ReviewClinical interventions in aging2015
Preoperative assessment of the older surgical patient: honing in on geriatric syndromes.
Review in Clinical interventions in aging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
45 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Preoperative exercise therapy for gastrointestinal cancer patients: a systematic review.Systematic reviews · 2018Pooled it
- Comprehensive geriatric assessment prediction of postoperative complications in gastrointestinal cancer patients: a meta-analysis.Clinical interventions in aging · 2018Pooled it
- Is there a link between physical function testing and ventral hernia size?Surgical endoscopy · 2025Trial
- Article
- Association of preoperative frailty and delayed neurocognitive recovery in older adults undergoing major elective surgery in Thailand: a single centre prospective study.The Lancet regional health. Southeast Asia · 2026Article
- Assessing frailty to predict surgical risk: a comparative study of three tools in older non-cardiac surgery patients.BMC geriatrics · 2025Article
- Classifying frailty in the ventral hernia population.Surgical endoscopy · 2024Article
- Association of preoperative cognitive frailty with postoperative complications in older patients under general anesthesia: a prospective cohort study.BMC geriatrics · 2024Article
- Relationship between the m-FI 11 score and 2-year survival in octogenarians undergoing colorectal cancer resection.Annals of medicine and surgery (2012) · 2024Article
- Diagnosis of frailty and implications on surgical process in the elderly: A narrative review.European journal of anaesthesiology and intensive care · 2023Review
- The 5-Item Modified Frailty Index for Risk Stratification of Patients Undergoing Total Elbow Arthroplasty.Hand (New York, N.Y.) · 2023Article
- Effects of Electrical Impedance Tomography-Guided Positive End-Expiratory Pressure on Postoperative Cardiopulmonary Exercise Capacity in Elderly Patients: Study Protocol for a Randomized Controlled Trial.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- NEW CONCEPT OF FUSION TECHNICS IN REGIONAL ANESTHESIA.Acta clinica Croatica · 2022Review
- Comprehensive geriatric assessment for older orthopedic patients and analysis of risk factors for postoperative complications.BMC geriatrics · 2022Article
- Cognitive impairment is associated with greater preoperative symptoms, worse health-related quality of life, and reduced likelihood of recovery after cervical and lumbar spine surgery.North American Spine Society journal · 2022Article
- Psychological distress among elderly surgical patients who had their surgery postponed during the COVID-19 pandemic.Perioperative medicine (London, England) · 2022Article
- Does cognitive frailty predict delayed neurocognitive recovery after noncardiac surgery in frail elderly individuals? Probably not.Frontiers in aging neuroscience · 2022Article
- Mode of anesthesia is not associated with outcomes following emergency hip fracture surgery: a population-level cohort study.Trauma surgery & acute care open · 2022Article
- Which Frailty Evaluation Method Can Better Improve the Predictive Ability of the SASA for Postoperative Complications of Patients Undergoing Elective Abdominal Surgery?Therapeutics and clinical risk management · 2022Article
- ARE THERE DIFFERENCES IN LAPAROSCOPIC GASTRECTOMY MORBIDITY AND MORTALITY BETWEEN YOUNG AND OLDER?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022Observational
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Nearly 50% of Americans will have an operation after the age of 65 years. Traditional preoperative anesthesia consultations capture only some of the information needed to identify older patients (defined as ≥65 years of age) undergoing elective surgery who are at increased risk for postoperative complications, prolonged hospital stays, and delayed or hampered functional recovery. As a catalyst to this review, we compared traditional risk scores (eg, cardiac-focused) to geriatric-specific risk measures from two older female patients seen in our preoperative clinic who were scheduled for elective, robotic-assisted hysterectomies. Despite having a lower cardiac risk index and Charlson comorbidity score, the younger of the two patients presented with more subtle negative geriatric-specific risk predictors - including intermediate or pre-frail status, borderline malnutrition, and reduced functional/mobility - which may have contributed to her 1-day-longer length of stay and need for readmission. Adequate screening of physiologic and cognitive reserves in older patients scheduled for surgery could identify at-risk, vulnerable elders and enable proactive perioperative management strategies (eg, strength, balance, and mobility prehabilitation) to reduce adverse postoperative outcomes and readmissions. Here, we describe our initial two cases and review the stress response to surgery and the impact of advanced age on this response as well as preoperative geriatric assessments, including frailty, nutrition, physical function, cognition, and mood state tests that may better predict postoperative outcomes in older adults. A brief overview of the literature on anesthetic techniques that may influence geriatric-related syndromes is also presented.
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