surgery in the elderly; geriatric surgery

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Epidemiology

  • ~ 40% of sugeries in the U.S. are performed on patients >= 65 years[1]

Laboratory

Complications

* 9% of elderly >= 90 years undergo major surgery

* 12% of frail elderly undergo major surgery

* 12% of elderly with probable dementia undergo major surgery[3]

Management

More general terms

References

  1. 1.0 1.1 Graham J Should Older Seniors Risk Major Surgery? New Research Offers Guidance. Medscape. Nov 28, 2022 https://www.medscape.com/viewarticle/984658
    Gill TM, Vander Wyk B, Leo-Summers L et al Population-Based Estimates of 1-Year Mortality After Major Surgery Among Community-Living Older US Adults. JAMA Surg. Published online October 19, 2022 PMID: https://www.ncbi.nlm.nih.gov/pubmed/36260323 https://jamanetwork.com/journals/jamasurgery/fullarticle/2797666
  2. Berian JR, Rosenthal RA, Baker TL et al Hospital Standards to Promote Optimal Surgical Care of the Older Adult: A Report From the Coalition for Quality in Geriatric Surgery. Ann Surg. 2018 Feb;267(2):280-290 PMID: https://www.ncbi.nlm.nih.gov/pubmed/28277408
  3. 3.0 3.1 Becher RD, Vander Wyk B, Leo-Summers L et al The Incidence and Cumulative Risk of Major Surgery in Older Persons in the United States. Ann Surg. 2021 Jul 14;10.1097/SLA.0000000000005077 PMID: https://www.ncbi.nlm.nih.gov/pubmed/34261884 PMCID: PMC8758792 (available on 2023-01-14)
  4. Graham J Should Older Adults Risk Major Surgery? New Research Offers Guidance. Annals of Long-Term Care. Nov 29, 2022 https://www.hmpgloballearningnetwork.com/site/altc/news/should-older-seniors-risk-major-surgery-new-research-offers-guidance
  5. 5.0 5.1 Berian JR, Rosenthal RA, Baker TL et al Hospital Standards to Promote Optimal Surgical Care of the Older Adult: A Report From the Coalition for Quality in Geriatric Surgery. Ann Surg. 2018 Feb;267(2):280-290. PMID: https://www.ncbi.nlm.nih.gov/pubmed/28277408
  6. 6.0 6.1 Katlic MR Let It Rain: The American College of Surgeons Geriatric Surgery Verification Program. J Am Geriatr Soc 2020. Nov 12. PMID: https://www.ncbi.nlm.nih.gov/pubmed/33184851 https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.16928
  7. 7.0 7.1 Jones TS, Jones EL, Richardson V et al Preliminary data demonstrate the Geriatric Surgery Verification program reduces postoperative length of stay. J Am Geriatr Soc. 2021 Jul;69(7):1993-1999. PMID: https://www.ncbi.nlm.nih.gov/pubmed/33826150
  8. 8.0 8.1 8.2 8.3 Ehrlich AL, Owodunni OP, Mostales JC et al Early Outcomes following Implementation of a Multispecialty Geriatric Surgery Pathway. Ann Surg. 2022 Jul 15. PMID: https://www.ncbi.nlm.nih.gov/pubmed/35837966
  9. American College of Surgeons Accreditation & Verification Geriatric Surgery Verification Advancing Care of older adult patients https://www.facs.org/quality-programs/accreditation-and-verification/geriatric-surgery-verification/
  10. List of hospitals participating in Geriatric Surgery Verification Programs https://www.facs.org/quality-programs/accreditation-and-verification/geriatric-surgery-verification/participating-gsv-hospitals/