Launching a Geriatric Surgery Center: Recommendations from the Society for Perioperative Assessment and Quality Improvement
Autor: | Rachelle Bernacki, Aiden Feng, Laura Frain, Houman Javedan, Angela M. Bader, Angela F. Edwards, Sarah K. Abbett, Zara Cooper, Jeanna D. Blitz, Lisa A. Cooper, Richard D. Urman |
---|---|
Rok vydání: | 2020 |
Předmět: |
Quality management
Prehabilitation Risk Assessment 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach medicine Humans Geriatric surgery 030212 general & internal medicine Geriatric Assessment Routine care Societies Medical Aged Patient Care Team Frailty business.industry Perioperative Length of Stay medicine.disease Quality Improvement Elective Surgical Procedures 030220 oncology & carcinogenesis Medical emergency Geriatrics and Gerontology business |
Zdroj: | Journal of the American Geriatrics Society. 68:1941-1946 |
ISSN: | 1532-5415 0002-8614 |
Popis: | 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. |
Databáze: | OpenAIRE |
Externí odkaz: |