ArticleInternational journal of colorectal disease2017
The effect of a geriatric evaluation on treatment decisions for older patients with colorectal cancer.
Article in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- A Qualitative Study on the Supportive Care Needs Preferences of Older Colorectal Cancer Patients: Insights from Patient Experiences.Patient preference and adherence · 2025Article
- Frailty and Colorectal Surgery: Review and Concept of Cancer Frailty.Journal of clinical medicine · 2023Review
- Utility of geriatric assessments in evaluation of older adults for kidney transplantation.Clinical transplantation · 2022Article
- Clinical variation in the organization of clinical pathways in esophagogastric cancer, a mixed method multiple case study.BMC health services research · 2022Article
- The C-reactive protein to albumin ratio predicts postoperative complications in oldest-old patients with colorectal cancer.International journal of colorectal disease · 2020Article
- High-performance acute care hospitals: Excelling across multiple emergency general surgery operations in the geriatric patient.The journal of trauma and acute care surgery · 2019Article
- Comprehensive Geriatric Assessment as a Versatile Tool to Enhance the Care of the Older Person Diagnosed with Cancer.Geriatrics (Basel, Switzerland) · 2019Review
- Guideline versus non-guideline based management of rectal cancer in octogenarians.European geriatric medicine · 2018Article
- Oncologic outcome of colorectal cancer patients over age 80: a propensity score-matched analysis.International journal of colorectal disease · 2018Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTreating elderly colorectal cancer patients can be challenging. It is very important to carefully weigh the risks and benefits of potential treatments in individual patients. This treatment decision making can be guided by geriatric consultation. Our aim was to assess the effect of a geriatric evaluation on treatment decisions for older patients with colorectal cancer.
methodsColorectal cancer patients who were referred for a geriatric consultation between 2013 and 2015 in three Dutch teaching hospitals were included in a prospective database. The outcome of geriatric assessment, non-oncological interventions and geriatricians' treatment recommendations were evaluated.
resultsThe total number of included referrals was 168. The median age was 81 years (range 60-94). Most patients (71%) had colon cancer and 49% had tumour stage III disease. The reason for geriatric consultation was uncertainty regarding the optimal oncologic treatment in 139 patients (83%). Overall 93% of patients suffered from geriatric impairments; non-oncological interventions that followed after geriatric consultation was mostly aimed at malnutrition. The geriatrician recommended the 'more intensive treatment' option in 69% and the 'less intensive treatment' option in 31% of which 63% 'supportive care only'.
conclusionGeriatric consultation can be useful in treatment decision making in elderly patients with colorectal cancer. It may lead to changes in the treatment plan for individual cases and may result in an additional optimisation of patient's health status prior to treatment.
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