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


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.

SUBMITTER: Wong SP 

PROVIDER: S-EPMC7378881 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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

Wong Serena P SP   Zietlow Kahli M KM   McDonald Shelley R SR   Barbeito Atilio A   Colon-Emeric Cathleen S CS   Lagoo-Deenadayalan Sandhya A SA   Loyack Nancy N   Heflin Mitchell T MT  

Anesthesia and analgesia 20200101 1


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  ...[more]

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