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

Author

Listed:
  • Nicolás M. González-Senac

    (Geriatric Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain
    These authors contributed equally to this work.)

  • Jennifer Mayordomo-Cava

    (Geriatric Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain
    Instituto de Investigación Sanitaria Gregorio Marañón, 28007 Madrid, Spain
    Biomedical Research Networking Center on Frailty and Healthy Aging, CIBERFES, 28029 Madrid, Spain
    These authors contributed equally to this work.)

  • Angela Macías-Valle

    (School of Physical Activity and Sport Sciences, Universidad Politécnica de Madrid, 28040 Madrid, Spain)

  • Paula Aldama-Marín

    (Geriatric Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain)

  • Sara Majuelos González

    (Geriatric Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain
    Centro Asistencial San Camilo de Tres Cantos, 28760 Madrid, Spain
    Majuelos González is in collaboration with Fundación La Caixa.)

  • María Luisa Cruz Arnés

    (Geriatric Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain)

  • Luis M. Jiménez-Gómez

    (General Surgery Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain)

  • María T. Vidán-Astiz

    (Geriatric Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain
    Instituto de Investigación Sanitaria Gregorio Marañón, 28007 Madrid, Spain
    Biomedical Research Networking Center on Frailty and Healthy Aging, CIBERFES, 28029 Madrid, Spain
    School of Medicine, Universidad Complutense, 28040 Madrid, Spain)

  • José Antonio Serra-Rexach

    (Geriatric Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain
    Instituto de Investigación Sanitaria Gregorio Marañón, 28007 Madrid, Spain
    Biomedical Research Networking Center on Frailty and Healthy Aging, CIBERFES, 28029 Madrid, Spain
    School of Medicine, Universidad Complutense, 28040 Madrid, Spain)

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.

Suggested Citation

  • Nicolás M. González-Senac & Jennifer Mayordomo-Cava & Angela Macías-Valle & Paula Aldama-Marín & Sara Majuelos González & María Luisa Cruz Arnés & Luis M. Jiménez-Gómez & María T. Vidán-Astiz & José A, 2021. "Colorectal Cancer in Elderly Patients with Surgical Indication: State of the Art, Current Management, Role of Frailty and Benefits of a Geriatric Liaison," IJERPH, MDPI, vol. 18(11), pages 1-22, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:6072-:d:568996
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    References listed on IDEAS

    as
    1. Amy Y. Zhang & Gregory S. Cooper, 2010. "Recognition of Depression and Anxiety among Elderly Colorectal Cancer Patients," Nursing Research and Practice, Hindawi, vol. 2010, pages 1-8, March.
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    Cited by:

    1. Francisco José Tarazona-Santabalbina & Sebastià Josep Santaeugènia Gonzàlez & José Augusto García Navarro & Jose Viña, 2021. "Healthcare for Older Adults, Where Are We Moving towards?," IJERPH, MDPI, vol. 18(12), pages 1-3, June.

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