title: Optimal Preoperative Evaluation and Perioperative Care of the Geriatric Patient: A Surgeon's Perspective.
abstract: The elderly preoperative patient benefits from an assessment that includes more than a routine physical examination and electrocardiogram. Such an assessment includes domains likely to affect the elderly: cognition, functionality, frailty, polypharmacy, nutrition, and social support. This fosters decisions based on functional age rather than chronologic age and on each patient as an individual. One such assessment is that promulgated by the American College of Surgeons National Surgery Quality Improvement Program/American Geriatrics Society Best Practice Guidelines. We should not miss any opportunity to improve results in this growing population of surgical patients.
authors: Department of Surgery, Sinai Center for Geriatric Surgery, Sinai Hospital, 2401 West Belvedere Avenue, Baltimore, MD 21215, USA.
authors: Susan E
authors: SE
authors: Wozniak
authors: Department of Surgery, Sinai Center for Geriatric Surgery, Sinai Hospital, 2401 West Belvedere Avenue, Baltimore, MD 21215, USA.
authors: JoAnn
authors: J
authors: Coleman
authors: Department of Surgery, Sinai Center for Geriatric Surgery, Sinai Hospital, 2401 West Belvedere Avenue, Baltimore, MD 21215, USA. Electronic address: mkatlic@lifebridgehealth.org.
authors: Mark R
authors: MR
authors: Katlic
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005853:Geriatrics / Q000379:methods* / Q000592:standards; D006801:Humans; D019990:Perioperative Care / Q000379:methods* / Q000592:standards; D011300:Preoperative Care / Q000379:methods* / Q000592:standards; D066231:Surgeons
keywords: Cognition; Elderly; Frailty; Geriatric; Preoperative; Screening