Cancer Surgery in the Elderly

Overview

Journal ScientificWorldJournal

Publisher Wiley

Specialty Biology

Date 2012 Jan 25

PMID 22272172

Citations 13

Authors

Gopal C Kowdley

Nishant Merchant

James P Richardson

Justin Somerville

Myriam Gorospe

Steven C Cunningham

Affiliations

Soon will be listed here.

Abstract

The proportions both of elderly patients in the world and of elderly patients with cancer are both increasing. In the evaluation of these patients, physiologic age, and not chronologic age, should be carefully considered in the decision-making process prior to both cancer screening and cancer treatment in an effort to avoid ageism. Many tools exist to help the practitioner determine the physiologic age of the patient, which allows for more appropriate and more individualized risk stratification, both in the pre- and postoperative periods as patients are evaluated for surgical treatments and monitored for surgical complications, respectively. During and after operations in the oncogeriatric populations, physiologic changes occuring that accompany aging include impaired stress response, increased senescence, and decreased immunity, all three of which impact the risk/benefit ratio associated with cancer surgery in the elderly.

Citing Articles

Effectiveness of Artificial Intelligence Technologies in Cancer Treatment for Older Adults: A Systematic Review.

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Application of the NSE score (Neurology-Stability-Epidural compression assessment) to establish the need for surgery in spinal metastases of elderly patients: a multicenter investigation.

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Perioperative Factors Impact on Mortality and Survival Rate of Geriatric Patients Undergoing Surgery in the COVID-19 Pandemic: A Prospective Cohort Study in Indonesia.

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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.

Cheng Y, Liu X, Kang B, Tao W, Wei Z, Peng D BMC Gastroenterol. 2022; 22(1):205.

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Surgical approach and geriatric evaluation for elderly patients with colorectal cancer.

Vacante M, Cristaldi E, Basile F, Borzi A, Biondi A Updates Surg. 2019; 71(3):411-417.

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