What question did this study set out to answer?

To review clinical strategies for perioperative optimization in older surgical patients and identify ongoing gaps in clinical practice.

October 3, 2025Perioperative MedicineOpen Access

The older adult surgical patient: a review of optimization and gaps in clinical practice

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Why the study?

As the number of older surgical patients increases, strategies are needed to address their unique risks beyond chronological age and resolve clinical practice gaps in perioperative care.

Population

Older adults undergoing surgery

Design

Review

Authors

CCCecilia CanalesUniversity of California, Los Angeles LWL. Samüel WannCardiac Imaging JBJeanna BlitzUniversity of Kentucky

Discussion

Member takes

Implication

No practice change indicated for older surgical patients; leaves open confirmation of geriatric programs by randomized trials.

Key Points

To review clinical strategies for perioperative optimization in older surgical patients and identify ongoing gaps in clinical practice.
Synthesized current evidence on risk factors including frailty, nutrition, functional status, and cognition in older surgical cohorts.
Evaluated multidisciplinary comprehensive geriatric programs across preoperative, intraoperative, and postoperative care settings.
Chronological age alone fails to adequately predict surgical risk, requiring targeted evaluation of frailty, cognitive capacity, and functional reserves to identify vulnerable patients.
Implementation of multidisciplinary geriatric programs that incorporate prehabilitation and targeted perioperative optimization reduces complications, mortality, and overall healthcare costs.

Structured PICO

Population

Older adults undergoing surgery

Intervention

Comprehensive geriatric programs (including multidisciplinary frailty and geriatric assessments, prehabilitation, and optimization strategies)

Comprehensive geriatric programs utilizing multidisciplinary teams for frailty assessment and prehabilitation are essential to optimize outcomes in older surgical patients.

Cite This Study

Canales et al. (2025) studied this question.

synapsesocial.com/papers/69d7545db1cb92dd1bb8a7f1 https://doi.org/10.1186/s13741-025-00593-x

View Full Paper

Ask AI

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The older adult surgical patient: a review of optimization and gaps in clinical practice

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

The older adult surgical patient: a review of optimization and gaps in clinical practice

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider