Optimizing the management of elderly colorectal surgery patients

Surgery Today

Volumn 40, Issue 11, 2010, Pages 999-1010

  Tan, Kok Yang ^a,b   Konishi, Fumio ^b   Tan, Lawrence ^a   Chin, Wui Kin ^a   Ong, Hean Yee ^a   Tan, Phyllis ^a  

^a KHOO TECK PUAT HOSPITAL   (Singapore)

^b JICHI MEDICAL UNIVERSITY   (Japan)

Author keywords

Best practice; Colorectal surgery; Elderly patient; Perioperative management

Indexed keywords

ABDOMINAL SURGERY; ANESTHESIOLOGICAL TECHNIQUES; CARDIOVASCULAR DISEASE; COGNITIVE DEFECT; COLORECTAL CANCER; COLORECTAL SURGERY; COMORBIDITY; DECISION MAKING; DELIRIUM; GERIATRIC PATIENT; HIGH RISK PATIENT; HUMAN; LUNG COMPLICATION; MOBILIZATION; MORTALITY; NUTRITIONAL ASSESSMENT; PATIENT EDUCATION; PERIOPERATIVE PERIOD; PEROPERATIVE CARE; POSTOPERATIVE CARE; POSTOPERATIVE PAIN; PREOPERATIVE EVALUATION; REVIEW; RISK FACTOR; SINGAPORE; SURGICAL APPROACH; SURGICAL PATIENT; THROMBOEMBOLISM; TREATMENT PLANNING; URINARY CATHETER;

AGED; AGED, 80 AND OVER; AGING; COLON; DIGESTIVE SYSTEM SURGICAL PROCEDURES; HUMANS; INTERDISCIPLINARY COMMUNICATION; PATIENT CARE TEAM; PERIOPERATIVE CARE; RECTUM; RISK ASSESSMENT; SINGAPORE; TREATMENT OUTCOME;

EID: 78349245525     PISSN: 09411291     EISSN: 14362813     Source Type: Journal    
DOI: 10.1007/s00595-010-4354-5     Document Type: Review

References (67)

