Colorectal Cancer in Elderly Patients: Insights into Presentations, Prognosis, and Patient Outcomes
<i>Background and Objectives</i>: Colorectal cancer (CRC) ranks as the third most prevalent cancer globally and is the third leading cause of cancer-related deaths. In 2020 alone, there were over 1.9 million new cases of CRC and nearly 0.9 million deaths worldwide. The incidence and outc...
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2024-11-01
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| author | Walid Shalata Alexander Gluzman Sofia Man Ahron Yehonatan Cohen Ashraf Abu Jama Itamar Gothelf Lena Tourkey Ala Eddin Neime Ali Abu Juma’a Keren Peri-Hanania Oshri Machluf Gal Shoham Levin Sondos Shalata Ahab Hayadri Ez El Din Abu Zeid Nashat Abu Yasin Amichay Meirovitz Alexander Yakobson |
| author_facet | Walid Shalata Alexander Gluzman Sofia Man Ahron Yehonatan Cohen Ashraf Abu Jama Itamar Gothelf Lena Tourkey Ala Eddin Neime Ali Abu Juma’a Keren Peri-Hanania Oshri Machluf Gal Shoham Levin Sondos Shalata Ahab Hayadri Ez El Din Abu Zeid Nashat Abu Yasin Amichay Meirovitz Alexander Yakobson |
| author_sort | Walid Shalata |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Colorectal cancer (CRC) ranks as the third most prevalent cancer globally and is the third leading cause of cancer-related deaths. In 2020 alone, there were over 1.9 million new cases of CRC and nearly 0.9 million deaths worldwide. The incidence and outcomes of CRC exhibit significant geographical and temporal variations, largely influenced by diverse risk factors among populations. Recognizing the prognostic factors and the presenting symptoms of CRC, a leading global cancer with high mortality, can enhance early detection and thereby improve clinical outcomes. <i>Materials and Methods</i>: This retrospective, observational study analyzed 724 CRC elderly patients aged 70 and over (median age 80, 53.17% male), treated at a single center. Data on demographics, clinical characteristics, and outcomes were collected. Overall survival was analyzed using Kaplan–Meier curves, with stratification based on tumor location, disease staging, lymph node involvement, and family history. <i>Results</i>: Our study encompassed all CRC cases treated with surgery and systemic therapies (chemotherapy or biological agents) from July 2002 to September 2020. We focused on comparing prognosis between left-sided and right-sided CRC, as well as rectal cancer. We found that left-sided CRC demonstrated a superior prognosis compared to rectal cancer (<i>p</i> = 0.0022). Furthermore, among patients with CRC, tumors originating in the rectum were associated with worse outcomes compared to those arising in both the right and left colon, regardless of disease stage (<i>p</i> = 0.0049). Additionally, a family history of CRC was associated with poorer prognosis, impacting both metastatic (<i>p</i> = 0.0022) and localized disease (<i>p</i> = 0.035). The main symptoms prompting patients to start an investigation of CRC were abdominal pain (31.49%), anemia (18.08%), rectal bleeding (hematochezia) (17.82%), change in bowel habits (9.94%), and weight loss (7.60%). <i>Conclusions</i>: This study provides valuable insights into the symptoms prompting initial investigation and the prognostic factors associated with CRC in an elderly population with varied characteristics. It underscores the need for increased vigilance in recognizing key symptoms and the importance of personalized treatment strategies tailored to these prognostic factors. |
| format | Article |
| id | doaj-art-d0e5be1ff76c414aa9161d5c4a31c20e |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj-art-d0e5be1ff76c414aa9161d5c4a31c20e2024-12-27T14:38:37ZengMDPI AGMedicina1010-660X1648-91442024-11-016012195110.3390/medicina60121951Colorectal Cancer in Elderly Patients: Insights into Presentations, Prognosis, and Patient OutcomesWalid Shalata0Alexander Gluzman1Sofia Man2Ahron Yehonatan Cohen3Ashraf Abu Jama4Itamar Gothelf5Lena Tourkey6Ala Eddin Neime7Ali Abu Juma’a8Keren Peri-Hanania9Oshri Machluf10Gal Shoham Levin11Sondos Shalata12Ahab Hayadri13Ez El Din Abu Zeid14Nashat Abu Yasin15Amichay Meirovitz16Alexander Yakobson17The Legacy Heritage Cancer Center, Dr. Larry Norton Institute, Soroka Medical Center, Beer-Sheva 84105, IsraelThe Legacy Heritage Cancer Center, Dr. Larry Norton Institute, Soroka Medical Center, Beer-Sheva 84105, IsraelThe Legacy Heritage Cancer Center, Dr. Larry Norton Institute, Soroka Medical Center, Beer-Sheva 84105, IsraelThe Legacy Heritage Cancer Center, Dr. Larry Norton Institute, Soroka Medical Center, Beer-Sheva 84105, IsraelThe Legacy Heritage Cancer Center, Dr. Larry Norton Institute, Soroka Medical Center, Beer-Sheva 84105, IsraelGoldman Medical School, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84105, IsraelThe Legacy Heritage Cancer Center, Dr. Larry Norton