Long-term outcomes in elderly patients after elective surgery for colorectal cancer within an ERAS protocol: a retrospective analysis
Purpose The number of elderly patients with a diagnosis of colorectal cancer (CRC) is increasing. Considering short life expectancy and multiple comorbidities, surgery may not always be the best treatment option. Methods We included all consecutive patients aged 80 years and older who underwent elec...
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Published in | Langenbeck's archives of surgery Vol. 408; no. 1; p. 438 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
17.11.2023
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Subjects | |
Online Access | Get full text |
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Abstract | Purpose
The number of elderly patients with a diagnosis of colorectal cancer (CRC) is increasing. Considering short life expectancy and multiple comorbidities, surgery may not always be the best treatment option.
Methods
We included all consecutive patients aged 80 years and older who underwent elective resection for CRC following Enhanced Recovery after Surgery (ERAS) protocol between January 2011 and May 2021. The primary endpoint was overall survival, secondary endpoints were 30-day morbidity, and the rate of return to pre-operative living conditions 3 months after surgery.
Results
Ninety-four patients were included. Mean age was 84.6 ± 3.6 years, 49 patients (52%) were female. Most patients (77.6%) were ASA score ≥ 3. Laparoscopic resections were performed in 85 patients (90.4%), involving 69 (73.4%) colonic and 25 (26.6%) rectal resections. A stoma was constructed in 22 patients (23%), and reversed in 12 (54.5%). Twenty-two patients (23.4%) experienced a Clavien-Dindo ≥ 3 complication, and 2 patients (2.1%) died. The median length of hospital stay was 8 (interquartiles: 6–15) days. Sixty-six patients (70.2%) were discharged home directly and 26 (27.7%) to rehabilitation or postacute care institutes. At three months after surgery, eighty-two patients (96.5%) returned to their pre-operative living conditions directly or after short-term rehabilitation. Mean follow-up was 53 ± 33 months, estimated 5-year overall survival was 60.3% (95%CI 49.5–71.1%), and disease-free survival was 86.3% (95%CI 78.1–94.4%).
Conclusions
Our study suggests that elderly patients undergoing elective surgery have a high potential to return to preoperative living conditions and good overall- and disease-free survivals, despite significant postoperative morbidity. |
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AbstractList | PURPOSEThe number of elderly patients with a diagnosis of colorectal cancer (CRC) is increasing. Considering short life expectancy and multiple comorbidities, surgery may not always be the best treatment option.METHODSWe included all consecutive patients aged 80 years and older who underwent elective resection for CRC following Enhanced Recovery after Surgery (ERAS) protocol between January 2011 and May 2021. The primary endpoint was overall survival, secondary endpoints were 30-day morbidity, and the rate of return to pre-operative living conditions 3 months after surgery.RESULTSNinety-four patients were included. Mean age was 84.6 ± 3.6 years, 49 patients (52%) were female. Most patients (77.6%) were ASA score ≥ 3. Laparoscopic resections were performed in 85 patients (90.4%), involving 69 (73.4%) colonic and 25 (26.6%) rectal resections. A stoma was constructed in 22 patients (23%), and reversed in 12 (54.5%). Twenty-two patients (23.4%) experienced a Clavien-Dindo ≥ 3 complication, and 2 patients (2.1%) died. The median length of hospital stay was 8 (interquartiles: 6-15) days. Sixty-six patients (70.2%) were discharged home directly and 26 (27.7%) to rehabilitation or postacute care institutes. At three months after surgery, eighty-two patients (96.5%) returned to their pre-operative living conditions directly or after short-term rehabilitation. Mean follow-up was 53 ± 33 months, estimated 5-year overall survival was 60.3% (95%CI 49.5-71.1%), and disease-free survival was 86.3% (95%CI 78.1-94.4%).CONCLUSIONSOur study suggests that elderly patients