Launching a Geriatric Surgery Center: Recommendations from the Society for Perioperative Assessment and Quality Improvement.
frailty
geriatric comanagement
geriatric surgery
multidisciplinary
value
Journal
Journal of the American Geriatrics Society
ISSN: 1532-5415
Titre abrégé: J Am Geriatr Soc
Pays: United States
ID NLM: 7503062
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
10
04
2020
revised:
03
06
2020
accepted:
04
06
2020
pubmed:
15
7
2020
medline:
12
3
2021
entrez:
15
7
2020
Statut:
ppublish
Résumé
To prepare for the increasing numbers of older adults undergoing surgery, the American College of Surgeons (ACS) has recently launched the Geriatric Surgery Verification Program with the goal of encouraging the creation of centers of geriatric surgery. Meanwhile, the Society for Perioperative Assessment and Quality Improvement (SPAQI) has published recommendations for the preoperative management of frailty, which state that teams should actively screen for frailty before surgery and that pathways, including geriatric comanagement, shared decision-making, and multimodal prehabilitation, should be embedded in routine care to help improve patient outcomes. Both SPAQI and the ACS advocate for a multidisciplinary approach to improve the value of care for older adults undergoing surgery. However, the best way to implement geriatric services in the surgical setting is yet to be determined. In this statement, we will describe the SPAQI recommendations for launching a geriatric surgery center and the process by which its value should be assessed over time.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1941-1946Informations de copyright
© 2020 The American Geriatrics Society.
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