Colorectal Cancer Surgery in Elderly Patients: Presentation, Treatment, and Outcomes

Abstract

Long-term colorectal cancer-related outcomes in the older group are similar to the outcomes in younger patients, suggesting that the decision to operate should not be based on age alone.

A comparative study of short-term outcomes of colorectal cancer surgery in the elderly population

“…Similarly, there were no differences in both the 30-day and 90-day postoperative mortality, p=0.269 and p=0.565 respectively, which was not observed before in previous literature (14,(16)(17)(18).…”

“…Overall, there were no difference of tumour staging in the elderly cohort, a finding which seems to be equivocal in current literature (15)(16)(17)(18)22,25) Cost effectiveness of CRC surgery in the elderly patients has been a rising topic for discussion. Govaert et al recently showed that hospital cost of CRC surgery is actually lower in patients aged ≥85, with the major driver of lower cost related to ward and ICU cost (26).…”

“…Past research has used arbitrary definitions varying from age 70 to 80 (13)(14)(15)(16)18,27), and this study has adopted an arbitrary cut-off of 75 years old. While having patients from a single tertiary center can standardise patient selection, it however provides only a very small cohort of patients and therefore limit generalisation of results.…”

Rectal Cancer Treatment in the Elderly

“…Devon et al [ 71 ] investigated differences in CRC surgery outcomes between patients aged 50-74 years and patients aged 75 years and older. There were no differences in emergency surgery or palliative surgery between both groups.…”

Caracterização do perfil epidemiológico do paciente com câncer de reto no Instituto do Câncer do Estado de São Paulo: determinação dos fatores associados ao tempo de internação hospitalar do paciente cirúrgico

“…Além disso pacientes idosos possuem significativamente maior média de permanência hospitalar (19,56).…”