1. Statistics-Singapore. Key demographic indicators of Singapore. Singapore, 2008. http://www.singstat.gov.sg/stats/themes/people/popnindicators.pdf.
2. Statistics-Bureau. Statistical Handbook of Japan. Chapter 2: Population. Ministry of Internal affairs and Communication; 2008. http://www.stat.go.jp/ english/data/handbook/c02cont.htm.
3. A. Bufalari M. Ferri P. Cao R. Cirocchi R. Bisacci L. Moggi 1996 Surgical care in octogenarians Br J Surg 83 12 1783 1787 1:STN:280:DyaK2s7ptVKisg%3D%3D 10.1002/bjs.1800831239 9038570
4. S. Chiang K.A. Gerten K.L. Miller 2007 Optimizing outcomes of surgery in advanced age - perioperative factors to consider Clin Obstet Gynecol 50 3 813 825 10.1097/GRF.0b013e3180de46c0 17762428 (Pubitemid 47357253)
5. R.A. Rosenthal S.M. Kavic 2004 Assessment and management of the geriatric patient Crit Care Med 32 4suppl S92 105 10.1097/01.CCM.0000122069.56161.97 15064668
6. K.Y. Tan C.M. Chen C. Ng S.M. Tan K.H. Tay 2006 Which octogenarians do poorly after major open abdominal surgery in our Asian population? World J Surg 30 4 547 552 10.1007/s00268-005-0224-5 16568231
7. E. Tan H. Tilney M. Thompson J. Smith P.P. Tekkis Association of Coloproctology of Great BritainIreland 2007 The United Kingdom National Bowel Cancer Project - epidemiology and surgical risk in the elderly Eur J Cancer 43 15 2285 2294 10.1016/j.ejca.2007.06.009 17681782 (Pubitemid 47554510)
8. J.F. Lewis B.J. Maron 1992 Cardiovascular consequences of the aging process Cardiovasc Clin 22 2 25 34 1:STN:280:DyaK383ms1emtQ%3D%3D 1586922
9. C. Christmas M.A. Makary J.R. Burton 2006 Medical considerations in older surgical patients J Am Coll Surg 203 5 746 751 10.1016/j.jamcollsurg.2006.08. 006 17084338 (Pubitemid 44648796)
10. Campbell E. Physiologic changes in respiratory function. In: Rosenthal RA, Katlic MR, editors. Principles and practice in geriatric surgery. Berlin Heidelberg New York: Springer; 2000.
11. P.E. Marik 2001 Aspiration pneumonitis and aspiration pneumonia N Engl J Med 344 9 665 671 1:STN:280:DC%2BD3M7ltVWmsg%3D%3D 10.1056/NEJM200103013440908 11228282 (Pubitemid 32183583)
12. Lipschitz D. Nutrition. In: CK Cassel RL, HJ Cohen, editors. Geriatric medicine: an evidence-based approach. Berlin: Springer; 2000. p. 1009-1021.
13. S. Sahadevan S.M. Saw W. Gao L.C. Tan J.J. Chin C.Y. Hong, et al. 2008 Ethnic differences in Singapore's dementia prevalence: the stroke, Parkinson's disease, epilepsy, and dementia in Singapore study J Am Geriatr Soc 56 11 2061 2068 10.1111/j.1532-5415.2008.01992.x 19016940
14. M.J. Demeure M.J. Fain 2006 The elderly surgical patient and postoperative delirium J Am Coll Surg 203 5 752 757 10.1016/j.jamcollsurg.2006. 07.032 17084339 (Pubitemid 44648791)
15. J.P. Arnaud M. Schloegel J.C. Ollier M. Adloff 1991 Colorectal cancer in patients over 80 years of age Dis Colon Rectum 34 10 896 898 1:STN:280:DyaK38%2Fgs12lsA%3D%3D 10.1007/BF02049704 1717209
16. W.H. Isbister 1997 Colorectal surgery in the elderly: an audit of surgery in octogenarians Aust N Z J Surg 67 8 557 561 1:STN:280:DyaK2svjsVSguw%3D%3D 10.1111/j.1445-2197.1997.tb02038.x 9287925
17. A. Kirchgatterer P. Steiner D. Hubner E. Fritz G. Aschl J. Preisinger, et al. 2005 Colorectal cancer in geriatric patients: endoscopic diagnosis and surgical treatment World J Gastroenterol 11 3 315 318 15637734
18. F. Marusch A. Koch U. Schmidt R. Steinert T. Ueberrueck R. Bittner, et al. 2005 The impact of the risk factor "age" on the early postoperative results of surgery for colorectal carcinoma and its significance for perioperative management World J Surg 29 8 1013 1021 10.1007/s00268-005- 7711-6 15981044 (Pubitemid 41605764)
19. H.Y. Cheung C.C. Chung J.T. Fung J.C. Wong K.K. Yau M.K. Li 2007 Laparoscopic resection for colorectal cancer in octogenarians: results in a decade Dis Colon Rectum 50 11 1905 1910 10.1007/s10350-007-9070-x 17899275 (Pubitemid 350077114)
20. E.S. Ong M. Alassas K.B. Dunn A. Rajput 2008 Colorectal cancer surgery in the elderly: acceptable morbidity? Am J Surg 195 3 344 348 10.1016/j.amjsurg. 2007.12.022 18222410 (Pubitemid 351635566)
