World Journal of Surgery

, Volume 29, Issue 8, pp 1013–1021

The Impact of the Risk Factor “Age” on the Early Postoperative Results of Surgery for Colorectal Carcinoma and Its Significance for Perioperative Management

Authors

    • Institute for Quality Management in Operative MedicineOtto-von-Guericke University Magdeburg
    • Department of SurgeryCarl-Thiem Hospital Cottbus
  • Andreas Koch
    • Institute for Quality Management in Operative MedicineOtto-von-Guericke University Magdeburg
    • Department of SurgeryCarl-Thiem Hospital Cottbus
  • Uwe Schmidt
    • Institute for Quality Management in Operative MedicineOtto-von-Guericke University Magdeburg
  • Ralf Steinert
    • Institute for Quality Management in Operative MedicineOtto-von-Guericke University Magdeburg
    • Department of SurgeryCarl-Thiem Hospital Cottbus
  • Torsten Ueberrueck
    • Institute for Quality Management in Operative MedicineOtto-von-Guericke University Magdeburg
    • Department of SurgeryCarl-Thiem Hospital Cottbus
  • Reinhard Bittner
    • Department of SurgeryMarien-Hospital Stuttgart
  • Eugen Berg
    • Department of ColoproctologyProsper-Hospital Recklinghausen
  • Rainer Engemann
    • Department of SurgeryAschaffenburg Hospital
  • Klaus Gellert
    • Department of SurgeryOscar-Ziethen-Hospital, Berlin-Lichtenberg
  • Rainer Arbogast
    • Department of SurgeryPforzheim Hospital
  • Thomas Körner
    • Department of SurgeryHanover-Hospital
  • Ferdinand Köckerling
    • Institute for Quality Management in Operative MedicineOtto-von-Guericke University Magdeburg
    • Department of SurgeryHanover-Hospital
  • Ingo Gastinger
    • Institute for Quality Management in Operative MedicineOtto-von-Guericke University Magdeburg
    • Department of SurgeryCarl-Thiem Hospital Cottbus
  • Hans Lippert
    • Institute for Quality Management in Operative MedicineOtto-von-Guericke University Magdeburg
    • Department of SurgeryOtto-von-Guericke University Magdeburg
Original article

DOI: 10.1007/s00268-005-7711-6

Cite this article as:
Marusch, F., Koch, A., Schmidt, U. et al. World J. Surg. (2005) 29: 1013. doi:10.1007/s00268-005-7711-6

Abstract

The risks and benefits of surgery for colorectal cancer in old patients have not been unequivocally defined. The present investigation was carried out in 309 hospitals as a prospective multicenter study. In the period between 1 January 2000 and 31 December 2001, a total of 19,080 patients were recruited for the study; 16,142 (84.6%) patients were younger than 80 years (<80) and 2932 (15.4%) were 80 years and older (≥ 80). Significant differences between the age groups were observed for general postoperative complications (22.3% for <80 years; 33.9% for ≥ 80). Specific postoperative complications were identical in both groups. Overall, significantly elevated morbidity and mortality rates were found with increasing age (morbidity: 33.9% vs. 43.5%; mortality: 2.6% vs. 8.0%). The distribution of tumor stages revealed a significantly higher percentage of locally advanced tumors in the older age group (stage II: 28.0% vs. 34.4%). In contrast, no increase in metastasizing tumors was found in the older age group (stage IV: 17.4% vs. 14.1%). Logistic regression showed that, in concert with a number of other parameters, age is a significant influencing factor on postoperative morbidity and mortality. The increase in postoperative morbidity and mortality rates associated with aging is a result of the increase in general postoperative complications, in particular, pneumonia and cardiovascular complications. Age as such does not represent a contraindication for surgical treatment. The short-term outcome and quality of life are of overriding importance for the geriatric patient.

Copyright information

© Société Internationale de Chirurgie 2005