Disparities in the treatment of colon cancer in octogenarians

Karin M. Hardiman, Molly Cone, Brett Sheppard, Daniel Herzig

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background: Disparities in healthcare for the elderly are understudied, despite the increasing proportion of patients over 80 years of age. Advanced age is a principal risk factor for colorectal adenocarcinoma, but there are few data to guide treatment in the elderly patient population. Methods: We performed a retrospective review of prospectively gathered data on 10,433 patients diagnosed with primary colon tumors between 1998 and 2004. We compared demographics, stage at diagnosis, and initial treatment between patients younger than 80 years and those age 80 years or older. Results: Patients who were ≥80 years old made up 30% of the database. Older patients were less likely to have colectomy for advanced or metastatic disease than younger patients. Patients who were ≥80 years of age had fewer lymph nodes removed than younger patients (11 vs 10, P

Original languageEnglish (US)
Pages (from-to)624-628
Number of pages5
JournalAmerican Journal of Surgery
Volume197
Issue number5
DOIs
StatePublished - May 2009

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Colonic Neoplasms
Therapeutics
Healthcare Disparities
Colectomy
Colon
Adenocarcinoma
Lymph Nodes
Demography
Databases
Population

Keywords

  • Chemotherapy
  • Colon cancer
  • Disparities
  • Elderly
  • Octogenarians

ASJC Scopus subject areas

  • Surgery

Cite this

Disparities in the treatment of colon cancer in octogenarians. / Hardiman, Karin M.; Cone, Molly; Sheppard, Brett; Herzig, Daniel.

In: American Journal of Surgery, Vol. 197, No. 5, 05.2009, p. 624-628.

Research output: Contribution to journalArticle

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