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Sökning: WFRF:(Montroni I)

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  • Montroni, I., et al. (författare)
  • Colorectal cancer in older adults: Surgical issues
  • 2020
  • Ingår i: Geriatric Oncology. Extermann M. (red.). - Cham : Springer. - 9783319574158 ; , s. 713-730
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
    • This chapter centers on what surgeons, patients, and hospital administrations want and need to know about surgical care for colorectal cancer in the older patients. From all angles, it is clear that older patients are unique and their colorectal cancer care should be individualized and approached in a multidisciplinary fashion. Evaluation of patient fitness to undergo surgery should be undertaken in the elective and emergent settings. If patients are deemed fit for treatment, they should be offered the appropriate treatment, regardless of their age. This includes proceeding with surgery and/or chemotherapy and utilizing minimally invasive techniques, when appropriate. In addition, quality of life should be a priority in the care of older patients and patient reported outcomes should be assessed and reported. © Springer Nature Switzerland AG 2020.
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  • Montroni, I., et al. (författare)
  • Principles of cancer surgery in older adults
  • 2020
  • Ingår i: Geriatric Oncology. Extermann M. (red.). - Cham : Springer. - 9783319574158 ; , s. 825-844
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
    • The elderly population has recorded an unprecedented growth over the last 20 years. Despite the evidence that cancer is a disease of the elderly, very little level 1 evidence on its treatment comes from current scientific literature, since patients older than 70 are often excluded from clinical randomized trials. In addition, information obtained from the methodologically well-designed studies does not always apply to elderly patients. Unfortunately, this may also translate in substandard cancer care delivered to this group as recently flagged by EUROCARE-5, the widest collaborative research project on cancer survival in Europe. The same scenario has been reported by the National Cancer Intelligence Network showing how in the UK elderly patients affected by solid tumor receive less surgery as compared to the younger counterpart. The difficulty in applying the “standard of care” more broadly needs to be searched in a combination of patients’ comorbidities, psychosocial issues, and physicians’ attitude. All these factors contribute to the challenge in the perioperative decision-making, eventually affecting the treatment outcomes. © Springer Nature Switzerland AG 2020.
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