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

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 and José Antonio Serra-Rexach
Additional contact information
Nicolás M. González-Senac: Geriatric Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain
Jennifer Mayordomo-Cava: Geriatric Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain
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
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
José Antonio Serra-Rexach: Geriatric Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain

IJERPH, 2021, vol. 18, issue 11, 1-22

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.

Keywords: colorectal cancer; elderly; frailty; geriatric syndromes; comprehensive geriatric assessment; geriatric liaison; multicomponent programs; functional capacity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/11/6072/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/11/6072/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:11:p:6072-:d:568996

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().