a process called immunosenescence, a natural decline in its ability to hunt down and destroy abnormal cells

Combined with decades of exposure to chronic inflammation and metabolic risk factors common in Kerala, such as tobacco use or obesity, older tissue simply becomes more vulnerable to developing tumours. At Medical Trust Hospital, known to many as the Best Cancer Hospital in Kerala, our combined Geriatric and Oncology teams don't just treat your chronological age; we understand and care for the unique, altered biology of the ageing body.

Who Can Benefit from Geriatric Oncology Care at Medical Trust Hospital?

Older adults seeking specialized Geriatric oncology Kochi care often face challenges that extend beyond the disease itself, including:

Multiple Medical Conditions
Frailty & Reduced Physical Strength
Mobility issues and increased risk of falls
Nutritional Concerns
Memory & Cognitive Difficulties
Anxiety, Depression & Emotional Distress
Multiple Medications & Treatment Complications

Our team helps patients and families navigate these challenges while making informed treatment decisions that best suit the patient's needs.

Why Choose Medical Trust Hospital for Elderly Cancer Treatment?

Treating cancer in older adults requires more than standard oncology—it demands a balance between eradicating the tumor and preserving the patient's independence, organ function, and overall quality of life. Here is why families across Kerala trust us with senior cancer care:

Kerala’s First Dedicated Geriatric Oncology Unit

As pioneers in senior-focused cancer care, we bring together specialized medical oncologists and geriatricians under one roof.

Multidisciplinary Tumour Board

Every treatment plan is co-designed by a dedicated team of oncologists, geriatricians, dietitians, physiotherapists, and palliative care experts to suit the patient's specific health goals.

Care Based on Biological Age, Not Date of Birth

Using our Comprehensive Geriatric Assessment (CGA), we evaluate physical strength, organ reserve, and cognitive health—ensuring treatment is neither over-aggressive nor under-delivered.

Low-Toxicity & Age-Adapted Therapies

We specialize in dose-adjusted chemotherapy, targeted immunotherapies, and minimally invasive geriatric surgeries designed to minimize side effects and speed up recovery.

Safe Management of Pre-Existing Conditions

Older adults often manage diabetes, hypertension, or heart disease alongside cancer. Our team actively manages polypharmacy (multiple medications) to prevent dangerous drug interactions and safeguard organ function.

End-to-End Senior Support

From fall prevention and nutritional support to emotional counseling and home-based palliative care, we support both the patient and their family caregivers through every stage of treatment.

01

Comprehensive Geriatric Assessment (CGA)

Step 1: Baseline Evaluation

We rigorously measure functional independence using standardised tools. This tells us a patient's true biological capacity to navigate therapy, far beyond what their date of birth says.

02

Comorbidity & Polypharmacy Review

Step 2: Drug Safety Analysis.

Given the high prevalence of cardiovascular and metabolic conditions in Kerala, we review all existing medications to eliminate toxic drug-to-drug interactions during chemotherapy or targeted interventions.

03

Nutritional & Cognitive Screening Comorbidity & Polypharmacy Review

Step 3: Holistic Well-being.

Seniors face a higher risk of cognitive vulnerabilities and rapid muscle loss during treatment. We introduce proactive nutritional and neuro-supportive roadmaps right from day one.

04

Customised Treatment Engineering

Step 4: Tailored Action Plan

Our multidisciplinary tumour board, comprising medical oncologists, surgical specialists, geriatricians, and specialised nurses, crafts an age-adjusted, low-toxicity therapy plan unique to the patient.

Specialized Care Pathways

Core Subdivisions of Our Geriatric Oncology Department

Comprehensive, age-adapted cancer care designed to improve outcomes, preserve independence, and enhance quality of life.

Standard adult chemotherapy dosages can easily overwhelm an ageing liver or kidneys. We specialise in dose-adjusted chemotherapy for seniors, alongside advanced low-toxicity options such as targeted therapies and immunotherapies that treat disease effectively while preserving quality of life.

Through targeted anaesthesia, intraoperative monitoring, and minimally invasive surgical techniques, major curative procedures remain safe and effective for older adults while supporting faster recovery and mobility.

We provide personalised, risk-stratified screening for breast, lung, colorectal, and prostate cancers, balancing preventive care with each patient's overall health goals and life expectancy.

