Colorectal cancer in the elderly
Authors:
J. Hoch 1; M. Bláha 2; D. Malúšková 2
Authors‘ workplace:
Chirurgická klinika 2. LF Univerzity Karlovy a FN Motol, Praha
přednosta: prof. MUDr. J. Hoch, CSc.
1; Institut biostatistiky a analýz, Masarykova univerzita, Brno
ředitel: doc. RNDr. L. Dušek, Ph. D.
2
Published in:
Rozhl. Chir., 2016, roč. 95, č. 1, s. 13-18.
Category:
Original articles
Overview
Introduction:
High incidence of colorectal cancer in the Czech Republic is an actual and demographically significant health issue. Half of all of the patients is older than 70 years. Both surgical and non-surgical treatment options in this group of patients depend on factors that are difficult to measure only by current oncological and anesthesiological classifications (cTcNcM, ASA). The objective of this paper is to measure the impact of age on the use of various treatment modalities within the protocol and their results, and also to suggest alternative options for therapy tolerance assessment.
Methods:
Analysis of data over a five-year period from the NOR database prepared by the Institute of Biostatistics and Analyses, Masaryk University.
Results:
In all parameters a difference was demonstrated between patients below the age of 70 and those above the age of 70 years. Older patients were disadvantaged. Only 11.2% of patients younger than 70 years were not treated, whereas 25.2% over the age of 70 years were not treated.
Conclusion:
A complex geriatric examination could improve the indication process in various treatment modalities, including surgery.
Key words:
colorectal cancer – elderly – treatment – geriatric assesment
Sources
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Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2016 Issue 1
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