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

Wong, Serena P; Zietlow, Kahli M; McDonald, Shelley R; Barbeito, Atilio; Colon-Emeric, Cathleen S; Lagoo-Deenadayalan, Sandhya A; Loyack, Nancy; Heflin, Mitchell T · Anesth Analg · 2020

retrospective_cohort · Level III

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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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