Optimizing outcomes of surgery in advanced age--perioperative factors to consider.
The gynecologic surgeon should be knowledgeable about the normal physiologic changes associated with aging and skilled at assessing baseline medical comorbidities, neuropsychiatric, nutritional, social, and functional status as increasing numbers of older women seek and undergo surgical interventions to improve their quality of life. A multidisciplinary approach to the perioperative care of the older woman, aiming for prevention and early intervention, can help minimize both typical surgical complications and "geriatric" complications.
Chiang
Seine
S
University of Washington, Obstetrics/Gynecology, Seattle, Washington 98105-6920, USA. schiang@u.washington.edu
Gerten
Kimberly A
KA
Miller
Karen L
KL
D000341:Affective Disorders, Psychotic / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D000368:Aged; D000375:Aging / Q000502:physiology / Q000523:psychology; D003072:Cognition Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D004358:Drug Therapy / Q000592:standards; D064420:Drug-Related Side Effects and Adverse Reactions; D005260:Female; D006176:Gynecology; D006760:Hospitalization; D006801:Humans; D007668:Kidney / Q000502:physiology; D008099:Liver / Q000502:physiology; D015596:Nutrition Assessment; D010043:Outcome and Process Assessment, Health Care; D010347:Patient Care Planning; D010348:Patient Care Team; D011300:Preoperative Care / Q000379:methods / Q000523:psychology*; D012307:Risk Factors; D040242:Risk Reduction Behavior; D013514:Surgical Procedures, Operative