Page 204 - Risk quantification and modification in older patients with colorectal cancer

Chapter 11
C olon osc opy
Oncological and Radiological workupa
+ Geriatric screeningb
Multidisciplinary Cancer Team (MDT) Treatment advice
Treatment Decision
*Geriatric consultation (CGA)
Geriatric Screening (“VMS”) Risk for Delirium
Risk for Undernutrition Falls
ADL functioning
Surgery
Discharge
aDutch National Colorectal Cancer guidelines, bISAR-HP and G8 screenings tools, *for selected patient
Enhanced Recovery After Surgery (ERAS) *Postoperative physiotherapy *Delirium prevention *Nutritional Support
Figure 1 An example of a care pathway for older patients (≥70 years) with CRC, that includes geriatric screening and assessment and vms
202
PRECLINICAL
CLINICAL ANDPATHWAY PATHWAY DIAGNOSTIC PATHWAY (1-1.5 WEEK)
(< 1 WEEK)