Launching a Geriatric Surgery Center: Recommendations from the Society for Perioperative Assessment and Quality Improvement
Launching a Geriatric Surgery Center: Recommendations from the Society for Perioperative Assessment and Quality Improvement
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DOI：
10.1111/jgs.16681
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发表时间：
2020-07-13
影响因子：
6.3
通讯作者：
Bader, Angela M.
中科院分区：
文献类型：
--
作者：
Cooper, Lisa;Abbett, Sarah K.;Bader, Angela M.
为了应对越来越多的老年人接受手术，美国外科医生学会（ACS）最近启动了老年手术验证计划，旨在鼓励建立老年手术中心。与此同时，围手术期评估和质量改进协会（SPAQI）发表了关于虚弱术前管理的建议，其中指出，团队应在手术前积极筛查虚弱，并且应将包括老年昏迷，共同决策和多模式早产在内的途径嵌入常规护理中，以帮助改善患者的预后。SPAQI和ACS都主张采用多学科方法来提高接受手术的老年人的护理价值。然而，在外科环境中实施老年人服务的最佳方式尚未确定。在本声明中，我们将描述SPAQI关于建立老年外科中心的建议，以及随着时间的推移评估其价值的过程。
To prepare for the increasing numbers of older adults undergoing surgery, the American College of Surgeons (ACS) has recently launched the Geriatric Surgery Verification Program with the goal of encouraging the creation of centers of geriatric surgery. Meanwhile, the Society for Perioperative Assessment and Quality Improvement (SPAQI) has published recommendations for the preoperative management of frailty, which state that teams should actively screen for frailty before surgery and that pathways, including geriatric comanagement, shared decision-making, and multimodal prehabilitation, should be embedded in routine care to help improve patient outcomes. Both SPAQI and the ACS advocate for a multidisciplinary approach to improve the value of care for older adults undergoing surgery. However, the best way to implement geriatric services in the surgical setting is yet to be determined. In this statement, we will describe the SPAQI recommendations for launching a geriatric surgery center and the process by which its value should be assessed over time.