undergoing elective surgery have a high potential to return to preoperative living conditions and good overall- and disease-free survivals, despite significant postoperative morbidity. The number of elderly patients with a diagnosis of colorectal cancer (CRC) is increasing. Considering short life expectancy and multiple comorbidities, surgery may not always be the best treatment option. We included all consecutive patients aged 80 years and older who underwent elective resection for CRC following Enhanced Recovery after Surgery (ERAS) protocol between January 2011 and May 2021. The primary endpoint was overall survival, secondary endpoints were 30-day morbidity, and the rate of return to pre-operative living conditions 3 months after surgery. Ninety-four patients were included. Mean age was 84.6 ± 3.6 years, 49 patients (52%) were female. Most patients (77.6%) were ASA score ≥ 3. Laparoscopic resections were performed in 85 patients (90.4%), involving 69 (73.4%) colonic and 25 (26.6%) rectal resections. A stoma was constructed in 22 patients (23%), and reversed in 12 (54.5%). Twenty-two patients (23.4%) experienced a Clavien-Dindo ≥ 3 complication, and 2 patients (2.1%) died. The median length of hospital stay was 8 (interquartiles: 6-15) days. Sixty-six patients (70.2%) were discharged home directly and 26 (27.7%) to rehabilitation or postacute care institutes. At three months after surgery, eighty-two patients (96.5%) returned to their pre-operative living conditions directly or after short-term rehabilitation. Mean follow-up was 53 ± 33 months, estimated 5-year overall survival was 60.3% (95%CI 49.5-71.1%), and disease-free survival was 86.3% (95%CI 78.1-94.4%). Our study suggests that elderly patients undergoing elective surgery have a high potential to return to preoperative living conditions and good overall- and disease-free survivals, despite significant postoperative morbidity. Purpose The number of elderly patients with a diagnosis of colorectal cancer (CRC) is increasing. Considering short life expectancy and multiple comorbidities, surgery may not always be the best treatment option. Methods We included all consecutive patients aged 80 years and older who underwent elective resection for CRC following Enhanced Recovery after Surgery (ERAS) protocol between January 2011 and May 2021. The primary endpoint was overall survival, secondary endpoints were 30-day morbidity, and the rate of return to pre-operative living conditions 3 months after surgery. Results Ninety-four patients were included. Mean age was 84.6 ± 3.6 years, 49 patients (52%) were female. Most patients (77.6%) were ASA score ≥ 3. Laparoscopic resections were performed in 85 patients (90.4%), involving 69 (73.4%) colonic and 25 (26.6%) rectal resections. A stoma was constructed in 22 patients (23%), and reversed in 12 (54.5%). Twenty-two patients (23.4%) experienced a Clavien-Dindo ≥ 3 complication, and 2 patients (2.1%) died. The median length of hospital stay was 8 (interquartiles: 6–15) days. Sixty-six patients (70.2%) were discharged home directly and 26 (27.7%) to rehabilitation or postacute care institutes. At three months after surgery, eighty-two patients (96.5%) returned to their pre-operative living conditions directly or after short-term rehabilitation. Mean follow-up was 53 ± 33 months, estimated 5-year overall survival was 60.3% (95%CI 49.5–71.1%), and disease-free survival was 86.3% (95%CI 78.1–94.4%). Conclusions Our study suggests that elderly patients undergoing elective surgery have a high potential to return to preoperative living conditions and good overall- and disease-free survivals, despite significant postoperative morbidity. |
ArticleNumber | 438 |
Author | Mongelli, Francesco Popeskou, Sotirios Georgios Grass, Fabian Christoforidis, Dimitri Porcellini, Iride Navarra, Andrea |
