Literature DB >> 31335399

Delaying Elective Surgery in Geriatric Patients: An Opportunity for Preoperative Optimization.

Serena P Wong1, Kahli M Zietlow, Shelley R McDonald, Atilio Barbeito, Cathleen S Colon-Emeric, Sandhya A Lagoo-Deenadayalan, Nancy Loyack, Mitchell T Heflin.   

Abstract

Deciding whether to pursue elective surgery is a complex process for older adults. Comprehensive geriatric assessment (CGA) can help refine estimates of benefits and risks, at times leading to a delay of surgery to optimize surgical readiness. We describe a cohort of geriatric patients who were evaluated in anticipation of elective abdominal surgery and whose procedures were delayed for any reason. Themes behind the reasons for delay are described, and a holistic framework to guide preoperative discussion is suggested.

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Year:  2020        PMID： 31335399      PMCID： PMC7378881          DOI： 10.1213/ANE.0000000000004335

Source DB:  PubMed          Journal:  Anesth Analg        ISSN： 0003-2999            Impact factor:   5.108


  9 in total

1.  Surgical Gatekeeping - Modifiable Risk Factors and Ethical Decision Making.

Authors:  Ira L Leeds; David T Efron; Lisa S Lehmann
Journal:  N Engl J Med       Date:  2018-07-26       Impact factor: 91.245

2.  Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society.

Authors:  Warren B Chow; Ronnie A Rosenthal; Ryan P Merkow; Clifford Y Ko; Nestor F Esnaola
Journal:  J Am Coll Surg       Date:  2012-08-21       Impact factor: 6.113

3.  Comparison of the Saint Louis University mental status examination and the mini-mental state examination for detecting dementia and mild neurocognitive disorder--a pilot study.

Authors:  Syed H Tariq; Nina Tumosa; John T Chibnall; Mitchell H Perry; John E Morley
Journal:  Am J Geriatr Psychiatry       Date:  2006-11       Impact factor: 4.105

4.  Association of Integrated Care Coordination With Postsurgical Outcomes in High-Risk Older Adults: The Perioperative Optimization of Senior Health (POSH) Initiative.

Authors:  Shelley R McDonald; Mitchell T Heflin; Heather E Whitson; Thomas O Dalton; Michael E Lidsky; Phillip Liu; Cornelia M Poer; Richard Sloane; Julie K Thacker; Heidi K White; Mamata Yanamadala; Sandhya A Lagoo-Deenadayalan
Journal:  JAMA Surg       Date:  2018-05-01       Impact factor: 14.766

5.  The PHQ-9: validity of a brief depression severity measure.

Authors:  K Kroenke; R L Spitzer; J B Williams
Journal:  J Gen Intern Med       Date:  2001-09       Impact factor: 5.128

6.  Screening the elderly. A brief instrumental activities of daily living measure.

Authors:  G G Fillenbaum
Journal:  J Am Geriatr Soc       Date:  1985-10       Impact factor: 5.562

Review 7.  Preoperative evaluation of the elderly surgical patient and anesthesia challenges in the XXI century.

Authors:  Gabriella Bettelli
Journal:  Aging Clin Exp Res       Date:  2018-02-14       Impact factor: 3.636

8.  Engaging Patients, Health Care Professionals, and Community Members to Improve Preoperative Decision Making for Older Adults Facing High-Risk Surgery.

Authors:  Nicole M Steffens; Jennifer L Tucholka; Michael J Nabozny; Andrea E Schmick; Karen J Brasel; Margaret L Schwarze
Journal:  JAMA Surg       Date:  2016-10-01       Impact factor: 14.766

Review 9.  The impact of pre-operative comprehensive geriatric assessment on postoperative outcomes in older patients undergoing scheduled surgery: a systematic review.

Authors:  J S L Partridge; D Harari; F C Martin; J K Dhesi
Journal:  Anaesthesia       Date:  2014-01       Impact factor: 6.955
  9 in total
  1 in total

1.  Perioperative Optimization of Senior Health (POSH): A Descriptive Analysis of Cancelled Surgery.

Authors:  Kahli E Zietlow; Serena Wong; Shelley R McDonald; Cathleen Colón-Emeric; Christy Cassas; Sandhya Lagoo-Deenadayalan; Mitchell T Heflin
Journal:  World J Surg       Date:  2020-09-15       Impact factor: 3.352
  1 in total

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