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Surgical Treatment of Colorectal Cancer in Older Patients

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Management of Colorectal Cancers in Older People

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Abstract

Elderly colorectal cancer patients are underrepresented in randomized studies. Despite the fact that modern guidelines are evidence based, they may not be considered validated for the compromised elderly patient. Increasing age and comorbidity decrease the physiological reserves to respond adequately to occurring complications. Acute surgery also is a major challenge for the older colorectal cancer patient. As a result, before counseling an older patient with colon or rectal cancer, a thorough somatic and mental assessment has to be performed in order to give the best treatment advice, considering primarily the patient’s and his or her family’s perspective.

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Author information

Authors and Affiliations

  1. Colorectal Surgery, Catharina Hospital Eindhoven, Michelangelolaan 2, Eindhoven, Noord Brabant, 5623 EJ, The Netherlands

    Harm J. T. Rutten M.D., Ph.D., FRCS (London)

  2. Department of Surgery, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands

    Gerrit-Jan Liefers M.D., Ph.D.

  3. Department of Research, Comprehensive Cancer Centre South, Zernikestraat 29, 231, Eindhoven, 2600 AE, The Netherlands

    Valery E. P. P. Lemmens Ph.D.

  4. Department of Public Health, Erasmus University Medical Centre Rotterdam, Rotterdam, The Netherlands

    Valery E. P. P. Lemmens Ph.D.

Authors
  1. Harm J. T. Rutten M.D., Ph.D., FRCS (London)
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  2. Gerrit-Jan Liefers M.D., Ph.D.
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  3. Valery E. P. P. Lemmens Ph.D.
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Corresponding author

Correspondence to Harm J. T. Rutten M.D., Ph.D., FRCS (London) .

Editor information

Editors and Affiliations

  1. Bank of Cyprus Oncology Centre, Acropoleos Avenue, Nicosia, 2006, Cyprus

    Demetris Papamichael

  2. St Helens Teaching Hospital, University of Liverpool, Marshalls Cross Road, St Helens, WA9 3DA, United Kingdom

    Riccardo A. Audisio

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Rutten, H.J.T., Liefers, GJ., Lemmens, V.E.P.P. (2013). Surgical Treatment of Colorectal Cancer in Older Patients. In: Papamichael, D., Audisio, R. (eds) Management of Colorectal Cancers in Older People. Springer, London. https://doi.org/10.1007/978-0-85729-984-0_6

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  • DOI: https://doi.org/10.1007/978-0-85729-984-0_6

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  • Online ISBN: 978-0-85729-984-0

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