Author_xml | – sequence: 1 givenname: Andrea surname: Navarra fullname: Navarra, Andrea organization: University of Lausanne, Quartier Centre – sequence: 2 givenname: Iride surname: Porcellini fullname: Porcellini, Iride organization: Department of Surgery, Ospedale Regionale Di Lugano, EOC – sequence: 3 givenname: Francesco surname: Mongelli fullname: Mongelli, Francesco email: francesco.mongelli@mail.com organization: Department of Surgery, Ospedale Regionale Di Bellinzona E Valli, EOC, Faculty of Biomedical Science, Università Della Svizzera Italiana – sequence: 4 givenname: Sotirios Georgios surname: Popeskou fullname: Popeskou, Sotirios Georgios organization: Department of Surgery, Ospedale Regionale Di Lugano, EOC – sequence: 5 givenname: Fabian surname: Grass fullname: Grass, Fabian organization: University of Lausanne, Quartier Centre, Department of Visceral Surgery, Centre Hospitalier Universitaire Vaudois (CHUV) – sequence: 6 givenname: Dimitri surname: Christoforidis fullname: Christoforidis, Dimitri organization: Department of Surgery, Ospedale Regionale Di Lugano, EOC, Faculty of Biomedical Science, Università Della Svizzera Italiana, Department of Visceral Surgery, Centre Hospitalier Universitaire Vaudois (CHUV) |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37978074$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1016/j.amjsurg.2011.08.012 10.1016/j.ejim.2016.03.005 10.1007/s00384-017-2848-y 10.1007/s00384-011-1336-z 10.1016/j.tranon.2021.101174 10.1002/cam4.671 10.1002/bjs.4640 10.1007/s00384-022-04291-8 10.1001/archsurg.2010.309 10.1007/s00384-023-04377-x 10.1097/00000421-198212000-00014 10.1002/bjs.5216 10.1111/ases.12848 10.1007/s00268-013-2416-8 10.3322/caac.21440 10.1007/s00464-019-06747-5 10.1007/s00595-015-1171-x 10.1097/SLA.0b013e31821fd1ce 10.1007/s40520-019-01195-6 10.1016/0021-9681(87)90171-8 10.1016/j.surge.2010.10.003 10.1007/s00384-018-3057-z 10.1007/s00268-016-3766-9 10.1177/2333721417706299 10.1016/j.ijsu.2022.106780 10.3748/wjg.v23.i8.1387 10.1016/j.heliyon.2019.e02363 10.1016/j.amjsurg.2021.08.013 10.1007/s00268-022-06642-6 10.1038/s41598-021-02733-x 10.1097/01.sla.0000133083.54934.ae 10.1186/s12893-019-0596-3 10.3322/caac.21601 10.1007/s00268-011-1328-8 10.1097/SLA.0b013e318296c732 10.1016/j.cger.2017.02.002 10.1007/s00268-009-0018-2 10.1007/s11605-019-04170-8 10.1007/s40520-020-01655-4 10.3390/ijerph192215299 10.1093/bjsopen/zrab102 10.1016/s0140-6736(00)02707-0 |
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Keywords | Long-term outcomes Elderly Colorectal surgery Colorectal cancer ERAS |
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References | Ni, Jia, Chen, Wang, Suo (CR9) 2019; 23 Wan Kim (CR17) 2017; 22 Charlson, Pompei, Ales, MacKenzie (CR18) 1987; 40 Goldvaser, Katz Shroitman, Ben-Aharon, Purim, Kundel, Shepshelovich, Shochat, Sulkes, Brenner (CR25) 2017; 23 Tejedor, Pastor, Gonzalez-Ayora, Ortega-Lopez, Guadalajara, Garcia-Olmo (CR32) 2018; 33 Elfrink, Alberga, van Berge Henegouwen, Scheurs, van der Geest, Verhagen, Dekker, Grünhagen, Wouters, Klaase (CR35) 2022; 46 Rumstadt, Guenther, Wendling, Engemann, Germer, Schmid, Kipfmueller, Walz, Schwenk (CR33) 2009; 33 Depalma, Cassini, Grieco, Barbieri, Altamura, Manoochehri, Viola, Baldazzi (CR27) 2020; 32 Tan, Kawamura, Tokomitsu, Tang (CR13) 2012; 204 Islami, Goding Sauer, Miller, Siegel, Fedewa, Jacobs, McCullough, Patel, Ma, Soerjomataram, Flanders, Brawley, Gapstur, Jemal (CR2) 2018; 68 Abraham, Young, Solomon (CR23) 2004; 91 Cesari, Calvani, Marzetti (CR5) 2017; 33 CR12 Dindo, Demartines, Clavien (CR20) 2004; 240 CR34 Oken, Creech, Tormey, Horton, Davis, McFadden, Carbone (CR19) 1982; 5 Pawa, Cathcart, Arulampalam, Tutton, Motson (CR14) 2012; 36 Forsmo, Erichsen, Rasdal, Körner, Pfeffer (CR28) 2017; 3 Rossi, Labib, Ewers, Leong, Coleman, Smolarek (CR37) 2020; 34 Miguchi, Yoshimitsu, Shimomura, Kohashi, Egi, Ohdan, Hirabayashi (CR38) 2021; 14 Verheijen, Vd Ven, Davids, Vd Wall, Pronk (CR15) 2012; 27 Vlug, Wind, Hollmann, Ubbink, Cense, Engel, Gerhards, van Wagensveld, van der Zaag, van Geloven, Sprangers, Cuesta, Bemelman (CR8) 2011; 254 Xi, Xu (CR1) 2021; 14 Moon, Kim, Lee, Han, Kang, Jeong, Park, Oh (CR41) 2016; 5 Novello, Mandarino, Di Saverio, Gori, Lugaresi, Duchi, Argento, Cavallari, Wheeler, Nardo (CR36) 2019; 5 Devoto, Celentano, Cohen, Khan, Chand (CR10) 2017; 32 Zhou, Wang, Zhao, Liu, Zhou, Zheng, Zhou, Wang, Liang (CR40) 2019; 19 Ladoy, Vallarta-Robledo, De Ridder, Sandoval, Stringhini, Da Costa, Guessous, Joost (CR4) 2021; 11 Cesari, Marzetti, Thiem, Pérez-Zepeda, Abellan