Summary of the panel session at the 38th annual surgical symposium of the association of VA surgeons: What is the big deal about frailty?

Daniel A. Anaya, Jason Johanning, Seth A. Spector, Mark R. Katlic, Albert C. Perrino, Jessica Feinleib, Ronnie A. Rosenthal

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Owing to the phenomenon known as "global graying," elderly-specific conditions, including frailty, will become more prominent among patients undergoing surgery. The concept of frailty, its effect on surgical outcomes, and its assessment and managementwere discussed during the 38th Annual Surgical Symposium of the Association of VA Surgeons panel session entitled "What's the Big Deal about Frailty?" and held in New Haven, Connecticut, on April 7, 2014. The expert panel discussed the following questions and topics: (1) Why is frailty so important? (2) Howdowe identify the frail patient prior to the operating room? (3) The current state of the art: preoperative frail evaluation. (4) Preoperative interventions for frailty prior to operation: do theywork? (5) Intraoperative management of the frail patient: does anesthesia play a role? (6) Postoperative care of the frail patient: is rescue the issue? This special communication summarizes the panel session topics and provides highlights of the expert panel's discussions and relevant key points regarding care for the geriatric frail surgical patient.

Original languageEnglish (US)
Pages (from-to)1191-1197
Number of pages7
JournalJAMA Surgery
Volume149
Issue number11
DOIs
StatePublished - Nov 1 2014

ASJC Scopus subject areas

  • Surgery

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