21. K.Y. Tan Y. Kawamura K. Mizokami J. Sasaki S. Tsujinaka T. Maeda, et al. 2009 Colorectal surgery in octogenarian patients - outcomes and predictors of morbidity Int J Colorectal Dis 24 2 185 189 1:STN:280:DC%2BD1M%2FlvFalsw%3D%3D 10.1007/s00384-008-0615-9 19050901
22. G. Basili L. Lorenzetti G. Biondi E. Preziuso C. Angrisano P. Carnesecchi, et al. 2008 Colorectal cancer in the elderly. Is there a role for safe and curative surgery? Aust N Z J Surg 78 6 466 470 10.1111/j.1445-2197. 2008.04536.x (Pubitemid 351777436)
23. P. Kirchhoff S. Dincler P. Buchmann 2008 A multivariate analysis of potential risk factors for intra- and postoperative complications in 1316 elective laparoscopic colorectal procedures Ann Surg 248 2 259 265 10.1097/SLA.0b013e31817bbe3a 18650636
24. T. Amemiya K. Oda M. Ando T. Kawamura Y. Kitagawa Y. Okawa, et al. 2007 Activities of daily living and quality of life of elderly patients after elective surgery for gastric and colorectal cancers Ann Surg 246 2 222 228 10.1097/SLA.0b013e3180caa3fb 17667500 (Pubitemid 47196519)
25. W.E. Longo K.S. Virgo F.E. Johnson C.A. Oprian A.M. Vernava T.P. Wade, et al. 2000 Risk factors for morbidity and mortality after colectomy for colon cancer Dis Colon Rectum 43 1 83 91 1:STN:280:DC%2BD3c3ntFagtQ%3D%3D 10.1007/BF02237249 10813129
26. Y. Miyakura K. Togashi F. Konishi H. Horie K. Shitoh M. Kojima, et al. 2003 Appropriate operation for elderly colorectal cancer patients based upon an assessment of preoperative risk factors Surg Today 33 7 498 503 14506993
27. T.A. Bowles K.M. Sanders M. Colson D.A. Watters 2008 Simplified risk stratification in elective colorectal surgery Aust N Z J Surg 78 1-2 24 27 10.1111/j.1445-2197.2007.04351.x
28. M.E. Charlson P. Pompei K.L. Ales C.R. MacKenzie 1987 A new method of classifying prognostic comorbidity in longitudinal studies: development and validation J Chronic Dis 40 5 373 383 1:STN:280:DyaL2s7ms1GnsQ%3D%3D 10.1016/0021-9681(87)90171-8 3558716 (Pubitemid 17055592)
29. M. Arnold M. Halpern N. Meier U. Fischer T. Haefeli L. Kappeler, et al. 2008 Age-dependent differences in demographics, risk factors, co-morbidity, etiology, management, and clinical outcome of acute ischemic stroke J Neurol 255 10 1503 1507 1:STN:280:DC%2BD1cjjsVehsw%3D%3D 10.1007/s00415-008-0949-9 18677634
30. J. Marchena-Gomez M.A. Acosta-Merida M. Hemmersbach-Miller A. Conde-Martel C. Roque-Castellano J. Hernandez-Romero 2009 The age-adjusted Charlson Comorbidity Index as an outcome predictor of patients with acute mesenteric ischemia Ann Vasc Surg 23 4 458 464 10.1016/j.avsg.2008.10.008 19128926
31. K. Heldal A. Hartmann T. Leivestad M.V. Svendsen A. Foss B. Lien, et al. 2009 Clinical outcomes in elderly kidney transplant recipients are related to acute rejection episodes rather than pretransplant comorbidity Transplantation 87 7 1045 1051 10.1097/TP.0b013e31819cdddd 19352126
32. D.J. Humes M. Solaymani-Dodaran K.M. Fleming J. Simpson R.C. Spiller J. West 2009 A population-based study of perforated diverticular disease incidence and associated mortality Gastroenterology 136 4 1198 1205 10.1053/j.gastro.2008. 12.054 19185583
33. H. Bergman L. Ferrucci J. Guralnik D.B. Hogan S. Hummel S. Karunananthan, et al. 2007 Frailty: an emerging research and clinical paradigm-issues and controversies J Gerontol A Biol Sci Med Sci 62 7 731 737 17634320
34. L.P. Fried C.M. Tangen J. Walston A.B. Newman C. Hirsch J. Gottdiener, et al. 2001 Frailty in older adults: evidence for a phenotype J Gerontol A Biol Sci Med Sci 56 3 M146 M156 1:STN:280:DC%2BD3M7osFejuw%3D%3D 11253156
35. W.D. Neary B.P. Heather J.J. Earnshaw 2003 The Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (POSSUM) Br J Surg 90 2 157 165 1:STN:280:DC%2BD3s%2FksVynug%3D%3D 10.1002/bjs.4041 12555290 (Pubitemid 36237889)
