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Colorectal cancer resection in the Australian nonagenarian patient
Author(s) -
Schlichtemeier S.,
Logaraj A.,
Gill A. J.,
Engel A.
Publication year - 2017
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/codi.13434
Subject(s) - medicine , colorectal cancer , stage (stratigraphy) , resection , surgery , population , cancer , surgical resection , paleontology , environmental health , biology
Aim The nonagenarian population is a rapidly growing segment of the Australian population. Surgical resection continues to offer the best chance of long‐term survival in colorectal cancer. The primary aims of the present study were to evaluate the 30‐day mortality and survival of Australian patients ≥ 90 years of age undergoing surgical resection for colorectal cancer in our health service. The secondary aims were to examine the clinicopathological characteristics of the patients and their tumours. Method All patients ≥ 90 years of age undergoing surgical resection for colorectal cancer from 1998 to 2012 were identified in a centralized multihospital database. Key clinicopathological data, 30‐day mortality and long‐term overall survival were recorded for each patient. Results There were 121 patients identified of median age 91 years, 74% of whom were female. The median tumour size was 40 mm, and 51% of operations were carried out as an emergency. The TNM stage was Stage I/ II in 57%, Stage III in 40% and Stage IV in 3%. The 30‐day mortality was 6.6% (eight of 121) and the 1‐, 3‐ and 5‐year overall survival rates were 82.6%, 50.2% and 32.3%, respectively. Conclusion Surgical resection in the nonagenarian patient has an acceptable mortality and offers good overall survival.