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Although many factors may influence HCT accessibility, no formal analysis features detailed the cumulative barriers which have been studied so far. We conducted a systematic analysis following the popular Reporting Things for Systematic Reviews and Meta-Analyses recommendations to higher categorize the barriers to access and recommendation to HCT, with a focus regarding the subgroup of older clients. We sought out articles published in English from PubMed, Embase, Cumulative Index for Nursi