36. P.P. Tekkis D.R. Prytherch H.M. Kocher A. Senapati J.D. Poloniecki J.D. Stamatakis, et al. 2004 Development of a dedicated risk-adjustment scoring system for colorectal surgery (colorectal POSSUM) Br J Surg 91 9 1174 1182 1:STN:280:DC%2BD2cvnvFSltQ%3D%3D 10.1002/bjs.4430 15449270 (Pubitemid 39179462)
37. M. Horzic M. Kopljar K. Cupurdija D.V. Bielen D. Vergles Z. Lackovic 2007 Comparison of P-POSSUM and Cr-POSSUM scores in patients undergoing colorectal cancer resection Arch Surg 142 11 1043 1048 10.1001/archsurg.142.11.1043 18025331 (Pubitemid 350157039)
38. H. Wakabayashi T. Sano S. Yachida K. Okano K. Izuishi Y. Suzuki 2007 Validation of risk assessment scoring systems for an audit of elective surgery for gastrointestinal cancer in elderly patients: an audit Int J Surg 5 5 323 327 10.1016/j.ijsu.2007.03.003 17462968 (Pubitemid 47539998)
39. D.T. Mangano L. Goldman 1995 Preoperative assessment of patients with known or suspected coronary disease N Engl J Med 333 26 1750 1756 1:STN:280:DyaK28%2Fpt1ejug%3D%3D 10.1056/NEJM199512283332607 7491140 (Pubitemid 26007128)
40. C.M. Ashton N.J. Petersen N.P. Wray C.I. Kiefe J.K. Dunn L. Wu, et al. 1993 The incidence of perioperative myocardial infarction in men undergoing noncardiac surgery Ann Intern Med 118 7 504 510 1:STN:280:DyaK3s7ot1yruw%3D%3D 8442621
41. M.C. Gerson J.M. Hurst V.S. Hertzberg R. Baughman G.W. Rouan K. Ellis 1990 Prediction of cardiac and pulmonary complications related to elective abdominal and noncardiac thoracic surgery in geriatric patients Am J Med 88 2 101 107 1:STN:280:DyaK3c7ksVOrtQ%3D%3D 10.1016/0002-9343(90)90456-N 2301435 (Pubitemid 20051778)
42. L. Goldman D.L. Caldera S.R. Nussbaum F.S. Southwick D. Krogstad B. Murray, et al. 1977 Multifactorial index of cardiac risk in noncardiac surgical procedures N Engl J Med 297 16 845 850 1:STN:280:DyaE1c%2FhtVamsg%3D%3D 10.1056/NEJM197710202971601 904659
43. D. Poldermans M. Arnese P.M. Fioretti A. Salustri E. Boersma I.R. Thomson, et al. 1995 Improved cardiac risk stratification in major vascular surgery with dobutamine-atropine stress echocardiography J Am Coll Cardiol 26 3 648 653 1:STN:280:DyaK2MzntVGhuw%3D%3D 10.1016/0735-1097(95)00240-5 7642854
44. G. Karthikeyan R.A. Moncur O. Levine D. Heels-Ansdell M.T. Chan P. Alonso-Coello, et al. 2009 Is a pre-operative brain natriuretic peptide or N-terminal pro-B-type natriuretic peptide measurement an independent predictor of adverse cardiovascular outcomes within 30 days of noncardiac surgery? A systematic review and meta-analysis of observational studies J Am Coll Cardiol 54 17 1599 1606 1:CAS:528:DC%2BD1MXhsVGnu77K 10.1016/j.jacc.2009.06.028 19833258
45. E.O. McFalls H.B. Ward T.E. Moritz S. Goldman W.C. Krupski F. Littooy, et al. 2004 Coronary-artery revascularization before elective major vascular surgery N Engl J Med 351 27 2795 2804 1:CAS:528:DC%2BD2MXhslyguw%3D%3D 10.1056/NEJMoa041905 15625331 (Pubitemid 40051903)
46. D. Poldermans O. Schouten R. Vidakovic J.J. Bax I.R. Thomson S.E. Hoeks, et al. 2007 A clinical randomized trial to evaluate the safety of a noninvasive approach in high-risk patients undergoing major vascular surgery: the DECREASE-V Pilot Study J Am Coll Cardiol 49 17 1763 1769 10.1016/j.jacc.2006.11.052 17466225 (Pubitemid 46617863)
47. E.D. Foster K.B. Davis J.A. Carpenter S. Abele D. Fray 1986 Risk of noncardiac operation in patients with defined coronary disease: The Coronary Artery Surgery Study (CASS) registry experience Ann Thorac Surg 41 1 42 50 1:STN:280:DyaL287gt1eitw%3D%3D 10.1016/S0003-4975(10)64494-3 3484621
48. W.O. Myers K. Davis E.D. Foster C. Maynard G.C. Kaiser 1985 Surgical survival in the Coronary Artery Surgery Study (CASS) registry Ann Thorac Surg 40 3 245 260 1:STN:280:DyaL2MzgsF2lsA%3D%3D 10.1016/S0003-4975(10)60037-9 3876085 (Pubitemid 15227482)
49. D. Poldermans E. Boersma J.J. Bax I.R. Thomson B. Paelinck L.L. van de Ven, et al. 2001 Bisoprolol reduces cardiac death and myocardial infarction in high-risk patients as long as 2 years after successful major vascular surgery Eur Heart J 22 15 1353 1358 1:CAS:528:DC%2BD3MXmsVygsLk%3D 10.1053/euhj.2000. 2555 11465968 (Pubitemid 32737628)
