title: Management of Colorectal Cancer in Older Adults.
abstract: Treatment for colorectal cancer should not be based on age alone. Pooled analyses from clinical trials show that fit older adults are able to tolerate treatment well with similar efficacy as younger adults. When an older adult is considered for treatment, the clinical encounter must evaluate for deficits in physical and cognitive function, and assess comorbidities, medications, and the degree of social support, all which have may affect tolerance of treatment. Based on the degree of fitness of the patient, multiple alternatives to aggressive treatment regimens and strategies exist to minimize toxicity and preserve quality of life during treatment.
authors.affiliation: Department of Oncology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55902, USA. Electronic address: Hubbard.Joleen@mayo.edu.
authors.forename: Joleen M
authors.initials: JM
authors.lastname: Hubbard
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000628:therapy*; D015897:Comorbidity; D019468:Disease Management; D019317:Evidence-Based Medicine; D015577:Geriatric Assessment; D006801:Humans; D012307:Risk Factors; D012944:Social Support
keywords: Colon cancer treatment; Geriatric oncology; Rectal cancer treatment