An elderly person confidently walking through a sunlit garden, symbolizing recovery and improved quality of life after colorectal cancer treatment.

Beyond Survival: How Post-Acute Care Can Improve the Lives of Older Colorectal Cancer Patients

"Discover the critical role of post-acute care in helping older adults regain independence and quality of life after colorectal cancer treatment."


For older adults battling colorectal cancer (CRC), the journey doesn't end with surgery or chemotherapy. While survival rates are a primary focus, quality of life and the ability to maintain independence are equally important. Often, the full impact of cancer treatment on older patients, particularly their functional and cognitive well-being, is overlooked.

A groundbreaking study published in the Journal of the American Geriatrics Society sheds light on the crucial role of post-acute care (PAC) in the lives of older CRC survivors. This research highlights the need for comprehensive survivorship plans that extend beyond the hospital walls and into the realm of rehabilitation and ongoing support.

This article explores the findings of this pivotal study, offering insights into the types of post-acute care available, who benefits most from these services, and how you can advocate for yourself or your loved ones to ensure a smoother recovery and a higher quality of life after CRC treatment.

What is Post-Acute Care and Why is It Important for Older CRC Patients?

An elderly person confidently walking through a sunlit garden, symbolizing recovery and improved quality of life after colorectal cancer treatment.

Post-acute care encompasses a range of services designed to help patients recover from illness or injury. For older CRC survivors, PAC can be vital in regaining strength, mobility, and cognitive function after surgery, chemotherapy, and radiation. These services address the challenges that can arise from cancer treatment, such as persistent deficits in strength and mobility, ultimately affecting long-term independence.

The study underscores that older individuals (those 65 and older) treated for cancer face a heightened risk of functional and cognitive decline, potentially leading to a loss of independence. Approximately 40% to 60% of these individuals experience persistent deficits in strength and mobility for up to six months following treatment, with about 20% failing to regain their pre-treatment quality of life. This increased reliance on post-acute care services highlights the need for a proactive approach to recovery.
  • Home Health Care: Provides assistance at home, including intravenous medications, wound care, and rehabilitation.
  • Skilled Nursing Facilities (SNFs): Offer short-term care for patients needing more intensive medical support.
  • Long-Term Care Facilities: Provide ongoing care for individuals with chronic conditions or disabilities.
While these services are invaluable for recovery, they also represent a significant financial burden for patients, caregivers, and the healthcare system. Medicare spends approximately $62 billion annually on PAC services, making it one of the fastest-growing costs in American healthcare. This highlights the importance of understanding who needs PAC and how to optimize its delivery for the best outcomes.

Advocating for Comprehensive Survivorship Planning

The study's findings emphasize the need for comprehensive survivorship planning that includes discussions about post-acute care needs following cancer therapy. This planning should occur even several years after treatment, as the need for PAC can arise long after the initial diagnosis. By understanding the factors that increase the risk of needing PAC, healthcare providers and patients can work together to create personalized plans that optimize recovery, maintain independence, and improve the overall quality of life for older CRC survivors.

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