1 research outputs found
Short-term outcomes of surgery in elderly patients with colorectal cancer
Background: Surgery remains the mainstay of treatment for colorectal cancers. The implications of the use of surgery in elderly patients are not clear.
Aim: To assess the effect of surgery on short-term outcomes in elderly patients with colorectal cancer.
Methods: Colorectal cancer patients undergoing surgical resection from December 2017 - September 2022 were identified from charts and retrospectively examined. Patients were grouped using a cut-off of 65 years into two groups. Demographic and clinicopathological variables, surgery type, and short-term outcomes were compared between the two groups.
Results: One hundred six patients were included in the study (55 age <65 and 51 ageโฅ 65). The two groups were similar in the patientโs characteristics. In the elderly group, the median age was 72 years,(65 to 94 years). The mean number of in-hospital days and major complication rate did not differ between groups (p=0.24; p=0.83, respectively). In elderly patients, the 30-day postoperative mortality rate was 12% as compared to 0% in younger patients (p = 0.009). On univariate analysis, the only factor associated with 30-day postoperative
mortality was advanced age (p = 0.01).
Limitations: This study was limited because of its
retrospective nature and single center
Conclusion: According to our study, colorectal
cancer patients over the age of 65 who undergo surgery
have considerably higher mortality rates related to their
advanced age. To develop a complete CRC treatment
strategy, one of the elements we must consider is aging