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Geriatric Surgical Oncology

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Surgical Oncology Manual

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Abstract

Older adults are the fastest growing cohort with cancer requiring surgery. For older adults, cancer care decision-making has inherent complexities due to altered risk-benefit profiles, underlying health status, remaining life expectancy, and heterogeneity in patient values and goals. Recommendations applicable to geriatric surgical oncology emphasize preoperative discussions regarding personal goals and preferences, while incorporating counseling about older adult-specific outcomes such as postoperative delirium, functional decline, loss of independence, and long-term care admissions. Focused consideration on patient assessment, patient-centered decision-making, and perioperative care for older adults tailored to individual needs will optimize disease control and quality of life. This chapter acts as an overview to guide the integration of geriatric principles into the overall surgical care of older adults with cancer.

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Authors and Affiliations

  1. Department of Surgery, University of Toronto, Toronto, ON, Canada

    Tyler R. Chesney

  2. Division of Geriatric Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada

    Naser AlQurini & Shabbir M. H. Alibhai

  3. Department of Medicine, University of Toronto, Toronto, ON, Canada

    Naser AlQurini

  4. Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada

    Shabbir M. H. Alibhai

  5. Department of Medicine, University Health Network, Toronto, ON, Canada

    Shabbir M. H. Alibhai

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  1. Tyler R. Chesney
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  2. Naser AlQurini
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  3. Shabbir M. H. Alibhai
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Correspondence to Shabbir M. H. Alibhai .

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Editors and Affiliations

  1. Department of Surgery, University of Toronto, Toronto, ON, Canada

    Frances C. Wright

  2. Department of Surgery, University of Toronto, Toronto, ON, Canada

    Jaime M. Escallon

  3. Department of Surgery, University of Toronto, Toronto, ON, Canada

    Moises Cukier

  4. Department of Surgery, University of Toronto, Toronto, ON, Canada

    Melanie E. Tsang

  5. Department of Surgery, University of Toronto, Toronto, ON, Canada

    Usmaan Hameed

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Chesney, T.R., AlQurini, N., Alibhai, S.M.H. (2020). Geriatric Surgical Oncology. In: Wright, F., Escallon, J., Cukier, M., Tsang, M., Hameed, U. (eds) Surgical Oncology Manual. Springer, Cham. https://doi.org/10.1007/978-3-030-48363-0_13

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