Short-term outcomes of surgery in elderly patients with colorectal cancer

Mohamad Salmi, Muhammad Irfan and Elagili, Faisal and Md Nor, Azmi and M., Mustapha and M., Suhaimi and N., Abd Manaf and S., Parthasarathee and M., Senin (2023) Short-term outcomes of surgery in elderly patients with colorectal cancer. Diseases of the Colon & Rectum (AMERICAN SOCIETY OF COLON AND RECTAL SURGEONS 2023 ANNUAL SCIENTIFIC MEETING ABSTRACTS), 66 (6). pp. 377-378. ISSN 0012-3706 E-ISSN 1530-0358

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Abstract

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 age≥ 65). The two groups were similar in the patient’s 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.

Item Type:	Article (Meeting Abstract)
Subjects:	R Medicine > RD Surgery
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Surgery
Depositing User:	Asst Prof Faisal Elagili
Date Deposited:	12 Jun 2023 11:16
Last Modified:	12 Jul 2023 13:08
URI:	http://irep.iium.edu.my/id/eprint/104995

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