Sooyeon Kim1, Simon C Lee2, Celette S Skinner2, Cynthia J Brown3, Courtney J Balentine1,4. 1. Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX. 2. Department of Clinical Sciences, Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX. 3. Birmingham/Atlanta Veterans Affairs Geriatric Research, Education, and Clinical Care Center, Birmingham, AL; Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, AL. 4. VA North Texas Health Care System, Dallas, TX.
Abstract
PURPOSE OF REVIEW: Review strategies to improve outcomes of colorectal cancer treatment in older patients. RECENT FINDINGS: Older colorectal patients face many barriers to recovery during their initial inpatient stay following surgery and after leaving the hospital. In addition to the risk of inpatient morbidity and mortality, older patients are more likely to require post-acute care services, to face nutritional deficits, and to experience complications of chemoradiation. SUMMARY: In order to improve outcomes for older patients with colorectal cancer, it is important for surgeons to recognize their unique needs and to develop plans to address them. The involvement of a multidisciplinary team with geriatric experience can guide planning for surgery, the immediate postoperative recovery, and long-term survivorship.
PURPOSE OF REVIEW: Review strategies to improve outcomes of colorectal cancer treatment in older patients. RECENT FINDINGS: Older colorectal patients face many barriers to recovery during their initial inpatient stay following surgery and after leaving the hospital. In addition to the risk of inpatient morbidity and mortality, older patients are more likely to require post-acute care services, to face nutritional deficits, and to experience complications of chemoradiation. SUMMARY: In order to improve outcomes for older patients with colorectal cancer, it is important for surgeons to recognize their unique needs and to develop plans to address them. The involvement of a multidisciplinary team with geriatric experience can guide planning for surgery, the immediate postoperative recovery, and long-term survivorship.
Entities:
Keywords:
colorectal cancer; older patients; perioperative strategies; postacute care needs
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