• Siri R Kristjansson, Arild Nesbakken, Marit S Jordhøy, Eva Skovlund, Riccardo A Audisio, Hans-Olaf Johannessen, Arne Bakka, and Torgeir B Wyller.
• Department of Geriatric Medicine, University of Oslo, Oslo University Hospital - Ullevål, 0407 Oslo, Norway. sirikristjansson@gmail.com
• Crit. Rev. Oncol. Hematol. 2010 Dec 1; 76 (3): 208-17.

ObjectiveTo examine the association between the outcomes of a pre-operative comprehensive geriatric assessment (CGA) and the risk of severe post-operative complications in elderly patients electively operated for colorectal cancer.MethodsOne hundred seventy-eight consecutive patients ≥ 70 years electively operated for all stages of colorectal cancer were prospectively examined. A pre-operative CGA was performed, and patients were categorized as fit, intermediate, or frail. The main outcome measure was severe complications within 30 days of surgery.ResultsTwenty-one patients (12%) were categorized as fit, 81 (46%) as intermediate, and 76 (43%) as frail. Eighty-three patients experienced severe complications, including three deaths; 7/21 (33%) of fit patients, 29/81 (36%) of intermediate patients and 47/76 (62%) of frail patients (p=0.002). Increasing age and ASA classification were not associated with complications in this series.ConclusionCGA can identify frail patients who have a significantly increased risk of severe complications after elective surgery for colorectal cancer.Copyright © 2009 Elsevier Ireland Ltd. All rights reserved.

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