Working closely with home-health and palliative care teams across Kerala, we help manage symptoms, reduce treatment side effects, and provide ongoing emotional and physical support for both patients and caregivers.
Care designed around the whole person

Our Services

Comprehensive, patient-centred cancer care tailored to the unique needs of older adults.

  • Individualized Treatment Planning
  • Chemotherapy Suitability Assessment
  • Treatment Tolerance Evaluation
  • Supportive Oncology Care
  • Nutritional Counselling
  • Psychological Support
  • Symptom Management
  • Pain & Supportive Care Services
  • Physiotherapy
  • Mobility Improvement Programs
  • Fall Prevention Strategies
  • Functional Independence Support
  • Caregiver Education & Counselling
  • Survivorship Planning
  • Palliative Care Support
  • End-of-Life Care Guidance

Multidisciplinary Team Approach

Our patients benefit from the expertise of a dedicated multidisciplinary team working together to provide coordinated, patient-centred care.

  • Medical Oncologists
  • Geriatricians
  • Psycho-Oncologists
  • Oncology Nurses
  • Clinical Dietitians
  • Physiotherapists
  • Palliative Care Specialists

Specialised Geriatric Oncology Tumour Board

Every complex case can be reviewed by our dedicated tumour board, ensuring age-adapted and evidence-based treatment planning.

  • Overall Health Status
  • Functional Reserve
  • Treatment Tolerance
  • Patient Preferences
  • Quality-of-Life Goals

This collaborative approach ensures treatment decisions are individualised and clinically appropriate.

Education, Research & Innovation

Medical Trust Hospital is committed to advancing geriatric oncology through research, professional training, and innovation.

  • Comprehensive Geriatric Assessment
  • Treatment Outcomes in Older Adults
  • Psycho-Oncology
  • Quality of Life Research
  • Supportive Care & Survivorship
  • Geriatric Oncology Practice in India

We also offer a dedicated Fellowship in Geriatric Oncology to train future specialists.

Academics & Training Programs

At Medical Trust Hospital, we are dedicated to advancing the field of geriatric oncology through specialized clinical education, training, and professional development.

1-Year AGOS Certified Fellowship in Geriatric Oncology

We offer a 1-Year Certified Fellowship in Geriatric Oncology, certified by the Asian Geriatric Oncology Society (AGOS). This post-doctoral fellowship is designed for medical professionals seeking in-depth clinical expertise in age-adapted cancer care, comprehensive geriatric assessment (CGA), comorbidity management, and low-toxicity treatment strategies for elderly cancer patients.

Short Institutional Visits & Observerships

Oncologists, geriatricians, palliative care specialists, and healthcare professionals can join our Short Institutional Visits to experience Kerala's first dedicated multidisciplinary Geriatric Oncology Unit. Observe our 4-step Comprehensive Geriatric Assessment (CGA), attend Geriatric Oncology Tumour Board discussions, and gain practical insights into delivering senior-focused cancer care.

Our Vision

To lead the advancement of geriatric oncology in Kerala and India by providing compassionate, patient-centred cancer care that improves outcomes, preserves dignity, and enhances quality of life for older adults living with cancer.

Clinical Trials & Research in Geriatric Oncology

At Medical Trust Hospital, our commitment to advancing elderly cancer care goes beyond routine clinical practice.

Through our participation in multi-institutional national clinical trials in partnership with Tata Memorial Hospital, Mumbai we actively contribute to ground-breaking research that aims to optimize treatments, reduce toxicity, and improve the quality of life for older Indian cancer patients.

All our studies undergo rigorous review and are approved by the Institutional Ethics Committee (IEC) to ensure the highest standards of patient safety and clinical integrity.

Active & Approved Clinical Trials

Study Title Focus & Domain IEC Reference No
Optimizing Chemotherapy in the First Line for Older Patients with Advanced Non-small Cell Lung Cancer
Lung Cancer / Dose Optimization

Evaluating personalized first-line systemic treatment pathways to maximize efficacy while curbing treatment toxicities in older lung cancer patients.

