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

Wong SP, Zietlow KM, McDonald SR, Barbeito A, Colon-Emeric CS, Lagoo-Deenadayalan SA, Loyack N, Heflin MT. Delaying Elective Surgery in Geriatric Patients: An Opportunity for Preoperative Optimization. Anesthesia and analgesia. 2020 Jan 1; 130(1):e14-e18.

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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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