Rectal cancer treatment in the elderly

Abstract

Elderly rectal cancer patients are a heterogeneous group of patients ranging from the very fit to the frail patients who are at high risk of treatment complications. Most elderly have comorbidities which adversely affects outcome. In addition treatment related complications have more impact on outcome in elderly patients. Therefore a different approach compared to younger patients is needed. Only after a meticulous assessment of the physiological status and adequate counselling of the patient an individual treatment plan can be determined. Shared decision making is essential in the treatment of rectal cancer in the elderly.