Delaying Elective Surgery in Geriatric Patients: An Opportunity for Preoperative Optimization.
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ABSTRACT:
SUBMITTER: Wong SP
PROVIDER: S-EPMC7378881 | biostudies-literature | 2020 Jan
REPOSITORIES: biostudies-literature
Publications
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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Project description:Background purposePatient satisfaction has become an increasingly important component of quality measures for both hospital reimbursement and quality assessment. Additionally, patient satisfaction influences patient behavior and patient follow-up. The purpose of this study was to identify preoperative factors associated with patient satisfaction 2 years after shoulder surgery.MethodsElectronic surveys were used to collect patient information including demographic, surgical, and social history, as well as outcome data. Satisfaction was measured 2 years after surgery using the Surgical Satisfaction Questionnaire.ResultsMultivariable linear regression identified preoperative Patient-Reported Outcomes Measurement Information System Pain Interference, annual income, and American Society of Anesthesiologists score as independent predictors of lower patient satisfaction, while total shoulder arthroplasty was an independent predictor of greater patient satisfaction. The model accounted for 15% of the variance in satisfaction scores (R2 = 0.15).ConclusionPatient satisfaction 2 years after shoulder surgery is associated with preoperative patient-reported outcome scores. Lower patient satisfaction is independently predicted by greater preoperative PROMIS PI, income less than $70,000, and ASA score >1, while higher patient satisfaction is predicted by total shoulder arthroplasty.
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