Van Kan, Landi, Petrovic, Cherubini, Bernabei (CR6) 2016; 31 Yap, Wilkins, Asghari-Jafarabadi, Oliva, Wang, Centauri, McMurrick (CR29) 2023; 38 Braga, Pecorelli, Scatizzi, Borghi, Missana, Radrizzani (CR31) 2017; 41 Slankamenac, Graf, Barkun, Puhan, Clavien (CR21) 2013; 258 Liu, Liu, Zhang, Liu, Li, Yuan, Wei, Peng (CR11) 2023; 38 CR24 Siegel, Miller, Goding Sauer, Fedewa, Butterly, Anderson, Cercek, Smith, Jemal (CR3) 2020; 70 King, Blazeby, Ewings, Franks, Longman, Kendrick, Kipling, Kennedy (CR7) 2006; 93 Gustafsson, Hausel, Thorell, Ljungqvist, Soop, Nygren (CR30) 2011; 146 Prabhakaran, Kong, Williams, Bell, Warrier, Simpson, Chin, Skinner, Carne (CR39) 2022; 223 Walter, Watson, Pullan, Kenefick, Mitchell, Defriend (CR16) 2011; 9 Gao, Li, Liu, Zheng, Zheng, Mei, Bai, Zhang (CR43) 2022; 104 Boon, Bislenghi, D'Hoore, Boon, Wolthuis (CR26) 2021; 33 Shigeta, Baba, Yamafuji, Asami, Takeshima, Nagasaki, Okamoto, Murata, Arai, Kubochi, Kitagawa (CR42) 2016; 46 Greco, Capretti, Beretta, Gemma, Pecorelli, Braga (CR22) 2014; 38 F Islami (3179_CR2) 2018; 68 3179_CR24 ME Charlson (3179_CR18) 1987; 40 S Zhou (3179_CR40) 2019; 19 P Tejedor (3179_CR32) 2018; 33 X Ni (3179_CR9) 2019; 23 XR Liu (3179_CR11) 2023; 38 S Prabhakaran (3179_CR39) 2022; 223 K Shigeta (3179_CR42) 2016; 46 AKE Elfrink (3179_CR35) 2022; 46 UO Gustafsson (3179_CR30) 2011; 146 B Rumstadt (3179_CR33) 2009; 33 Y Wan Kim (3179_CR17) 2017; 22 MS Vlug (3179_CR8) 2011; 254 HM Forsmo (3179_CR28) 2017; 3 PM King (3179_CR7) 2006; 93 K Boon (3179_CR26) 2021; 33 N Depalma (3179_CR27) 2020; 32 A Ladoy (3179_CR4) 2021; 11 M Greco (3179_CR22) 2014; 38 M Novello (3179_CR36) 2019; 5 N Pawa (3179_CR14) 2012; 36 KY Tan (3179_CR13) 2012; 204 RL Siegel (3179_CR3) 2020; 70 CJ Walter (3179_CR16) 2011; 9 H Goldvaser (3179_CR25) 2017; 23 PM Verheijen (3179_CR15) 2012; 27 R Yap (3179_CR29) 2023; 38 M Cesari (3179_CR5) 2017; 33 NS Abraham (3179_CR23) 2004; 91 Y Xi (3179_CR1) 2021; 14 K Slankamenac (3179_CR21) 2013; 258 XH Gao (3179_CR43) 2022; 104 MM Oken (3179_CR19) 1982; 5 L Devoto (3179_CR10) 2017; 32 SY Moon (3179_CR41) 2016; 5 M Cesari (3179_CR6) 2016; 31 M Miguchi (3179_CR38) 2021; 14 D Dindo (3179_CR20) 2004; 240 M Braga (3179_CR31) 2017; 41 BWP Rossi (3179_CR37) 2020; 34 3179_CR12 3179_CR34 |
References_xml | – volume: 204 start-page: 139 year: 2012 end-page: 143 ident: CR13 article-title: Assessment for frailty is useful for predicting morbidity in elderly patients undergoing colorectal cancer resection whose comorbidities are already optimized publication-title: Am J Surg doi: 10.1016/j.amjsurg.2011.08.012 contributor: fullname: Tang – volume: 31 start-page: 11 year: 2016 end-page: 14 ident: CR6 article-title: The geriatric management of frailty as paradigm of “The end of the disease era” publication-title: Eur J Intern Med doi: 10.1016/j.ejim.2016.03.005 contributor: fullname: Bernabei – volume: 32 start-page: 1237 year: 2017 end-page: 1242 ident: CR10 article-title: Colorectal cancer surgery in the very elderly patient: a systematic review of laparoscopic versus open colorectal resection publication-title: Int J Colorectal Dis doi: 10.1007/s00384-017-2848-y contributor: fullname: Chand – volume: 27 start-page: 507 year: 2012 end-page: 511 ident: CR15 article-title: Feasibility of enhanced recovery programme in various patient groups publication-title: Int J Colorectal Dis doi: 10.1007/s00384-011-1336-z contributor: fullname: Pronk – volume: 14 start-page: 101174 year: 2021 ident: CR1 article-title: Global colorectal cancer burden in 2020 and projections to 2040 publication-title: Transl Oncol doi: 10.1016/j.tranon.2021.101174 contributor: fullname: Xu – volume: 5 start-page: 1047 year: 2016 end-page: 1054 ident: CR41 article-title: Laparoscopic surgery for patients with colorectal cancer produces better short-term outcomes with similar survival outcomes in elderly patients compared to open surgery publication-title: Cancer Med doi: 10.1002/cam4.671 contributor: fullname: Oh – volume: 91 start-page: 1111 year: 2004 end-page: 1124 ident: CR23 article-title: Meta-analysis of short-term outcomes after laparoscopic resection for colorectal cancer publication-title: Br J Surg