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.
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https://hdl.handle.net/10161/19271Published Version (Please cite this version)
10.1213/ane.0000000000004335Publication Info
(2019). Delaying Elective Surgery in Geriatric Patients: An Opportunity for Preoperative Optimization.
Anesthesia and analgesia. pp. 1-1. 10.1213/ane.0000000000004335. Retrieved from https://hdl.handle.net/10161/19271.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Atilio Barbeito
Associate Professor of Anesthesiology
Healthcare Quality, Perioperative Epidemiology, Cardiac and Thoracic Anesthesiology,
Critical Care
Cathleen Sellner Colon-Emeric
Professor of Medicine
Current research focuses on the epidemiology, prediction, and prevention of osteoporotic
fractures in elderly persons, and in improving the quality of care delivered to residents
in skilled nursing facilities. Ongoing projects include a large, administrative database
study of osteoporosis screening in men, a randomized trial of different staff education
strategies to improve fall prevention in nursing homes, and several clinical demonstration
projects.
Mitchell Tod Heflin
Professor of Medicine
I am currently a Professor with Tenure in the Department of Medicine, a Senior Fellow
in the Duke Center for the Study of Aging and Human Development, and Associate Dean
for Interprofessional Education and Care (IPEC). My career as a leader in Geriatrics
has focused on development, deployment and evaluation of education programs aimed
at health professions learners from a variety of disciplines and introduction of innovative
models of care with a specific emphasis on community-based and pe
Sandhya Anand Lagoo-Deenadayalan
Professor of Surgery
Shelley R McDonald
Associate Professor of Medicine
Serena P Wong
Assistant Professor of Medicine
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