Personalized management of elderly patients with rectal cancer: Expert recommendations of the European Society of Surgical Oncology, European Society of Coloproctology, International Society of Geriatric Oncology, and American College of Surgeons Commission on Cancer

摘要: With an expanding elderly population and median rectal cancer detection age of 70 years, the prevalence in patients is increasing. Management based on evidence from younger patients, resulting substandard treatments poor outcomes. Modern management demands patient-centered treatment, assessing frailty rather than chronological age. The heterogeneity this group, combined with limited available data, impedes drafting evidence-based guidelines. Therefore, a multidisciplinary task force convened experts European Society Surgical Oncology, Coloproctology, International Geriatric Oncology American College Surgeons Commission Cancer, goal identifying best practice to promote personalized care older patients. A crucial element for was recognized as routine screening geriatrician involvement frail Careful patient selection improved surgical perioperative techniques are responsible substantial improvement properly selected should be considered resection. Local excision can utilized when balancing oncologic outcomes, life expectancy. Watch wait protocols, expert hands, valuable adjuncts added improve complete response rates. Functional recovery patient-reported outcomes important oncologic-specific group. above recommendations others were made best-available guide treatment cancer.