title: Surgical Risk and Comorbidity in Older Urologic Patients.
abstract: Almost two-thirds of urology operations are performed in patients 65 years and older. Older adults are at higher risk for complications and mortality compared with their younger counterparts. There are 2 primary methods to quantify surgical risk in these patients, frailty measurement and organ/comorbidity-based surgical risk calculators. A frailty assessment can be used to independently forecast the risk of postoperative complications. A paradigm shift in the preoperative assessment of the geriatric patient has occurred, which emphasizes the evaluation of frailty over more traditional surgical risk assessment, which uses comorbidities and single end-organ dysfunction to define risk.
authors.affiliation: Department of Surgery, University of Colorado, 12631 E 17th Avenue, C-305, Aurora, CO 80045, USA.
authors.forename: Nicole T
authors.initials: NT
authors.lastname: Townsend
authors.affiliation: Department of Surgery, University of Colorado, 12631 E 17th Avenue, C-305, Aurora, CO 80045, USA. Electronic address: thomas.robinson@ucdenver.edu.
authors.forename: Thomas N
authors.initials: TN
authors.lastname: Robinson
mesh_terms: D000367:Age Factors; D000368:Aged; D000375:Aging / Q000502:physiology*; D015897:Comorbidity; D017558:Elective Surgical Procedures / Q000009:adverse effects; D005260:Female; D016330:Frail Elderly; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology*; D011300:Preoperative Care / Q000379:methods*; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000009:adverse effects*
keywords: Frailty; Geriatric surgery; Preoperative risk assessment