Overview
Introduction: Human life expectancy has increased significantly, leading to a transformation in the global demographic structure. Cancer is considerably more common among older adults compared to younger populations, as age is one of the main risk factors for its development. In fact, most solid tumors are considered age-related diseases. For this reason, the incidence of cancer among older individuals is expected to continue rising. Oncological care for this population group is particularly complex and represents a significant challenge, as comorbidities and the social aspects of aging create clinical scenarios that differ greatly from those seen in younger patients.
Objective: To identify the predictive factors of functional decline and quality of life at 12 months of follow-up, as well as oncological outcomes at 5 years of follow-up, in patients aged 65 years and older with gastrointestinal cancer who undergo curative-intent resective surgery at Hospital Universitario Mayor - Méderi, Bogotá, Colombia.
Methodology: Longitudinal and analytical observational study of prospective prognostic cohort type.
Expected Results: Predictive model of functional decline and quality of life, as well as oncological outcomes, in patients with gastrointestinal cancer undergoing curative-intent surgical procedures.
Eligibility
Inclusion Criteria:
- Gastrointestinal cancer tract diagnosis (oesophagus, stomach, duodenum, pancreas, liver, biliary tract, small bowel, appendix, colon and rectum)
- Have resectable disease by surgery
- Taken to surgery by curative intent
- Willingness to participate and enrollment by informed consent
- Attended in the Mederi Hospital Networn
Exclusion Criteria:
- Mortality
- Loss to follow-up
- Not taken to surgery
- Emergency surgery
- Taken to surgery as an oncological relapse or due to complications previous to an index procedure
- Endoscopical treatment
- Second primary tumor without a minimum 5 year disease free period from the primary one
- Basal functionality 0/6 by Katz score.
