The Construction and Application of a Comprehensive Management Plan for Frail Elderly Patients with Colorectal Cancer

Objective To construct and validate a comprehensive management program for frail elderly colorectal cancer patients centered on patient-reported outcomes (PROMs). Methods From January 2024 to June 2025, 90 frail elderly patients undergoing colorectal cancer radical surgery at the People's Hospital of Shaanxi Province were conveniently selected and divided into a control group (45 cases, conventional pathway) and an intervention group (45 cases, receiving comprehensive management by a "seven-discipline-nine-position" multidisciplinary team (MDT) combined with a quality control circle: within 72 hours of admission, a four-dimensional assessment of PROMs, frailty, nutrition, psychology, and cognition was completed, triggering a 7-day preoperative high-protein prehabilitation and a "3-5-7" exercise prescription; perioperative integration of ERAS, case management, caregiver "learn-practice-follow" training, and community-family closed-loop follow-up.) The two groups were compared in terms of the standard operation rate of medical staff, the pass rate of professional knowledge assessment, the acceptance rate of patient comprehensive management, medical satisfaction, the caregiver's care ability achievement rate, and the hospital environment friendliness. Results Compared with the control group, the intervention group had the following improvements: the standard operation rate of medical staff increased from 73% to 90%, and the pass rate of assessment increased from 55% to 95%; the acceptance rate of patient comprehensive management increased from 30% to 85%, and satisfaction increased from 60% to 92%; the caregiver's ability achievement rate increased from 40% to 85%; the hospital environment friendliness increased from 60% to 93%, with all differences being P < 0.01. Conclusion The comprehensive management program based on PROMs can significantly improve the care quality, medical experience, and family support level of frail elderly colorectal cancer patients, providing evidence-based support for the construction of an integrated elderly oncology care model of hospital-community-family.