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Updated: May 5, 2026

Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
Colorectal cancer and the elderly.
Lukejohn W Day1, Fernando Velayos
1Division of Gastroenterology, Department of Medicine, San Francisco General Hospital and Trauma Center, 1001 Potrero Avenue, 3D-5, San Francisco, CA 94110, USA.
Colorectal cancer screening is crucial for older adults, but decisions require careful consideration of health and cognitive status. This review examines the evidence and challenges for elderly cancer screening.
Area of Science:
- Gerontology
- Gastroenterology
- Oncology
Background:
- Colorectal cancer (CRC) and adenomas disproportionately impact the elderly population.
- Screening and surveillance are vital for early detection and prevention in this demographic.
Purpose of the Study:
- To explore the evidence supporting CRC screening and surveillance in elderly individuals.
- To address the unique challenges associated with CRC screening and surveillance in this age group.
Main Methods:
- Literature review of studies on colorectal cancer screening and surveillance in the elderly.
- Analysis of factors influencing screening decisions, including comorbidities, functional status, and cognitive ability.
Main Results:
- Evidence for screening and surveillance in the elderly is presented.
- Key challenges and special considerations for this population are discussed.
Conclusions:
- Tailored approaches are necessary for effective and safe colorectal cancer screening in older adults.
- Individualized decision-making is paramount, considering the patient's overall health and functional status.
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