scholarly journals The impact of pre-operative comprehensive geriatric assessment on postoperative outcomes in older patients undergoing scheduled surgery: a systematic review

Anaesthesia ◽  
2013 ◽  
Vol 69 ◽  
pp. 8-16 ◽  
Author(s):  
J. S. L. Partridge ◽  
D. Harari ◽  
F. C. Martin ◽  
J. K. Dhesi
Keyword(s):  
Systematic Review ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Patients ◽  
Postoperative Outcomes ◽  
The Impact

scholarly journals Comprehensive geriatric assessment in perioperative care: a protocol for a systematic review and qualitative synthesis

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e049875
Author(s):  
Rachael Lucia Miller ◽  
Jonathan David Barnes ◽  
Ronelle Mouton ◽  
Philip Braude ◽  
Robert Hinchliffe
Keyword(s):  
Systematic Review ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Patients ◽  
Care Facility ◽  
Cochrane Library ◽  
Qualitative Synthesis ◽  
Ethical Approval ◽  
Registration Number ◽  
Randomised Controlled

IntroductionComprehensive geriatric assessment (CGA) is an intervention that has been deployed in the perioperative setting with the aim to improve outcomes for older patients admitted to hospital. Older patients undergoing surgery are more likely to have postoperative complications, a longer hospital stay and be discharged to a care facility. Despite the increasing application of this intervention within surgical services, the evidence for CGA remains limited in this group. The aim of this systematic review is to describe CGA as in intervention applied to surgical populations in randomised controlled trials (RCTs) as well as the outcomes assessed.Methods and analysisA systematic search of RCTs of CGA in surgery will be run in Embase, Medline, CINAHL (Cumulative Index to Nursing and Allied Health Literature) and Cochrane library. Further articles will be identified from reference lists in relevant studies found in the search. A narrative synthesis will be undertaken outlining specialties included, detailed descriptions of the intervention and outcomes.Ethics and disseminationNo ethical approval is required. The results of this review will be published and used as the basis of work to optimise this intervention for future trials in surgical populations.PROSPERO registration numberThis review is registered with PROSPERO CRD42020221797.

scholarly journals The impact of comprehensive geriatric assessment for optimal treatment of older patients with cancer: A randomized parallel-group clinical trial

2020 ◽  
Vol 11 (3) ◽  
pp. 488-495 ◽  
Author(s):  
Sambavy Nadaraja ◽  
Lars-Erik Matzen ◽  
Trine Lembrecht Jørgensen ◽  
Lars Dysager ◽  
Anja Ør Knudsen ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Patients ◽  
Optimal Treatment ◽  
Patients With Cancer ◽  
Parallel Group ◽  
The Impact

scholarly journals Adherence to Recommendations from Comprehensive Geriatric Assessment of Older Individuals with HIV

2019 ◽  
Vol 18 ◽  
pp. 232595821882165 ◽  
Author(s):  
Christiana Bitas ◽  
Sian Jones ◽  
Harjot Kaur Singh ◽  
Mildred Ramirez ◽  
Eugenia Siegler ◽  
...  
Keyword(s):  
Cohort Study ◽  
Social Workers ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Retrospective Cohort Study ◽  
Medical Records ◽  
Older Patients ◽  
Retrospective Cohort ◽  
Older Individuals ◽  
The Impact

This retrospective cohort study sought to assess the effectiveness of comprehensive geriatric assessment (CGA) for older patients at an HIV clinic in a large US city. We systematically reviewed medical records of all patients who underwent CGA from June 2013 to July 2017. In addition, physicians and social workers completed an anonymous survey about the impact of CGA on their patients. For the 76 patients (median age 67.2; Q1, Q3 = 60.9, 72.6) seen by geriatricians at the clinic, there were 184 recommendations, 54 instances of counseling, and 11 direct actions. Overall adherence to recommendations was 32.8%, 34.9% for patient-directed, and 31.7% for provider-directed recommendations. No demographic or CGA variables were associated with adherence. Despite this lack of adherence, surveyed providers reported that they usually or always followed recommendations; the most frequently cited barrier to implementation was lack of feasibility. Further research will be needed to determine how CGA can improve outcomes for this population.

Improved targeting of cancer care for older patients: A systematic review of the utility of comprehensive geriatric assessment

2013 ◽  
Vol 4 (3) ◽  
pp. 271-281 ◽  
Author(s):  
Aliya Ramjaun ◽  
Mohammed O. Nassif ◽  
Stanimira Krotneva ◽  
Allen R. Huang ◽  
Ari N. Meguerditchian
Keyword(s):  
Systematic Review ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Cancer Care ◽  
Older Patients

435 THE IMPACT OF COMPREHENSIVE GERIATRIC ASSESSMENT IN THE OUTCOMES OF OLDER ACUTE NEUROSURGICAL PATIENTS

2021 ◽  
Vol 50 (Supplement_2) ◽  
pp. ii8-ii13
Author(s):  
L Soutter ◽  
D Sivapathasuntharam ◽  
C Uff ◽  
S Yordanov
Keyword(s):  
Length Of Stay ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Patients ◽  
Clinical Pathways ◽  
Control Group ◽  
Clinical Approach ◽  
Neurosurgical Patients ◽  
Significant Difference ◽  
The Impact

Abstract Introduction As the population ages, an increasing proportion of the neurosurgical caseload is comprised of older patients. This trend is reinforced by technical advances and anaesthetic considerations within the field, allowing a higher proportion of patients eligible for surgery. Comprehensive geriatric assessment (CGA) is the gold standard clinical approach for evaluating older patients. Peri-operative care of older people (POPS) has provided strong evidence that CGA services can result in fewer post-operative complications. However, this evidence stems largely from trauma and orthopaedic surgery. Currently, there is little evidence of the impact CGA has on older neurosurgical patients. The study aimed to investigate whether CGA for older neurosurgical patients improved outcomes such as thirty-day mortality and length of stay. Methods A control group was established by collecting retrospective data for all acute neurosurgical patients over the age of 65. This was then compared with an intervention group who received CGA in the form of regular geriatric consultant reviews. 49 patients were recruited into each group. Results Analysis showed that the interventional group had a significantly higher mean age and level of frailty. They also had more confirmed complications with a significant difference in the diagnosis of pneumonia (p = 0.05) and hyponatremia (p = 0.015). Despite this, the thirty-day mortality was lower and average length of stay was on average two days shorter compared to the control group, although this did not reach statistical significance (p = 0.701). The study showed that more patients who received a CGA were discharged home (p = 0.209). Conclusion Our findings suggest that CGA input for older neurosurgical patients improves outcomes and should be incorporated routinely into neurosurgical clinical pathways.

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