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Rev Cubana Cir [online]. ISSN Colorectal cancer is the most frequent neoplasm of the digestive system in older adults. In Cuba, it is a highly significant health problem due to its high incidence and mortality, also being the third cause of death. The intentional sample was made up of older adults, belonging to urban family medical offices.

The variables were age, sex, school level, stage of colorectal cancer at diagnosis, health status, comorbidities, selfcare capacity and perception, and survival. The anatomoclinical classification was used to determine the stage at diagnosis.

Comorbidity was measured using the Chalson index, while the CYPAC-AM older adult selfcare capacity and perception test was used to measure selfcare capacity and perception. In the characterization of the sample, there was a predominance of women, the age group between 70 and 79 years, and the junior high school level.

Stage II prevailed, together with poor health status and inadequate selfcare perception. Comorbidity was moderate, with survival between 40 to 60 months. The adequate characterization of older adults with colorectal cancer in the community makes it possible to outline strategies aimed at improving selfcare and their health status from the first level of care. Keywords : family medicine; first level of care; colorectal cancer; older adult.