Does a proactive comprehensive geriatric assessment service improve post-operative outcomes in at-risk older elective surgical patients?
Implementation of a proactive comprehensive geriatric assessment service for older elective orthopaedic patients improved post-operative outcomes and clinical efficiency.
a proactive evidence-based CGA service for at-risk older elective surgical patients was developed according to MRC framework for complex interventions. Pre/post comparison in elective orthopaedic patients showed improved (within methodological limitations) post-operative outcomes indicative of better clinical effectiveness and efficiency, and contributed to the service obtaining mainstream funding. Informed by the present study, a randomised controlled trial is ongoing.
Harari et al. (2007) studied this question.