Optimal management of localized rectal cancer in older patients.
J Geriatr Oncol
; 9(6): 696-704, 2018 11.
Article
in En
| MEDLINE
| ID: mdl-30150020
ABSTRACT
In advising the optimal management for older patients, health care professionals try to balance the risks from frailty, vulnerability, and comorbidity against the patient's ultimate prognosis, potential functional outcomes and quality of life (QOL). At the same time it is important to involve the patient and incorporate their preferences. But how can we present and balance the potential downside of radical radiotherapy and risks of unsalvageable recurrence against the potential risks of postoperative morbidity and mortality associated with radical surgery? There are currently no nationally approved and evidence-based guidelines available to ensure consistency in discussions with older adults or frail and vulnerable patients. In this overview we hope to provide an insightful discussion of the relevant issues and options currently available.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Quality of Life
/
Rectal Neoplasms
/
Adenocarcinoma
/
Frailty
Type of study:
Prognostic_studies
/
Qualitative_research
Aspects:
Patient_preference
Limits:
Aged
/
Humans
Language:
En
Journal:
J Geriatr Oncol
Year:
2018
Document type:
Article
Affiliation country:
Poland