Does comprehensive geriatric assessment improve the estimate of surgical risk in elderly patients? An Italian multicenter observational study

Abete, Pasquale; Cherubini, Antonio; Bari, Mauro Di; Vigorito, Carlo; Viviani, Giorgio Luciano; Marchionni, Niccolò; D’Ambrosio, Daniele; Serra, R.; Zampi, Elena; Bracali, Ilaria; Mello, AnnaMaria; Vitelli, Alessandra; Rengo, Giuseppe; Cacciatore, Francesco; Rengo, F.

doi:10.1016/j.amjsurg.2015.04.016

Cited by 20 publications

(17 citation statements)

References 40 publications

(32 reference statements)

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“…[4,12,13] Abete et al [14] recently reported that with effective preoperative anesthesia and risk assessment evaluation, better postoperative outcomes can be achieved. In another study, by Gunnarsson et al, [15] patients aged over 75 years who underwent elective inguinal hernia repair had promising post-operative outcomes.…”

Section: Discussionmentioning

confidence: 99%

Approach to Inguinal Hernia in High-risk Geriatric Patients: Should it be Elective or Emergent?

Işıl

Yazici²,

Demir³

et al. 2016

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

Approach to Inguinal Hernia in High-risk Geriatric Patients: Should it be Elective or Emergent?

Işıl

Yazici²,

Demir³

et al. 2016

Ulus Travma Acil Cerrahi Derg

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“…A recent study showed that the use of some simple indices of CGA, together with surgical prognostic indices (the physiological and operative severity score for the enumeration of mortality and morbidity-Possum, the surgical risk score-SRS defined by the National Confidential Enquiry into Patient Outcome of Death, the American Society of Anaesthesiologists-ASA, and the British United Provident Association-BUPA) can provide valuable help in identifying the highest risk patients to develop negative outcomes after surgery. In particular, multivariate analysis showed that higher cognitive function assessed by MMSE is associated with a reduced risk of total mortality, while comorbidity is associated with a higher risk of total morbidity [34]. Therefore, in medium intensity of care, the Geriatrician is frequently involved in the administration of CGA and identification and quantification of clinical frailty because some medical procedures are not performed only for the advanced age of the patients.…”

Section: Medium Intensitymentioning

confidence: 99%

Acute care hospital at different levels of intensity: the role of Geriatrician

et al. 2018

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The traditional model of care is based on "disease-centered" management that requires the organization of the hospital in specialized wards, to which the patient is assigned for the main disease. The growing need to optimize economical and human resources and to promote a global approach to the patient has led to the setting up of the intensity of care model. It is a health system based on a "patient-centered" approach, where the hospital is organized in departments dedicated to patients with homogenous needs of care. In Italy, intensity of care model is currently being tested in the hospital organization, where three levels of intensity are proposed: low, medium and high. The purpose of the following review is to describe the role and importance of the Geriatrician in each of these care settings and to highlight the contradiction of a National Health System which promotes the geriatric approach to all types of patients, but does not invest in the formation and integration of the figure of the Geriatrician in clinical practice, condemning it to marginalization or even extinction.

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“…Decisions regarding surgical versus medical management incorporate functional condition in addition to factors associated with general health and life expectancy [ 49 ]. Functional status scores along with other geriatric assessment measures can be used to determine surgical risk [ 50 ], one-year mortality [ 51 ], and changes in cancer treatment, such as intensification, decrease or delay in dose [ 52 ].…”

Section: Benefits Of Functional Assessmentmentioning

confidence: 99%

Assessing the Functional Status of Older Cancer Patients in an Ambulatory Care Visit

Overcash

2015

Healthcare

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Functional status assessment is a useful and essential component of the complete history and physical exam of the older patient diagnosed with cancer. Functional status is the ability to conduct activities that are necessary for independence and more executive activities, such as money management, cooking, and transportation. Assessment of functional status creates a portal into interpreting the health of in older persons. Understanding limitations and physical abilities can help in developing cancer treatment strategies, patient/family teaching needs, and in-home services that enhance patient/family care. This article will review the benefits of functional assessment, instruments that can be used during an ambulatory care visit, and interventions that can address potential limitations.

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Does comprehensive geriatric assessment improve the estimate of surgical risk in elderly patients? An Italian multicenter observational study

Cited by 20 publications

References 40 publications

Approach to Inguinal Hernia in High-risk Geriatric Patients: Should it be Elective or Emergent?

Approach to Inguinal Hernia in High-risk Geriatric Patients: Should it be Elective or Emergent?

Acute care hospital at different levels of intensity: the role of Geriatrician

Assessing the Functional Status of Older Cancer Patients in an Ambulatory Care Visit

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