Why the study?
Preoperative optimization has not been explored comprehensively in surgical literature, as responsibility has often been divided among surgery, anesthesia, and medicine.
Does preoperative optimization of anemia, hyperglycemia, and smoking reduce complication rates in patients scheduled to undergo major elective surgery?
Does preoperative optimization of anemia, hyperglycemia, and smoking reduce complication rates in patients scheduled to undergo major elective surgery?
This guideline provides evidence-based algorithms for surgeons to optimize anemia, hyperglycemia, and smoking 6-8 weeks before major elective surgery to improve patient outcomes.
Enables targeted preoperative optimization to lower surgical complications; extends evidence synthesis into actionable clinical algorithms.
Preoperative optimization has not been explored comprehensively in the surgical literature, as this responsibility has often been divided among surgery, anesthesia and medicine. We developed an evidence-based clinical practice guideline to summarize existing evidence and present diagnostic and treatment algorithms for use by surgeons caring for patients scheduled to undergo major elective surgery. We focus on 3 common comorbid conditions seen across surgical specialties - anemia, hyperglycemia and smoking - as these conditions increase complication rates in patients undergoing major surgery and can be optimized successfully as soon as 6-8 weeks before surgery. With the ability to address these conditions earlier in the patient journey, surgeons can positively affect patient outcomes. The aim of this guideline is to bring optimization in the preoperative period under the existing umbrella of evidence-based surgical care.
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Greenberg et al. (2021) studied this question.
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