The physician’s role in perioperative management of older patients undergoing surgery
Life-sustaining and life-improving surgical interventions are increasingly available to older, frailer patients, many of whom have multimorbidity. Physicians can help support perioperative multidisciplinary teams with assessment and preoperative optimisation of physiological reserve, comorbidities a...
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| Format: | Article |
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Royal College of Physicians
2017
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| Online Access: | https://eprints.nottingham.ac.uk/44559/ |
| _version_ | 1848796944270360576 |
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| author | Gordon, Adam L. Evans, Barry J. Dhesi, Jugdeep |
| author_facet | Gordon, Adam L. Evans, Barry J. Dhesi, Jugdeep |
| author_sort | Gordon, Adam L. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Life-sustaining and life-improving surgical interventions are increasingly available to older, frailer patients, many of whom have multimorbidity. Physicians can help support perioperative multidisciplinary teams with assessment and preoperative optimisation of physiological reserve, comorbidities and associated geriatric syndromes. Similar structured support can be useful in the postoperative period where older patients are at increased risk of delirium, medical complications, increased functional dependency and where discharge planning can prove more difficult than in younger cohorts. Comprehensive geriatric assessment has been shown to improve outcomes and is now embedded in most UK-based services for traumatic hip fracture. Perioperative comprehensive geriatric assessment has been explored in other surgical disciplines and procedures and, where evaluated, has been associated with improved outcomes. The need to support older patients with frailty undergoing surgery exceeds the capacity of specialist geriatricians. Other groups of healthcare professionals need to nurture the core competencies to support this group perioperatively. |
| first_indexed | 2025-11-14T19:56:01Z |
| format | Article |
| id | nottingham-44559 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:56:01Z |
| publishDate | 2017 |
| publisher | Royal College of Physicians |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-445592020-05-04T18:52:39Z https://eprints.nottingham.ac.uk/44559/ The physician’s role in perioperative management of older patients undergoing surgery Gordon, Adam L. Evans, Barry J. Dhesi, Jugdeep Life-sustaining and life-improving surgical interventions are increasingly available to older, frailer patients, many of whom have multimorbidity. Physicians can help support perioperative multidisciplinary teams with assessment and preoperative optimisation of physiological reserve, comorbidities and associated geriatric syndromes. Similar structured support can be useful in the postoperative period where older patients are at increased risk of delirium, medical complications, increased functional dependency and where discharge planning can prove more difficult than in younger cohorts. Comprehensive geriatric assessment has been shown to improve outcomes and is now embedded in most UK-based services for traumatic hip fracture. Perioperative comprehensive geriatric assessment has been explored in other surgical disciplines and procedures and, where evaluated, has been associated with improved outcomes. The need to support older patients with frailty undergoing surgery exceeds the capacity of specialist geriatricians. Other groups of healthcare professionals need to nurture the core competencies to support this group perioperatively. Royal College of Physicians 2017-07-01 Article PeerReviewed Gordon, Adam L., Evans, Barry J. and Dhesi, Jugdeep (2017) The physician’s role in perioperative management of older patients undergoing surgery. Clinical Medicine, 17 (4). pp. 357-359. ISSN 1473-4893 Geriatric medicine; perioperative care; surgery http://www.clinmed.rcpjournal.org/content/17/4/357.full doi:10.7861/clinmedicine.17-4-357 doi:10.7861/clinmedicine.17-4-357 |
| spellingShingle | Geriatric medicine; perioperative care; surgery Gordon, Adam L. Evans, Barry J. Dhesi, Jugdeep The physician’s role in perioperative management of older patients undergoing surgery |
| title | The physician’s role in perioperative management of older patients undergoing surgery |
| title_full | The physician’s role in perioperative management of older patients undergoing surgery |
| title_fullStr | The physician’s role in perioperative management of older patients undergoing surgery |
| title_full_unstemmed | The physician’s role in perioperative management of older patients undergoing surgery |
| title_short | The physician’s role in perioperative management of older patients undergoing surgery |
| title_sort | physician’s role in perioperative management of older patients undergoing surgery |
| topic | Geriatric medicine; perioperative care; surgery |
| url | https://eprints.nottingham.ac.uk/44559/ https://eprints.nottingham.ac.uk/44559/ https://eprints.nottingham.ac.uk/44559/ |