title: Preoperative evaluation of the older patient with cancer.
abstract: The lack of knowledge has helped us in progressing with the aim of offering the right surgical treatment to the right patient at the right time. Preoperative assessment of frailty identifies those patients who are at a higher operative risk, more prone to develop complications, spend more time in hospital and cost more to the community. Phase IV trials are becoming essential in expanding our understanding, while randomized clinical trials are unlikely to add substantial value in this field of clinical research.
authors.affiliation: University of Liverpool, St Helens Teaching Hospital, Marshalls Cross Road, St Helens WA9 3DA, UK. Electronic address: raudisio@doctors.org.uk.
authors.forename: Riccardo A
authors.initials: RA
authors.lastname: Audisio
mesh_terms: D000368:Aged; D000066491:Clinical Decision-Making; D016330:Frail Elderly; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D000071069:Multiple Chronic Conditions / Q000628:therapy; D009369:Neoplasms / Q000601:surgery*; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011300:Preoperative Care / Q000379:methods*; D019564:Unnecessary Procedures / Q000706:statistics & numerical data
keywords: CGA; Cancer surgery; Comorbidities; Frailty; Over-treatment; Screening tools; Under-treatment