Page 206 - Risk quantification and modification in older patients with colorectal cancer
P. 206
Chapter 11
Figure 2
204
C olon osc opy
Oncological and Radiological workupa
Geriatric Risk Assessment GerCRC
Delirium risk Undernutrition detection (and intervention)
*Comprehensive Geriatric Assessment
Frail (high-risk) patients Stage IV disease
Multidisciplinary Cancer Team (MDT) Treatment advice
Treatment Decision
Pre-clinical treatment options Surgery < 3 week OR Neoadjuvant treatment
High Risk Patients
*Prehabilitation (6 weeks): Supervised physical training (30-45 min. 2 sessions a week and exercises for home
Surgery
aDutch National Colorectal Cancer guidelines. *for selected patients
Enhanced Recovery After Surgery
(ERAS) *Postoperative physiotherapy *Delirium prevention *Nutritional Support
Discharge
to home OR an advanced care facility
Concept care pathway for patients ≥70 years with colorectal cancer
CLINICAL ANDPATHWAY PRECLINICAL PATHWAY DIAGNOSTIC PATHWAY (1-1.5 WEEK) (3-6 WEEKS)
