S438 A Survey of Advanced Colorectal Cancer in Elderly Patients in a Large Community-Based Healthcare System

Methods: All patients aged 75 or older first diagnosed with CRC from January 2014 to December 2020 were identified through an on-site cancer registry at the Advocate-Aurora Healthcare System with prior history of hereditary syndromes associated with higher risk of CR. Conclusion: Our study suggests...

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Bibliographic Details
Published in:	The American journal of gastroenterology Vol. 118; no. 10S; pp. S316 - S317
Main Authors:	Doshi, Krishna, Meader, Ryan, James, Edward, Ehrepreis, Eli
Format:	Journal Article
Language:	English
Published:	New York Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins 01-10-2023
Subjects:	Colonoscopy Colorectal cancer
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Summary:	Methods: All patients aged 75 or older first diagnosed with CRC from January 2014 to December 2020 were identified through an on-site cancer registry at the Advocate-Aurora Healthcare System with prior history of hereditary syndromes associated with higher risk of CR. Conclusion: Our study suggests that elderly patients may still benefit from ongoing screening for CRC and with fewer colonoscopies and recent colonoscopies performed in patients with more advanced CRC. Survey Results of Patients in Group 1 and Group 2 Regarding Presence of Prior Colonoscopy and Smoking History Legend- Yes-Number and Percentage of Patients Who Had Prior Colonoscopy or Smoking History No- Number and Percentage of Patients Who Did Not Have Prior Colonoscopy or Smoking Unknown-Number and Percentage of Patients Who Did Not Have Clear Data on the Presence of Colonoscopy or Smoking History Stage of CRC Prior Colonoscopy Most Recent Colonoscopy in 5 years History of Smoking Group 1- 75-84 years I Yes 23/34 (68%) 20/34 (59%) 17/34(50%) No 6/34(18%) 16/34(41%) 17/34(50%) Unknown 5/34 (14%) II Yes 17/47(36%) 9/47(20%) 18/47(38%) No 13/47(27%) 38/47(80%) 29/47(62%) Unknown 17/47(36%) III Yes 16/35 (46%) 9/35 (24%) 16/35 (46%) No 15/35 (43%) 26/35 (74%) 19/35 (54%) Unknown 4/35 (11%) IV Yes 6/21 (29%) 4/20 (20%) 9/20 (45%) No 12/21(57%) 16/20 (80%) 11/20 (55%) Unknown 3/21 (14%) Group 2- 85 years and above I Yes 8/12 (67%) 3/12 (25%) 5/12 (41.6%) No 1/12 (8%) 9/12 (75%) 7/12 (59.4%) Unknown 3/12(25%) II Yes 15/33(45%) 8/33(24%) 15/33(45%) No 11/33 (33%) 25/33(76%) 18/33(55%) Unknown 7/33 (21%) III Yes 12/27(44%) 6/27(22%) 11/27(41%) No 8/27(30%) 21/27(78%) 16/27(59%) Unknown 7/27(26%) IV Yes 6/20(30%) 3/20(15%) 12/20(60%) No 13/20(65%) 17/20(85%) 8/20(40%) Unknown 1/20(5%) Author Notes *PresenterLutheran General Hospital, Park Ridge, IL.
ISSN:	0002-9270 1572-0241
DOI:	10.14309/01.ajg.0000951392.30117.bd