Colorectal Cancer in Elderly Patients with Surgical Indication: State of the Art, Current Management, Role of Frailty and Benefits of a Geriatric Liaison

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González Senac, Nicolás M. and Mayordomo Cava, Jennifer and Macías Valle, Angela and Aldama Marín, Paula and Majuelos González, Sara and Cruz Arnés, María Luisa and Jiménez Gómez, Luis M. and Vidán Astiz, María T. and Serra Rexach, José Antonio (2021) Colorectal Cancer in Elderly Patients with Surgical Indication: State of the Art, Current Management, Role of Frailty and Benefits of a Geriatric Liaison. International Journal of Environmental Research and Public Health, 18 (11). p. 6072. ISSN 1660-4601

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Official URL: https://doi.org/10.3390/ijerph18116072




Abstract

Six out of every 10 new colorectal cancer (CRC) diagnoses are in people over 65 years of age. Current standardized surgical approaches have proved to be tolerable on the elderly population, although post-operative complications are more frequent than in the younger CRC population. Frailty is common in elderly CRC patients with surgical indication, and it appears to be also associated with an increase of post-operative complications. Fast-track pathways have been developed to assure and adequate post-operative recovery, but comprehensive geriatric assessments (CGA) are still rare among the preoperative evaluation of elderly CRC patients. This review provides a thorough study of the effects that a CGA assessment and a geriatric intervention have in the prognosis of CRC elderly patients with surgical indication.


Item Type:Article
Uncontrolled Keywords:colorectal cancer; elderly; frailty; geriatric syndromes; comprehensive geriatric assessment; geriatric liaison; multicomponent programs; functional capacity
Subjects:Medical sciences > Medicine > Geriatrics
Medical sciences > Medicine > Oncology
ID Code:71241
Deposited On:15 Mar 2022 14:36
Last Modified:15 Mar 2022 16:46

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