INTRODUCTION: Adequate decision-making in elderly @entity14 @entity1 requires accurate information regarding risks of treatment. We analysed the outcome and survival of colorectal resections in the oldest old (>= 85  years). METHODS: An analysis of the 2011-2012 data from two large nationwide registries: the Dutch Surgical Colorectal Audit (DSCA), containing all @entity14 resections, and the Netherlands Cancer Registry (NCR), containing survival data for all newly diagnosed @entity5 . RESULTS: The study included more than 1200 @entity1 aged >= 85  years (DSCA n  =  1232, NCR n  =  1206). The postoperative complication rate was 41  % in the oldest old. The frequency of @entity532 rose rapidly with age, from 11  % in those <70  years to 38  % for the oldest old (p  <  0.001). Postoperative 30-day mortality rate was 10  % in the oldest old. Three-month mortality was 14  % (compared with 3  % of @entity1 <85  years; p  <  0.001). One-year mortality was 24  % and 2-year mortality 36  %. After correction for expected mortality in the general population, excess mortality for the oldest old was 12  % in the first year and 3  % in the second year. CONCLUSIONS: In this study of more than 1200 @entity14 @entity1 aged >= 85  years undergoing surgical resection, we found high rates of @entity532 and excess mortality, particularly in the first year after surgery. We propose that these data could be incorporated into individualized treatment algorithms, which also include detailed information regarding the @entity1 ' health status.

XXXX Resections in the Oldest Old Between 2011 and 2012 in The Netherlands.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity532 :: ('MESH:D003925', 'Disease') :: ['cardiopulmonary complications'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancies'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal cancer']
@entity14 :: (MESH:D015179,Disease) :: ['Colorectal Cancer']
