How to compensate for frailty? The real life impact of geriatric co-management on morbi-mortality after colorectal cancer surgery in patients aged 70 years or older

• DOI: 10.1007/s40520-024-02752-4
• Publication Date: 2024-08-09T03:30:47Z
• Authors: A. Pille; H. Meillat; C. Braticevic; B. Lelong; F. Rousseau; M. Cecile; L. Tassy
• Keywords: Geriatric oncology

In Europe, CRC is the second most common cause of cancer death, and surgery remains mainstay curative treatment. Age frailty are associated with an increased risk postoperative morbidity 1-year mortality. Chronological age not sufficient to assess complications. The CGA has been developed better identify frail patients. Geriatric co-management have optimize post-operative outcomes. We analyzed real-life geriatric within ERAS program on surgical outcomes at 90 days oncologic 1 year in patients aged 70 years or older after for CRC. This was a retrospective study based prospective cohort. Fifty-one G8 score ≤ 14 were referred geriatricians preoperative (Frail Group). They compared 151 ≥ 15 (Robust Frail Group, significantly more comorbidities than Robust Group. Oncologic characteristics, treatments global comparable between two groups. One mortality recurrence rates similar Our suggests that feasible contributes reduction morbimortality. Moreover, performing screening completion interventions resulted 90-day outcomes, robust results confirmed benefit co-management, involving screening, CGA, ERAS, undergoing