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Colorectal cancer in patients over 70 years of age: determinants of outcome.

TitleColorectal cancer in patients over 70 years of age: determinants of outcome.
Publication TypeJournal Article
Year of Publication2004
AuthorsBasdanis, G., Papadopoulos V. N., Michalopoulos A., Fahantidis E., Apostolidis S., Berovalis P., Zatagias A., & Karamanlis E.
JournalTech Coloproctol
Volume8 Suppl 1
Paginations112-5
Date Published2004 Nov
ISSN1123-6337
KeywordsAdult, Age Factors, Aged, Aged, 80 and over, Cause of Death, Chemotherapy, Adjuvant, Colectomy, Colorectal Neoplasms, Combined Modality Therapy, Female, Follow-Up Studies, Humans, Male, Middle Aged, Neoplasm Staging, Perioperative Care, Postoperative Complications, Predictive Value of Tests, Probability, Proportional Hazards Models, Radiotherapy, Adjuvant, Risk Assessment, Survival Analysis, Treatment Outcome
Abstract

BACKGROUND: The aim of this study was to evaluate operative risk factors, the mortality, morbidity and survival in old patients with colorectal cancer.
METHODS: From 1160 patients with colorectal cancer, 398 patients aged 70 years or older, from 1970 to 2000, were followed-up. Dukes' classification, differentiation, sex, anatomical site and survival were compared with patients <70 years old.
RESULTS: Long-term results have been proved to be similar both in young and old patients. Relative survival rate for patients aged 70-95 (70.5%) were similar to those for patients less than 70 years old (71.6%) and also comparable between male (72.3%) and female (68%) patients.
CONCLUSIONS: Elderly patients have a lower capacity to react to postoperative complications, but the relative survival is similar to younger patients. Advanced age alone should not be used as a criterion to deny surgery for colorectal cancer.
DOI10.1007/s10151-004-0128-7
Alternate JournalTech Coloproctol
PubMed ID15655591

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