Characteristics and results of treatment of patients treated surgically with colorectal cancer in old and senile age

Pol Przegl Chir. 2018 Feb 28;90(1):1-6. doi: 10.5604/01.3001.0011.5952.

Abstract

Colorectal cancer (CC) in Poland is the type of cancer with the highest dynamics of disease growth and is epidemiologically related to age. The analysis involved 353 patients operated on due to CC in senile and old age and compared with younger patients. It was found that people at this age are more often diagnosed with CC They were more often women, the patients did not differ in the stage of cancer, while they were significantly more often qualified for surgery due to urgent indications. In patients with colonic cancer, the resectability and radicality of the procedures in comparison with patients with rectal cancer was significantly higher, while there were more complications and deaths in the 30-day follow-up in this group. The overall survival in senile and old age was significantly worse. In the first year of follow-up after surgical treatment of patients in this group, complications and deaths were more frequently observed. However, in patients who survived 12 months after the operation, the overall survival rate did not significantly differ.

Keywords: Colorectal cancer; aged patients.

Publication types

  • Comparative Study

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Chemotherapy, Adjuvant
  • Colorectal Neoplasms / drug therapy
  • Colorectal Neoplasms / epidemiology
  • Colorectal Neoplasms / surgery*
  • Female
  • Follow-Up Studies
  • Frail Elderly / statistics & numerical data*
  • Health Status*
  • Humans
  • Male
  • Middle Aged
  • Poland
  • Postoperative Complications / epidemiology*
  • Reoperation / statistics & numerical data
  • Sex Factors
  • Survival Analysis
  • Treatment Outcome