Delaying Elective Surgery in Geriatric Patients: An Opportunity for Preoperative Optimization.
Deciding whether to pursue elective surgery is a complex process for older adults. Comprehensive geriatric assessment (CGA) can help refine estimates of benefits and risks, at times leading to a delay of surgery to optimize surgical readiness. We describe a cohort of geriatric patients who were evaluated in anticipation of elective abdominal surgery and whose procedures were delayed for any reason. Themes behind the reasons for delay are described, and a holistic framework to guide preoperative discussion is suggested.
Wong, SP; Zietlow, KM; McDonald, SR; Barbeito, A; Colon-Emeric, CS; Lagoo-Deenadayalan, SA; Loyack, N; Heflin, MT
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