scholarly journals Healthcare professional preferences in the health and fitness assessment and optimisation of older patients facing colorectal cancer surgery

2021 ◽  
Author(s):  
SL Daniels ◽  
M Burton ◽  
MJ Lee ◽  
S Moug ◽  
K Kerr ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Healthcare Professional ◽  
Older Patients ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery ◽  
Fitness Assessment ◽  
Health And Fitness ◽  
Professional Preferences

Can physical prehabilitation prevent complications after colorectal cancer surgery in frail older patients?

2021 ◽  
Author(s):  
Heleen C. van der Hulst ◽  
Esther Bastiaannet ◽  
Johanna E.A. Portielje ◽  
Jessica M. van der Bol ◽  
Jan Willem T. Dekker
Keyword(s):  
Colorectal Cancer ◽  
Older Patients ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery

scholarly journals Frailty indicators and functional status in older patients after colorectal cancer surgery

2014 ◽  
Vol 5 (1) ◽  
pp. 26-32 ◽  
Author(s):  
Benedicte Rønning ◽  
Torgeir Bruun Wyller ◽  
Marit Slaaen Jordhøy ◽  
Arild Nesbakken ◽  
Arne Bakka ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Functional Status ◽  
Older Patients ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery

scholarly journals Fit4SurgeryTV At-home Prehabilitation for Frail Older Patients Planned for Colorectal Cancer Surgery

2019 ◽  
Vol 98 (5) ◽  
pp. 399-406 ◽  
Author(s):  
Emma R.J. Bruns ◽  
Tanja E. Argillander ◽  
Henk Jan Schuijt ◽  
Peter van Duijvendijk ◽  
Edwin S. van der Zaag ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Older Patients ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery ◽  
At Home

scholarly journals Association between Epidural Analgesia and Cancer Recurrence after Colorectal Cancer Surgery

2010 ◽  
Vol 113 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Antje Gottschalk ◽  
Justin G. Ford ◽  
Cedric C. Regelin ◽  
Jing You ◽  
Edward J. Mascha ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Epidural Analgesia ◽  
Regional Anesthesia ◽  
Older Patients ◽  
Cancer Metastasis ◽  
Propensity Score Analysis ◽  
Cancer Recurrence ◽  
Cancer Surgery ◽  
Tumor Type ◽  
Colorectal Cancer Surgery

Introduction Animal studies suggest that regional anesthesia and optimal postoperative analgesia independently reduce cancer metastasis. Retrospective clinical studies suggest reductions in recurrence of several cancer types in patients receiving perioperative neuraxial analgesia. Thus, the authors determined the association between perioperative epidural analgesia and cancer recurrence in patients undergoing colorectal cancer surgery. Methods After obtaining approval of institutional review board, the authors reviewed the records of 669 patients undergoing colorectal cancer surgery between January 2000 and March 2007. Follow-up ended in November 2008. The authors' primary outcome was time to cancer recurrence. Cox proportional hazards models were used. Results Two hundred fifty-six patients who received epidural analgesia and 253 who did not were analyzed in a multivariable model to assess the association between epidural use and cancer recurrence. Overall, no association between epidural use and recurrence was found (P = 0.43), with an adjusted estimated hazard ratio of 0.82 (95% CI 0.49-1.35). In post hoc analyses, epidural use was associated with a lower cancer recurrence in older patients (age older than 64 yr), but not in younger (interaction P = 0.01). A sensitivity analysis using propensity score analysis found similar results. Conclusion In contrast to previous retrospective studies in the colon, breast, and prostate cancer surgery, the authors found that the use of epidural analgesia for perioperative pain control during colorectal cancer surgery was not associated with a decreased cancer recurrence; however, a potential benefit was observed in older patients. The benefit of regional anesthesia on cancer recurrence may thus depend on the specific tumor type.

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