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

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...

Descripción completa

Detalles Bibliográficos
Autores: González Senac, Nicolás M., Mayordomo Cava, Jennifer, Macías Valle, Angela, Aldama Marín, Paula, Majuelos González, Sara, Cruz Arnés, María Luisa, Jiménez Gómez, Luis Miguel, Vidán Astiz, María Teresa, Serra Rexach, José Antonio
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/6948
Acceso en línea:https://hdl.handle.net/20.500.14352/6948
Access Level:acceso abierto
Palabra clave:Colorectal cancer
Elderly
Frailty
Geriatric syndromes
Comprehensive geriatric assessment
Geriatric liaison
Multicomponent programs
Functional capacity
Geriatría
Oncología
3201.07 Geriatría
3201.01 Oncología
Descripción
Sumario: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.