doi: 10.1002/bjs.4640 contributor: fullname: Solomon – ident: CR12 – volume: 38 start-page: 11 year: 2023 ident: CR29 article-title: Factors affecting the post-operative outcomes in patients aged over 80 following colorectal cancer surgery publication-title: Int J Colorectal Dis doi: 10.1007/s00384-022-04291-8 contributor: fullname: McMurrick – volume: 146 start-page: 571 year: 2011 end-page: 577 ident: CR30 article-title: Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery publication-title: Arch Surg doi: 10.1001/archsurg.2010.309 contributor: fullname: Nygren – volume: 38 start-page: 81 year: 2023 ident: CR11 article-title: Enhanced recovery after colorectal surgery is a safe and effective pathway for older patients: a pooling up analysis publication-title: Int J Colorectal Dis doi: 10.1007/s00384-023-04377-x contributor: fullname: Peng – volume: 5 start-page: 649 year: 1982 end-page: 655 ident: CR19 article-title: Toxicity and response criteria of the Eastern Cooperative Oncology Group publication-title: Am J Clin Oncol doi: 10.1097/00000421-198212000-00014 contributor: fullname: Carbone – volume: 93 start-page: 300 year: 2006 end-page: 308 ident: CR7 article-title: Randomized clinical trial comparing laparoscopic and open surgery for colorectal cancer within an enhanced recovery programme publication-title: Br J Surg doi: 10.1002/bjs.5216 contributor: fullname: Kennedy – volume: 14 start-page: 200 year: 2021 end-page: 206 ident: CR38 article-title: Long-term outcomes of laparoscopic surgery in elderly patients with colorectal cancer: a single institutional matched case-control study publication-title: Asian J Endosc Surg doi: 10.1111/ases.12848 contributor: fullname: Hirabayashi – volume: 38 start-page: 1531 year: 2014 end-page: 1541 ident: CR22 article-title: Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials publication-title: World J Surg doi: 10.1007/s00268-013-2416-8 contributor: fullname: Braga – volume: 68 start-page: 31 year: 2018 end-page: 54 ident: CR2 article-title: Proportion and number of cancer cases and deaths attributable to potentially modifiable risk factors in the United States publication-title: CA Cancer J Clin doi: 10.3322/caac.21440 contributor: fullname: Jemal – volume: 34 start-page: 170 year: 2020 end-page: 176 ident: CR37 article-title: Long-term results after elective laparoscopic surgery for colorectal cancer in octogenarians publication-title: Surg Endosc doi: 10.1007/s00464-019-06747-5 contributor: fullname: Smolarek – volume: 46 start-page: 422 year: 2016 end-page: 429 ident: CR42 article-title: Effects of laparoscopic surgery on the patterns of death in elderly colorectal cancer patients: competing risk analysis compared with open surgery publication-title: Surg Today doi: 10.1007/s00595-015-1171-x contributor: fullname: Kitagawa – volume: 254 start-page: 868 year: 2011 end-page: 875 ident: CR8 article-title: Laparoscopy in combination with fast track multimodal management is the best perioperative strategy in patients undergoing colonic surgery: a randomized clinical trial (LAFA-study) publication-title: Ann Surg doi: 10.1097/SLA.0b013e31821fd1ce contributor: fullname: Bemelman – volume: 32 start-page: 265 year: 2020 end-page: 273 ident: CR27 article-title: Feasibility of a tailored ERAS programme in octogenarian patients undergoing minimally invasive surgery for colorectal cancer publication-title: Aging Clin Exp Res doi: 10.1007/s40520-019-01195-6 contributor: fullname: Baldazzi – volume: 40 start-page: 373 year: 1987 end-page: 383 ident: CR18 article-title: A new method of classifying prognostic comorbidity in longitudinal studies: development and validation publication-title: J Chronic Dis doi: 10.1016/0021-9681(87)90171-8 contributor: fullname: MacKenzie – volume: 9 start-page: 259 year: 2011 end-page: 264 ident: CR16 article-title: Enhanced recovery in major colorectal surgery: safety and efficacy in an unselected surgical population at a UK district general hospital publication-title: Surgeon doi: 10.1016/j.surge.2010.10.003 contributor: fullname: Defriend – volume: 33 start-page: 1251 year: 2018 end-page: 1258 ident: CR32 article-title: Short-term outcomes and benefits of ERAS