I don't think not getting treatment is an option, possibly finding out what could be tolerated to keep MM from running out of control.
August 9, 2025
When considering treatment options for a 90+ year old with multiple myeloma, several key factors need to be evaluated:
• Overall health status and presence of other medical conditions
• Ability to tolerate treatment side effects
• Quality of life goals and preferences
• Support system and access to specialized care Treatment Show Full Answer
When considering treatment options for a 90+ year old with multiple myeloma, several key factors need to be evaluated:
• Overall health status and presence of other medical conditions
• Ability to tolerate treatment side effects
• Quality of life goals and preferences
• Support system and access to specialized care Treatment decisions should be personalized since some therapies like high-dose chemotherapy can be particularly challenging for elderly patients. Important considerations include:
• Kidney function and bone health assessments
• Age-appropriate treatment intensity
• Access to academic hospitals or specialized cancer facilities, which tend to have better outcomes
• Regular monitoring through blood work and other tests to evaluate treatment effectiveness
The focus should be on maintaining quality of life while managing symptoms. Having an open discussion with healthcare providers about goals of care and treatment preferences is essential.
August 8, 2025