Institute, Soroka Medical Center, Beer-Sheva 84105, IsraelMedical School for International Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 84105, IsraelMedical School for International Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 84105, IsraelPhaseV Trials Ltd., Tel Aviv 67443, IsraelPhaseV Trials Ltd., Tel Aviv 67443, IsraelPhaseV Trials Ltd., Tel Aviv 67443, IsraelNutrition Unit, Galilee Medical Center, Nahariya 22000, IsraelMedical School for International Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 84105, IsraelMedical School for International Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 84105, IsraelThe Legacy Heritage Cancer Center, Dr. Larry Norton Institute, Soroka Medical Center, Beer-Sheva 84105, IsraelThe Legacy Heritage Cancer Center, Dr. Larry Norton Institute, Soroka Medical Center, Beer-Sheva 84105, IsraelThe Legacy Heritage Cancer Center, Dr. Larry Norton Institute, Soroka Medical Center, Beer-Sheva 84105, Israel<i>Background and Objectives</i>: Colorectal cancer (CRC) ranks as the third most prevalent cancer globally and is the third leading cause of cancer-related deaths. In 2020 alone, there were over 1.9 million new cases of CRC and nearly 0.9 million deaths worldwide. The incidence and outcomes of CRC exhibit significant geographical and temporal variations, largely influenced by diverse risk factors among populations. Recognizing the prognostic factors and the presenting symptoms of CRC, a leading global cancer with high mortality, can enhance early detection and thereby improve clinical outcomes. <i>Materials and Methods</i>: This retrospective, observational study analyzed 724 CRC elderly patients aged 70 and over (median age 80, 53.17% male), treated at a single center. Data on demographics, clinical characteristics, and outcomes were collected. Overall survival was analyzed using Kaplan–Meier curves, with stratification based on tumor location, disease staging, lymph node involvement, and family history. <i>Results</i>: Our study encompassed all CRC cases treated with surgery and systemic therapies (chemotherapy or biological agents) from July 2002 to September 2020. We focused on comparing prognosis between left-sided and right-sided CRC, as well as rectal cancer. We found that left-sided CRC demonstrated a superior prognosis compared to rectal cancer (<i>p</i> = 0.0022). Furthermore, among patients with CRC, tumors originating in the rectum were associated with worse outcomes compared to those arising in both the right and left colon, regardless of disease stage (<i>p</i> = 0.0049). Additionally, a family history of CRC was associated with poorer prognosis, impacting both metastatic (<i>p</i> = 0.0022) and localized disease (<i>p</i> = 0.035). The main symptoms prompting patients to start an investigation of CRC were abdominal pain (31.49%), anemia (18.08%), rectal bleeding (hematochezia) (17.82%), change in bowel habits (9.94%), and weight loss (7.60%). <i>Conclusions</i>: This study provides valuable insights into the symptoms prompting initial investigation and the prognostic factors associated with CRC in an elderly population with varied characteristics. It underscores the need for increased vigilance in recognizing key symptoms and the importance of personalized treatment strategies tailored to these prognostic factors.https://www.mdpi.com/1648-9144/60/12/1951colorectal cancerelderlyprognostic factorssurvivaldiagnostic symptomsretrospective study |
| spellingShingle | Walid Shalata Alexander Gluzman Sofia Man Ahron Yehonatan Cohen Ashraf Abu Jama Itamar Gothelf Lena Tourkey Ala Eddin Neime Ali Abu Juma’a Keren Peri-Hanania Oshri Machluf Gal Shoham Levin Sondos Shalata Ahab Hayadri Ez El Din Abu Zeid Nashat Abu Yasin Amichay Meirovitz Alexander Yakobson Colorectal Cancer in Elderly Patients: Insights into Presentations, Prognosis, and Patient Outcomes Medicina colorectal cancer elderly prognostic factors survival diagnostic symptoms retrospective study |
| title | Colorectal Cancer in Elderly Patients: Insights into Presentations, Prognosis, and Patient Outcomes |
| title_full | Colorectal Cancer in Elderly Patients: Insights into Presentations, Prognosis, and Patient Outcomes |
| title_fullStr | Colorectal Cancer in Elderly Patients: Insights into Presentations, Prognosis, and Patient Outcomes |
| title_full_unstemmed | Colorectal Cancer in Elderly Patients: Insights into Presentations, Prognosis, and Patient Outcomes |
| title_short | Colorectal Cancer in Elderly Patients: Insights into Presentations, Prognosis, and Patient Outcomes |
| title_sort | colorectal cancer in elderly patients insights into presentations prognosis and patient outcomes |
| topic | colorectal cancer elderly prognostic factors survival diagnostic symptoms retrospective study |
| url | https://www.mdpi.com/1648-9144/60/12/1951 |
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