program in elderly patients undergoing colorectal surgery: a case-matched study compared to conventional care publication-title: Int J Colorectal Dis doi: 10.1007/s00384-018-3057-z contributor: fullname: Garcia-Olmo – volume: 41 start-page: 860 year: 2017 end-page: 867 ident: CR31 article-title: Enhanced recovery program in high-risk patients undergoing colorectal surgery: results from the PeriOperative Italian Society Registry publication-title: World J Surg doi: 10.1007/s00268-016-3766-9 contributor: fullname: Radrizzani – volume: 3 start-page: 2333721417706299 year: 2017 ident: CR28 article-title: Enhanced Recovery After Colorectal Surgery (ERAS) in elderly patients is feasible and achieves similar results as in younger patients publication-title: Gerontol Geriatr Med doi: 10.1177/2333721417706299 contributor: fullname: Pfeffer – volume: 104 start-page: 106780 year: 2022 ident: CR43 article-title: Trends, clinicopathological features, surgical treatment patterns and prognoses of early-onset versus late-onset colorectal cancer: a retrospective cohort study on 34067 patients managed from 2000 to 2021 in a Chinese tertiary center publication-title: Int J Surg doi: 10.1016/j.ijsu.2022.106780 contributor: fullname: Zhang – volume: 23 start-page: 1387 year: 2017 end-page: 1396 ident: CR25 article-title: Octogenarian patients with colorectal cancer: characterizing an emerging clinical entity publication-title: World J Gastroenterol doi: 10.3748/wjg.v23.i8.1387 contributor: fullname: Brenner – volume: 5 start-page: e02363 year: 2019 ident: CR36 article-title: Post-operative outcomes and predictors of mortality after colorectal cancer surgery in the very elderly patients publication-title: Heliyon doi: 10.1016/j.heliyon.2019.e02363 contributor: fullname: Nardo – volume: 223 start-page: 951 year: 2022 end-page: 956 ident: CR39 article-title: Comparison of colorectal cancer outcomes in young adults and octogenarians publication-title: Am J Surg doi: 10.1016/j.amjsurg.2021.08.013 contributor: fullname: Carne – volume: 46 start-page: 2399 year: 2022 end-page: 2408 ident: CR35 article-title: Outcomes after major surgical procedures in octogenarians: a nationwide cohort study publication-title: World J Surg doi: 10.1007/s00268-022-06642-6 contributor: fullname: Klaase – volume: 11 start-page: 23326 year: 2021 ident: CR4 article-title: Geographic footprints of life expectancy inequalities in the state of Geneva publication-title: Switzerland Sci Rep doi: 10.1038/s41598-021-02733-x contributor: fullname: Joost – volume: 240 start-page: 205 year: 2004 end-page: 213 ident: CR20 article-title: Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey publication-title: Ann Surg doi: 10.1097/01.sla.0000133083.54934.ae contributor: fullname: Clavien – ident: CR34 – volume: 19 start-page: 137 year: 2019 ident: CR40 article-title: Laparoscopic vs open colorectal cancer surgery in elderly patients: short- and long-term outcomes and predictors for overall and disease-free survival publication-title: BMC Surg doi: 10.1186/s12893-019-0596-3 contributor: fullname: Liang – volume: 70 start-page: 145 year: 2020 end-page: 164 ident: CR3 article-title: Colorectal cancer statistics, 2020 publication-title: CA Cancer J Clin doi: 10.3322/caac.21601 contributor: fullname: Jemal – volume: 36 start-page: 415 year: 2012 end-page: 423 ident: CR14 article-title: Enhanced recovery program following colorectal resection in the elderly patient publication-title: World J Surg doi: 10.1007/s00268-011-1328-8 contributor: fullname: Motson – volume: 258 start-page: 1 year: 2013 end-page: 7 ident: CR21 article-title: The comprehensive complication index: a novel continuous scale to measure surgical morbidity publication-title: Ann Surg doi: 10.1097/SLA.0b013e318296c732 contributor: fullname: Clavien – volume: 33 start-page: 293 year: 2017 end-page: 303 ident: CR5 article-title: Frailty in older persons publication-title: Clin Geriatr Med doi: 10.1016/j.cger.2017.02.002 contributor: fullname: Marzetti – volume: 33 start-page: 1757 year: 2009 end-page: 1763 ident: CR33 article-title: Multimodal perioperative rehabilitation for colonic surgery in the elderly publication-title: World