Ref. No. MTHEC/3567/24 APPROVED
Geriatric Oncology Multidomain Intervention Study to Prevent Cognitive Impairment among Older Indian Patients with Cancer receiving chemotherapy
Neuro-Cognitive Preservation

Testing proactive multi-faceted supportive interventions to protect brain health, memory, and cognitive function during systemic chemotherapy.

Ref. No. MTHEC/2103/25 APPROVED
Development of a New Prediction Score (CARG GI) for Chemotherapy Toxicity in Older patients with Gastrointestinal Cancer - A Multicentre, Prospective study
Toxicity Prediction (Gastrointestinal)

Building and validating an India-specific risk stratification tool to identify older GI cancer patients susceptible to high-grade chemotherapy side effects.

Ref. No. MTHEC/3803/25 APPROVED
Unmet Supportive Care Needs Among Indian Geriatric Cancer Patients
Supportive Care & Quality of Life

A nationwide assessment mapping physical, emotional, social, and logistical needs to shape better supportive care policies for senior citizens.

Ref. No. MTTH/EC/2104/25 APPROVED
Upcoming Clinical Trials Study Title 05

The effectiveness of a Brief Psychological Sleep Intervention (BPSI) on Insomnia among patients undergoing systemic chemotherapy

Focus: Non-pharmacological sleep and behavioral health interventions aimed at alleviating chemotherapy-induced insomnia and improving overall daytime functioning and recovery.

Research Focus

Non-pharmacological sleep and behavioral health interventions aimed at alleviating chemotherapy-induced insomnia while improving overall daytime functioning and recovery.

Join Our Research

Interested in Enrolling or Learning More?

Clinical trials provide eligible older adults with access to specialized care protocols, close monitoring, and innovative supportive interventions under the supervision of our multidisciplinary team.

  • Have questions about eligibility for yourself or a loved one?
  • Need more information on trial protocols?

Meet the Team

Our multidisciplinary Geriatric Oncology team brings together specialists in Oncology, Geriatric Medicine, and Supportive Care to deliver personalized, age-adapted cancer treatment.

Dr. Varun Rajan

Dr. Varun Rajan

Senior Consultant Medical & Haemato Oncologist Book Appointment View Profile
Dr. Jino Joy

Dr. Jino Joy

Consultant Geriatrician Book Appointment View Profile
Dr. Biju Gopi

Dr. Biju Gopi

Specialist - Palliative Care Book Appointment View Profile
Dr Syam Vikram

Dr Syam Vikram

Senior Consultant - Surgical Oncology and Robotic Surgeon Book Appointment View Profile
Dr. Rahul Ravind

Dr. Rahul Ravind

Consultant Oncologist Book Appointment View Profile
Ms. Raja Venkateswari S

Ms. Raja Venkateswari S

Consultant Psycho-Oncologist Book Appointment View Profile
Educational Resources

Educational Media & Insights

Explore our video library featuring expert discussions, patient education snippets, and in-depth podcasts on geriatric cancer care, treatment tolerance, and healthy aging.

Watch Short Clinical Snippets

Quick 1–2 minute explainer videos covering common questions about cancer screening in seniors, managing side effects, and nutrition.

Watch Video

Listen to Geriatric Oncology Podcasts

In-depth discussions with our multidisciplinary team on biological vs. chronological age, polypharmacy safety, and modern low-toxicity therapies.

Listen Podcast

Subscribe to Our Official YouTube Channel

Stay updated with our latest patient stories, medical webinars, and expert talks from Medical Trust Hospital.

Frequently Asked Questions (FAQ)

Yes, when managed carefully. Chronological age is rarely the deciding factor. Through our Comprehensive Geriatric Assessment, we evaluate biological age, organ function, nutritional status, and overall fitness. We frequently utilise dose-adjusted chemotherapy, supportive growth factors, and non-chemotherapeutic targeted treatment options to ensure therapies remain safe, effective, and highly tolerable for senior patients.

This is exactly why specialised geriatric oncology matters. Our oncologists work closely with in-house cardiologists, nephrologists, endocrinologists, and other specialists to provide coordinated care. Every treatment plan is carefully designed and co-managed to ensure that cancer therapy does not destabilise existing medical conditions while maintaining the best possible treatment outcomes.

Schedule a Consultation with Our Geriatric Oncology Team

Take the first step toward a safe, tailored, and deeply compassionate treatment roadmap.

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