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Colorectal Cancer in Elderly Patients: Considerations in Treatment and Management

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Book cover Principles and Practice of Geriatric Surgery

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Abstract

America’s population is aging, and the number over the age of 80 will double by the year 2050. This, combined with the fact that colorectal cancer is a common malignancy, with an increasing incidence with age, explains why treating the elderly patient with colorectal cancer is becoming increasingly commonplace. This chapter focuses on how the disease may present differently in elderly patients; how the risks of treatment and surgery can be assessed and used to guide treatment decisions; how various aspects of colorectal cancer treatment may be different, or the same, for geriatric patients; and finally, how outcomes in the perioperative period can be optimized by choices in surgical technique and perioperative care. Caring for these elderly patients requires considerable skill and judgment that takes into consideration their comorbidities, the various options for treatment, and a global understanding of how the risk and benefit equation works for the various treatments such that appropriate care is rendered to optimize short-term outcomes balanced with the desire to achieve good long-term cancer control.

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Author information

Authors and Affiliations

  1. Division of Colorectal Surgery, Medical College of Wisconsin, Milwaukee, WI, USA

    Carrie Y. Peterson & Kirk Ludwig

  2. Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA

    Jaqueline Blank

Authors
  1. Carrie Y. Peterson
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  2. Jaqueline Blank
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  3. Kirk Ludwig
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Corresponding author

Correspondence to Kirk Ludwig .

Editor information

Editors and Affiliations

  1. Surgical Service, Yale University School of Medicine VA Connecticut Health Care System, West Haven, CT, USA

    Ronnie A. Rosenthal

  2. SUNY Downstate School of Public Health, National Capital Region Johns Hopkins Medicine, Bethesda, MD, USA

    Michael E. Zenilman

  3. Center for Geriatric Surgery, Sinai Hospital of Baltimore, Baltimore, MD, USA

    Mark R. Katlic

Section Editor information

  1. Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA

    Jason Johanning

  2. Duke Medicine, Durham, NC, USA

    Sandhya Lagoo-Deenadayalan

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Peterson, C.Y., Blank, J., Ludwig, K. (2019). Colorectal Cancer in Elderly Patients: Considerations in Treatment and Management. In: Rosenthal, R., Zenilman, M., Katlic, M. (eds) Principles and Practice of Geriatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20317-1_59-1

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  • DOI: https://doi.org/10.1007/978-3-319-20317-1_59-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20317-1

  • Online ISBN: 978-3-319-20317-1

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