Incidence of preoperative instrumental activities of daily living (IADL) dependence and adverse outcomes in older surgical patients: A systematic review and meta-analysis

Chen, Alisia; An, Ekaterina; Yan, Ellene; He, David; Saripella, Aparna; Butris, Nina; Tsang, Jinny; Englesakis, Marina; Wong, Jean; Alibhai, Shabbir M.H.; Chung, Frances

doi:10.1016/j.jclinane.2023.111151

Cited by 6 publications

(3 citation statements)

References 42 publications

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“…There are various measures of functional ability, 23 including ADL 34 and instrumental activities of daily living (IADL). [35][36][37] Additional measures include basic activities of daily living (BADL) and advanced activities of daily living (AADL). 37,38 Interestingly, patients with IADL dependence (inability to perform IADL independently and dependence on others) are more likely to develop postoperative delirium, 36 with similar findings reported in urology studies.…”

Section: Functional Abilitymentioning

confidence: 99%

“…[35][36][37] Additional measures include basic activities of daily living (BADL) and advanced activities of daily living (AADL). 37,38 Interestingly, patients with IADL dependence (inability to perform IADL independently and dependence on others) are more likely to develop postoperative delirium, 36 with similar findings reported in urology studies. 39,40 These results suggest a potential correlation between physical activity/function and mental health.…”

Section: Functional Abilitymentioning

confidence: 99%

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The significance of G8 and other geriatric assessments in urologic cancer management: A comprehensive review

Yajima,

Masuda

2024

Int J of Urology

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In urologic oncology, which often involves older patients, it is important to consider how to manage their care appropriately. Geriatric assessment (GA) is a method that can address the specific needs of older cancer patients. The GA encompasses various assessment domains, but these domains exhibit variations across the literature. Some of the common items include functional ability, nutrition, comorbidities, cognitive ability, psychosocial disorders, polypharmacy, social and financial support, falls/imbalance, and vision/hearing. Despite the diversity of domains, there is limited consensus on reliable measurement methods. This review discusses the role of GA in managing urologic cancer in unique scenarios, such as those necessitating temporary or permanent urinary catheters or stomas due to urinary diversion. A comprehensive GA is time and human‐resource‐intensive in real‐world clinical practice. Hence, simpler tools such as the Geriatric‐8 (G8), capable of identifying high‐risk patients requiring a detailed GA, are also under investigation in various contexts. Therefore, we conducted a systematic literature review on the G8. Our findings indicate that patients with low G8 scores encounter difficulties with stoma self‐care after urinary diversion and have higher risks of urinary tract infections and ileus after radical cystectomy. The utilization of G8 as a screening tool for urologic cancer patients may facilitate the delivery of appropriate and personalized treatment and care.

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Section: Functional Abilitymentioning

confidence: 99%

Section: Functional Abilitymentioning

confidence: 99%

The significance of G8 and other geriatric assessments in urologic cancer management: A comprehensive review

Yajima,

Masuda

2024

Int J of Urology

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“…В метаанализе A. Chen и соавт. оценено влияние зависимости от предоперационной инструментальной повседневной деятельности (Instrumental Activities of Daily Living -IADL) на неблагоприятные исходы у пожилых хирургических пациентов [20]. Низкие баллы по шкале IADL перед операцией были связаны с двукратным риском послеоперационного делирия.…”

Section: кардиальные осложнения при несердечных операцияхunclassified

Assessment and correction of the risk of cardiac complications during non-cardiac surgery

Sumin

2024

Racionalʹnaâ farmakoterapiâ v kardiologii

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About 300 million non-cardiac operations are performed annually worldwide. In developed countries, an increasing number of such operations are performed in older patients with comorbid cardiac pathology. The leading cause of perioperative mortality is cardiovascular complications. The national and international guidelines published in the last year on cardiovascular assessment and correction of the risk of cardiac complications during non-cardiac operations contain several contradictory provisions. First of all, this refers to the methods of preoperative risk assessment: which is better — to base on scales, functional status assessment or biomarkers (BNP/ NT-pro-BNP) determination? Questions remain about the most appropriate algorithm for preoperative evaluation of patients with suspected cardiac pathology (the need for preoperative non-invasive tests or limited to biomarkers evaluation), some of these algorithms have been validated in recent studies. Several publications address the problem of drug therapy in non-cardiac surgery, both previously studied drugs (statins, beta-blockers) and new ones (colchicine, nicorandil). Perioperative myocardial injury syndrome and its possible drug prevention continue to be studied. This review considers recent publications on this topic, which have not yet been reflected in the guidelines and may influence their correction in the future. The article also discusses the problems of implementing existing guidelines in clinical practice. The publications of the last year presented in the review help researchers and practitioners to form their views on existing controversial issues. Ultimately, this will promote the use of an individualized approach in the management of this category of patients.

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Housework participation and mortality in Japanese male patients undergoing cancer surgery: A propensity score-matched study

Yajima,

Nakanishi,

Ogasawara

et al. 2024

Preventive Medicine

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Incidence of preoperative instrumental activities of daily living (IADL) dependence and adverse outcomes in older surgical patients: A systematic review and meta-analysis

Cited by 6 publications

References 42 publications

The significance of G8 and other geriatric assessments in urologic cancer management: A comprehensive review

The significance of G8 and other geriatric assessments in urologic cancer management: A comprehensive review

Assessment and correction of the risk of cardiac complications during non-cardiac surgery

Housework participation and mortality in Japanese male patients undergoing cancer surgery: A propensity score-matched study

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