Beyond the hospital walls: community-based approaches to leukemia management in older adults

Leukemia incidence among older adults is rising globally, presenting complex challenges that extend beyond conventional hospital-based treatment. Older patients often face multiple comorbidities, functional impairments, and social barriers that complicate disease management and diminish quality of life. This review explores the critical role of community-based care models that provide decentralized, patient-centered leukemia management tailored to the unique needs of the aging population. Community-based approaches encompass outpatient services, home healthcare, telemedicine, and psychosocial support programs designed to improve accessibility, continuity, and holistic care. These models enable early detection of complications, personalized symptom management, and integration of rehabilitation services, thereby reducing hospitalizations and enhancing patient independence. Moreover, leveraging digital health technologies further facilitates real-time monitoring and remote consultations, addressing logistical challenges for frail older adults. Public health policies supporting community-based leukemia care are essential for sustainable healthcare delivery amid demographic shifts. Investment in workforce training, infrastructure, and equitable access to services can optimize outcomes for elderly leukemia patients while alleviating pressure on hospital resources. As healthcare systems evolve, embracing community-centered strategies will be pivotal in improving survival, quality of life, and overall health equity for older adults living with leukemia.