Background : The elderly (aged 60+) are the most vulnerable group to pancreatic cancer and the potentially curative treatment is surgical resection although long-term survival is very poor. Indonesia's elderly with independence barriers reached 3.7% and those who have pancreatic cancer depend on the caregivers' existence to maintain their QoL. However, certified informal caregivers are not available in Indonesia, yet.

Methods : This study uses the 5th wave of the 2014 Indonesia Family Life Survey (IFLS) to explore how the availability of caregivers in maintaining the post-surgical resection elderly with QoL with Dementia comorbidity.

Results : Indonesian elderly reach 10.8% and 48% of them have chronic diseases. 70% of Liver cancer patients recorded in Indonesia are elderly age. 34.7% of them were identified as having symptoms of dementia with moderate to severe (assessed using the mini-cognitive test scoring). The elderly needing long-term care due to these health conditions reach 9.7% and 88% of them do not have caregivers. Only less than 1% of the elderly are cared for by paid caregivers. The majority of the elderly tend to "age in community". 36% of elderly post-surgical with dementia benefit from health insurance and government social assistance. Using the Geriatric Depression Scale (GDS) it is known that the percentage of elderly post-surgical with dementia who have caregivers with mental health problems is lower than respondents who do not have caregivers.

Conclusions : Expanding the coverage of health insurance for the provision of caregivers is a top priority because it mitigates mental health problems.