J Surg doi: 10.1007/s00268-009-0018-2 contributor: fullname: Schwenk – volume: 22 start-page: 578 year: 2017 end-page: 585 ident: CR17 article-title: Surgical treatment for colorectal cancer in octogenarians and nonagenarians publication-title: J Buon contributor: fullname: Wan Kim – ident: CR24 – volume: 23 start-page: 1502 year: 2019 end-page: 1512 ident: CR9 article-title: Is the Enhanced Recovery After Surgery (ERAS) program effective and safe in laparoscopic colorectal cancer surgery? A meta-analysis of randomized controlled trials publication-title: J Gastrointest Surg doi: 10.1007/s11605-019-04170-8 contributor: fullname: Suo – volume: 33 start-page: 1345 year: 2021 end-page: 1352 ident: CR26 article-title: Do older patients (> 80 years) also benefit from ERAS after colorectal resection? A safety and feasibility study publication-title: Aging Clin Exp Res doi: 10.1007/s40520-020-01655-4 contributor: fullname: Wolthuis – volume: 46 start-page: 2399 year: 2022 ident: 3179_CR35 publication-title: World J Surg doi: 10.1007/s00268-022-06642-6 contributor: fullname: AKE Elfrink – volume: 36 start-page: 415 year: 2012 ident: 3179_CR14 publication-title: World J Surg doi: 10.1007/s00268-011-1328-8 contributor: fullname: N Pawa – volume: 34 start-page: 170 year: 2020 ident: 3179_CR37 publication-title: Surg Endosc doi: 10.1007/s00464-019-06747-5 contributor: fullname: BWP Rossi – volume: 33 start-page: 1345 year: 2021 ident: 3179_CR26 publication-title: Aging Clin Exp Res doi: 10.1007/s40520-020-01655-4 contributor: fullname: K Boon – volume: 33 start-page: 1251 year: 2018 ident: 3179_CR32 publication-title: Int J Colorectal Dis doi: 10.1007/s00384-018-3057-z contributor: fullname: P Tejedor – volume: 38 start-page: 1531 year: 2014 ident: 3179_CR22 publication-title: World J Surg doi: 10.1007/s00268-013-2416-8 contributor: fullname: M Greco – volume: 38 start-page: 11 year: 2023 ident: 3179_CR29 publication-title: Int J Colorectal Dis doi: 10.1007/s00384-022-04291-8 contributor: fullname: R Yap – volume: 40 start-page: 373 year: 1987 ident: 3179_CR18 publication-title: J Chronic Dis doi: 10.1016/0021-9681(87)90171-8 contributor: fullname: ME Charlson – volume: 31 start-page: 11 year: 2016 ident: 3179_CR6 publication-title: Eur J Intern Med doi: 10.1016/j.ejim.2016.03.005 contributor: fullname: M Cesari – volume: 38 start-page: 81 year: 2023 ident: 3179_CR11 publication-title: Int J Colorectal Dis doi: 10.1007/s00384-023-04377-x contributor: fullname: XR Liu – ident: 3179_CR12 doi: 10.3390/ijerph192215299 – volume: 33 start-page: 1757 year: 2009 ident: 3179_CR33 publication-title: World J Surg doi: 10.1007/s00268-009-0018-2 contributor: fullname: B Rumstadt – volume: 27 start-page: 507 year: 2012 ident: 3179_CR15 publication-title: Int J Colorectal Dis doi: 10.1007/s00384-011-1336-z contributor: fullname: PM Verheijen – volume: 22 start-page: 578 year: 2017 ident: 3179_CR17 publication-title: J Buon contributor: fullname: Y Wan Kim – volume: 9 start-page: 259 year: 2011 ident: 3179_CR16 publication-title: Surgeon doi: 10.1016/j.surge.2010.10.003 contributor: fullname: CJ Walter – volume: 258 start-page: 1 year: 2013 ident: 3179_CR21 publication-title: Ann Surg doi: 10.1097/SLA.0b013e318296c732 contributor: fullname: K Slankamenac – volume: 204 start-page: 139 year: 2012 ident: 3179_CR13 publication-title: Am J Surg doi: 10.1016/j.amjsurg.2011.08.012 contributor: fullname: KY Tan – volume: 91 start-page: 1111 year: 2004 ident: 3179_CR23 publication-title: Br J Surg doi: 10.1002/bjs.4640 contributor: fullname: NS Abraham – ident: 3179_CR34 doi: 10.1093/bjsopen/zrab102 – volume: 14 start-page: 200 year: 2021 ident: 3179_CR38 publication-title: Asian J Endosc Surg doi: 10.1111/ases.12848 contributor: fullname: M Miguchi – volume: 23 start-page: 1502 year: 2019 ident: 3179_CR9 publication-title: J Gastrointest Surg doi: 10.1007/s11605-019-04170-8 contributor: fullname: X Ni – volume: 223 start-page: 951 year: 2022 ident: 3179_CR39 publication-title: Am J Surg doi: 10.1016/j.amjsurg.2021.08.013 contributor: fullname: S Prabhakaran – volume: 254 start-page: 868 year: 2011 ident: 3179_CR8 publication-title: Ann Surg doi: 10.1097/SLA.0b013e31821fd1ce