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We aimed to investigate the effectiveness of oncological treatments in metastatic CRC related to comorbidities and age. This retrospective study included 1105 patients from three oncological centers. aaCCI and CCI was available from 577 patients. An aaCCI 3 was of the highest predictive value compared to other aaCCI-levels, CCI or age (p 70 years (35.7% vs. 11.2%; p less then 0.001). Older patients or patients with comorbidities benefit from cancer-specific therapy independently of their age and comorbidities.High viral load and po