By Kenneth Mak (auth.), Kok-Yang Tan (eds.)

As the inhabitants a while, clinicians are dealing with increasingly more aged sufferers with colorectal melanoma. those sufferers pose specific demanding situations as they've got extra comorbidities and decrease sensible reserves. moreover, the remedy ambitions might range from these in more youthful sufferers. This e-book discusses intensive different facets of administration of colorectal melanoma within the aged. After the availability of pertinent history info at the basic body structure of getting older, screening and analysis are mentioned. next chapters specialise in a number of concerns linked to the surgical and perioperative care of those sufferers and with adjuvant remedy and palliative care. every one bankruptcy presents priceless take-home messages in bullet element shape, and various informative figures and tables also are integrated. The authors are surgeons, physicians, anesthetists, geriatricians, oncologists, and allied overall healthiness pros with broad adventure within the field.

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1999). 6 Suboptimal Treatment of Elderly Cancer Patients Several studies have also shown that older patients are more at risk of inadequate treatment (over- or undertreatment) (Goodwin et al. 1993, 1996). Poor access to health care contributes to suboptimal treatment. Elderly patients are referred to a specialist practitioner less often because of their “potential vulnerability” that could complicate surgical management and/or oncology (Papamichael et al. 2009). A retrospective study of the French registry of digestive cancers showed that the treatment of stage III colorectal cancer varied according to age.

Platinum salts) lead to neuropathies responsible for disabling pain, gait disturbance leading to increased risk of falling, loss of autonomy, etc. The fatigue caused by chemotherapy can also cause a loss of autonomy. Even without training in oncology, the geriatrician should ideally know, when assessing the patient, the proposed chemotherapy regimen and potential toxicities or the assistance of the oncologist as to the potential toxicity of the proposed processing. Most types of chemotherapy are administered with drugs that limit the side effects of the treatment.

One of the strengths of the tool is that that there is an emphasis on minimizing unnecessary procedures and tests, which would undoubtedly lead to a longer preoperative course. -H. -Y. Tan mortality (Copeland et al. 1991). This led to the development of the Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (POSSUM). 5). Thus, a physiologic score based on the patient’s preoperative risk factors is combined with six intraoperative findings to give a more comprehensive predictor.

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Colorectal Cancer in the Elderly by Kenneth Mak (auth.), Kok-Yang Tan (eds.)
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