contributor: fullname: MS Vlug – volume: 5 start-page: e02363 year: 2019 ident: 3179_CR36 publication-title: Heliyon doi: 10.1016/j.heliyon.2019.e02363 contributor: fullname: M Novello – volume: 93 start-page: 300 year: 2006 ident: 3179_CR7 publication-title: Br J Surg doi: 10.1002/bjs.5216 contributor: fullname: PM King – volume: 5 start-page: 649 year: 1982 ident: 3179_CR19 publication-title: Am J Clin Oncol doi: 10.1097/00000421-198212000-00014 contributor: fullname: MM Oken – volume: 41 start-page: 860 year: 2017 ident: 3179_CR31 publication-title: World J Surg doi: 10.1007/s00268-016-3766-9 contributor: fullname: M Braga – volume: 33 start-page: 293 year: 2017 ident: 3179_CR5 publication-title: Clin Geriatr Med doi: 10.1016/j.cger.2017.02.002 contributor: fullname: M Cesari – volume: 3 start-page: 233372141770629 year: 2017 ident: 3179_CR28 publication-title: Gerontol Geriatr Med doi: 10.1177/2333721417706299 contributor: fullname: HM Forsmo – volume: 5 start-page: 1047 year: 2016 ident: 3179_CR41 publication-title: Cancer Med doi: 10.1002/cam4.671 contributor: fullname: SY Moon – volume: 68 start-page: 31 year: 2018 ident: 3179_CR2 publication-title: CA Cancer J Clin doi: 10.3322/caac.21440 contributor: fullname: F Islami – volume: 70 start-page: 145 year: 2020 ident: 3179_CR3 publication-title: CA Cancer J Clin doi: 10.3322/caac.21601 contributor: fullname: RL Siegel – ident: 3179_CR24 doi: 10.1016/s0140-6736(00)02707-0 – volume: 23 start-page: 1387 year: 2017 ident: 3179_CR25 publication-title: World J Gastroenterol doi: 10.3748/wjg.v23.i8.1387 contributor: fullname: H Goldvaser – volume: 14 start-page: 101174 year: 2021 ident: 3179_CR1 publication-title: Transl Oncol doi: 10.1016/j.tranon.2021.101174 contributor: fullname: Y Xi – volume: 104 start-page: 106780 year: 2022 ident: 3179_CR43 publication-title: Int J Surg doi: 10.1016/j.ijsu.2022.106780 contributor: fullname: XH Gao – volume: 32 start-page: 1237 year: 2017 ident: 3179_CR10 publication-title: Int J Colorectal Dis doi: 10.1007/s00384-017-2848-y contributor: fullname: L Devoto – volume: 240 start-page: 205 year: 2004 ident: 3179_CR20 publication-title: Ann Surg doi: 10.1097/01.sla.0000133083.54934.ae contributor: fullname: D Dindo – volume: 11 start-page: 23326 year: 2021 ident: 3179_CR4 publication-title: Switzerland Sci Rep doi: 10.1038/s41598-021-02733-x contributor: fullname: A Ladoy – volume: 46 start-page: 422 year: 2016 ident: 3179_CR42 publication-title: Surg Today doi: 10.1007/s00595-015-1171-x contributor: fullname: K Shigeta – volume: 146 start-page: 571 year: 2011 ident: 3179_CR30 publication-title: Arch Surg doi: 10.1001/archsurg.2010.309 contributor: fullname: UO Gustafsson – volume: 19 start-page: 137 year: 2019 ident: 3179_CR40 publication-title: BMC Surg doi: 10.1186/s12893-019-0596-3 contributor: fullname: S Zhou – volume: 32 start-page: 265 year: 2020 ident: 3179_CR27 publication-title: Aging Clin Exp Res doi: 10.1007/s40520-019-01195-6 contributor: fullname: N Depalma |
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The number of elderly patients with a diagnosis of colorectal cancer (CRC) is increasing. Considering short life expectancy and multiple comorbidities,... The number of elderly patients with a diagnosis of colorectal cancer (CRC) is increasing. Considering short life expectancy and multiple comorbidities, surgery... PURPOSEThe number of elderly patients with a diagnosis of colorectal cancer (CRC) is increasing. Considering short life expectancy and multiple comorbidities,... |
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SubjectTerms | Abdominal Surgery Aged Aged, 80 and over Brief Report Cardiac Surgery Colorectal Neoplasms - complications Colorectal Neoplasms - surgery Enhanced Recovery After Surgery Female General Surgery Humans Laparoscopy - methods Length of Stay Male Medicine Medicine & Public Health Postoperative Complications - etiology Retrospective Studies Thoracic Surgery Traumatic Surgery Vascular Surgery |
Title | Long-term outcomes in elderly patients after elective surgery for colorectal cancer within an ERAS protocol: a retrospective analysis |
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