50. D.T. Mangano E.L. Layug A. Wallace I. Tateo 1996 Effect of atenolol on mortality and cardiovascular morbidity after noncardiac surgery. Multicenter Study of Perioperative Ischemia Research Group N Engl J Med 335 23 1713 1720 1:CAS:528:DyaK2sXls1Og 10.1056/NEJM199612053352301 8929262 (Pubitemid 26399345)
51. K. O'Neil-Callahan G. Katsimaglis M.R. Tepper J. Ryan C. Mosby J.P. Ioannidis, et al. 2005 Statins decrease perioperative cardiac complications in patients undergoing noncardiac vascular surgery: the Statins for Risk Reduction in Surgery (StaRRS) study J Am Coll Cardiol 45 3 336 342 10.1016/j.jacc.2004.10. 048 15680709 (Pubitemid 40186781)
52. P.K. Lindenauer P. Pekow K. Wang D.K. Mamidi B. Gutierrez E.M. Benjamin 2005 Perioperative beta-blocker therapy and mortality after major noncardiac surgery N Engl J Med 353 4 349 361 1:CAS:528:DC%2BD2MXms1Kntrs%3D 10.1056/NEJMoa041895 16049209 (Pubitemid 41132339)
53. A.M. Arozullah S.F. Khuri W.G. Henderson J. Daley 2001 Development and validation of a multifactorial risk index for predicting postoperative pneumonia after major noncardiac surgery Ann Intern Med 135 10 847 857 1:STN:280:DC%2BD3MnnslGhsg%3D%3D 11712875
54. A. Qaseem V. Snow N. Fitterman E.R. Hornbake V.A. Lawrence G.W. Smetana, et al. 2006 Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians Ann Intern Med 144 8 575 580 16618955
55. T.D. Egan K.C. Wong 1992 Perioperative smoking cessation and anesthesia: a review J Clin Anesth 4 1 63 72 1:STN:280:DyaK387nt1Cguw%3D%3D 10.1016/0952-8180(92)90123-I 1540372
56. D. Bergqvist 2007 Risk of venous thromboembolism in patients undergoing cancer surgery and options for thromboprophylaxis J Surg Oncol 95 2 167 174 10.1002/jso.20625 17262765 (Pubitemid 46238988)
57. M. Beers R. Baran K. Frenia 2000 Drugs and the elderly, part 1: The problems facing managed care Am J Managed Care 6 12 1313 1320 1:STN:280:DC%2BD3M%2FpslCmsA%3D%3D
58. W.J. Marshall 2008 Nutritional assessment: its role in the provision of nutritional support J Clin Pathol 61 10 1083 1088 1:STN:280: DC%2BD1cnivFyqtg%3D%3D 10.1136/jcp.2007.051813 18818263
59. O. Ljungqvist E. Soreide 2003 Preoperative fasting Br J Surg 90 4 400 406 1:STN:280:DC%2BD3s7ls1yisA%3D%3D 10.1002/bjs.4066 12673740 (Pubitemid 36458101)
60. L.H. Brenner A.T. Brenner D. Horowitz 2009 Beyond informed consent: educating the patient Clin Orthop Relat Res 467 2 348 351 10.1007/s11999-008- 0642-4 19057974
61. B. Worster S. Holmes 2008 The preoperative experience of patients undergoing surgery for colorectal cancer: a phenomenological study Eur J Oncol Nurs 12 5 418 424 10.1016/j.ejon.2008.05.007 18842456
62. T.J. Mattimore N.S. Wenger N.A. Desbiens J.M. Teno M.B. Hamel H. Liu, et al. 1997 Surrogate and physician understanding of patients' preferences for living permanently in a nursing home J Am Geriatr Soc 45 7 818 824 1:STN:280:DyaK2szlvVaisA%3D%3D 9215332
63. K.Y. Tan F. Konishi K. Suzuki 2010 The evidence for adjuvant treatment of elderly patients (age > or = 70) with stage III colon cancer is inconclusive Surg Today 40 4 385 387 1:CAS:528:DC%2BC3cXjvVGhs7c%3D 10.1007/s00595-009-4047- 0 20339997
64. S.M. Frank L.A. Fleisher M.J. Breslow M.S. Higgins K.F. Olson S. Kelly, et al. 1997 Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events. A randomized clinical trial JAMA 277 14 1127 1134 1:STN:280:DyaK2s3kt1Clug%3D%3D 10.1001/jama.277.14.1127 9087467 (Pubitemid 27157630)
65. M.L. Cheatham W.C. Chapman S.P. Key J.L. Sawyers 1995 A metaanalysis of selective versus routine nasogastric decompression after elective laparotomy Ann Surg 221 5 469 476 1:STN:280:DyaK2M3ms12jsg%3D%3D 10.1097/00000658-199505000- 00004 7748028
66. J. Woolger 2008 Preoperative testing and medication management Clin Geriatr Med 24 4 573 583 10.1016/j.cger.2008.07.001 18984374
67. Halter J, Ouslander J, Tinetti M, Studenski S, High K, Asthana S, et al. Hazzard's geriatric medicine & gerontology. New York: McGraw-Hill; 2009.