Provisional Clinical Opinions Recommended by the Supportive and Palliative Care Working Group for Vulnerable Elderly Patients with Colorectal Cancer
-
- Ishiguro Hiroshi
- Department of Breast Oncology Service, Saitama Medical University International Medical Center
-
- Ishibashi Hideki
- Department of Gastroenterology, Fukuoka University Faculty of Medicine
-
- Yamaguchi Takashi
- Department of Palliative care medicine, Konan Medical Center
-
- Watanuki Nariaki
- National Center for Global Health and Medicine, National College of Nursing
-
- Hanai Akiko
- RIKEN, Cluster for Science, Technology and Innovation Hub
-
- Sakurai Naomi
- Cancer Solutions
-
- Tsuji Tetsuya
- Division of Rehabilitation Medicine, Keio University Faculty of Medicine
Bibliographic Information
- Other Title
-
- 「プレフレイル高齢大腸がん患者のための臨床的提言」支持・緩和医療に関する提言
Search this article
Description
<p>Fit elderly patients with cancer can tolerate standard therapy with anticipated efficacy similar to non-elderly patients; however, frail patients are unlikely to tolerate such toxic treatment due to poor general condition, in which case only the best supportive care is indicated. Prefrail patients, in a condition between fit and frail, can tolerate only less-intensive cancer therapy due to their reduced general condition, and managing these patients with confidence is difficult as no guideline is available due to the paucity of evidence. Here, provisional clinical opinions recommended by the Supportive and Palliative Care Working Group are provided for vulnerable elderly patients with colorectal cancer. We have focused on bowel obstruction and chemotherapy-induced peripheral neuropathy and provided answers to questions on important topics such as the following recommendations from multi-occupational teams, including physicians and nurses, occupational therapists and patients' family. For bowel obstruction, “Should insertion of a mechanical stent be prioritized for patients who are poor candidates for surgical procedure?”, “What kind of issues exist for colostomy placement in prefrail elderly patients with colorectal cancer?” and “What should be considered for prefrail elderly patients with colorectal cancer who receive oxaliplatin-based chemotherapy?”</p>
Journal
-
- Nippon Daicho Komonbyo Gakkai Zasshi
-
Nippon Daicho Komonbyo Gakkai Zasshi 74 (6), 349-356, 2021
The Japan Society of Coloproctology
- Tweet
Details 詳細情報について
-
- CRID
- 1390288172136000640
-
- NII Article ID
- 130008045223
-
- ISSN
- 18829619
- 00471801
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- Crossref
- CiNii Articles
-
- Abstract License Flag
- Disallowed