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Related Experiment Videos

Colorectal carcinoma: do elderly patients present differently?

R Curless1, J M French, G V Williams

  • 1Department of Medicine (Geriatrics), Medical School, University of Newcastle upon Tyne.

Age and Ageing
|March 1, 1994
PubMed
Summary
This summary is machine-generated.

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Elderly patients with rectal cancer present differently, often with non-specific symptoms like anemia. However, this does not lead to delayed colorectal cancer diagnosis or increased emergency presentations.

Area of Science:

  • Oncology
  • Geriatric Medicine
  • Clinical Epidemiology

Background:

  • Colorectal carcinoma diagnosis and treatment can be influenced by patient age.
  • Understanding age-related differences in symptomatic presentation is crucial for timely diagnosis.

Purpose of the Study:

  • To compare the symptomatic presentation, diagnostic delays, and emergency presentation rates of colorectal carcinoma in young (under 70) versus elderly (70 or older) patients.

Main Methods:

  • Prospective cohort study involving 273 patients with histological colorectal carcinoma diagnosis.
  • Structured interviews using a questionnaire to gather data on symptoms, referral patterns, and diagnostic timelines.
  • Statistical analysis to compare outcomes between the young and elderly groups.

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Main Results:

  • Elderly patients were more frequently referred to medical/geriatric units, not surgical (p < 0.01).
  • No significant difference in median delay from symptom onset to diagnosis (19.5 weeks) between age groups.
  • Symptomatic anemia and non-specific symptoms were more common presenting complaints in the elderly (p < 0.05).
  • For rectal cancer, specific symptoms like tenesmus, pain, and altered flatus were more common in younger patients.

Conclusions:

  • The symptomatic presentation of rectal cancer differs between elderly and younger individuals.
  • Despite differing presentations, age does not appear to significantly increase diagnostic delays or emergency presentations for colorectal cancer.