ArticleBMC surgery2019
Outcomes of colorectal cancer surgery in the nonagenarians: 20-year result from a tertiary center.
Article in BMC surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 31 citations in OpenAlex.
- The Geriatric Nutritional Risk Index Predicts Short- and Long-Term Outcomes in the Oldest-Old With Colorectal Cancer: A Multi-Institutional Analysis of 225 Nonagenarians.Annals of gastroenterological surgery · 2026Article
- Rectal Cancer Surgery in Nonagenarians: A Multi-Institutional Study of Feasibility and Risk-Stratified Outcomes.World journal of surgery · 2026Observational
- Associations of early postoperative anemia with mortality and ICU outcomes in nonagenarians and centenarians undergoing colorectal cancer surgery: a binational multicenter propensity matching study.World journal of surgical oncology · 2025Article
- How aging may impact the failure to rescue after colorectal laparoscopic surgery. Analysis of 1000 patients in a single high-volume center.Updates in surgery · 2025Article
- Urologic care of nonagenarians A retrospective chart review.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024Article
- Short-term outcomes after laparoscopic colorectal cancer surgery in patients over 90 years old: a Japanese multicenter study.BMC surgery · 2024Article
- Outcomes in octogenarians following elective colorectal cancer surgery.Journal of gastrointestinal oncology · 2023Article
- Surgical outcomes and factors associated with postoperative complications of colorectal cancer in a Colombian Caribbean population: Results from a regional referral hospital.Cancer reports (Hoboken, N.J.) · 2023Article
- Impacts of trans-anal tube placement in patients with sigmoid colon cancer: Risk verification analysis using inverse probability weighting analysis.Annals of gastroenterological surgery · 2023Article
- Comparison of surgical and oncologic outcomes in very elderly patients (≥ 80 years old) and elderly (65-79 years old) colorectal cancer patients: a propensity score matching.BMC gastroenterology · 2022Article
- Clinical and oncologic outcomes of laparoscopic versus open surgery in elderly patients with colorectal cancer: a retrospective multicenter study.International journal of clinical oncology · 2021Article
- Outcomes of colorectal cancer surgery in nonagenarian patients: a multicenter retrospective study.Journal of gastrointestinal oncology · 2021Article
- Cultural and Ethical Barriers to Cancer Treatment in Nursing Homes and Educational Strategies: A Scoping Review.Cancers · 2021Article
- Total Risk Points Predict Short- and Long-term Outcomes Following Colorectal Cancer Resection in Older Patients.Cancer diagnosis & prognosisArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a foreseeable trend that life expectancy is on the rise in many parts of the world. More and more patients will present with colorectal cancer at extreme old age and advanced age is a well-known risk factor for adverse outcomes after surgery. The aim of this study is to evaluate the outcomes of colorectal cancer surgery in patients aged 90 or above.
methodA retrospective analysis of consecutive patients aged 90 or above who underwent operations for colorectal cancer between January 1996 and December 2015 was performed. The primary outcomes were the complications rate, 30-day and 180-day mortality rates.
resultsA total of 57 patients were included in the analysis. The majority of them were women (64.9%). The median age was 92 years. Most of the surgery was of curative intent (77.2%), performed under elective setting (57.9%) and with open approach (78.9%). 36.8% of patients had postoperative complications, with pneumonia being the commonest. The 30-day and 180-day mortality rate was 7 and 31.6% respectively. History of ischemic heart disease and surgery under emergency setting were predictors of postoperative complications. Pneumonia, preoperative leukocytosis and Charlson comorbidity score ≥ 9 were predictors of 180-day mortality. The one and two-year survival rate for elective surgery was 69.7 and 54.5% respectively.
conclusionThe outcomes of colorectal cancer surgery for nonagenarians could be favorable in a selected group of patients. Future study on better risk profiling and ways to improve outcomes is warranted.
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