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

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

Knowledge Management for Adult and Higher Education: Mapping the Recent Literature

The recent literature shows that the field of knowledge management (KM) has a potential importance for the education area. It has been argued that KM concepts, models, and practices may be beneficial to teachers, learners, and university managers. An open issue, however, is whether and how the research and practice in these two distinct fields\u2014education and KM\u2014are really converging. This chapter proposes a systematic analysis of the literature to shed light onto the intersection between the fields of KM and adult and higher education. The main research trends are detected and highlighted. The analysis shows that there are promising applications of KM to higher education and university management. However, there is still the need to carry out more theoretical or applicative research with the purpose to facilitate the effective incorporation of KM notions, concepts, or practices into the education field