The role of geriatric assessment in the care of older adults undergoing urologic cancer surgery

被引：0
作者：
Wingfield, Sarah A. [1 ]
机构：
[1] Univ Texas Southwestern Med Ctr, Dept Internal Med, Dallas, TX USA
来源：
CURRENT OPINION IN UROLOGY | 2024年 / 34卷 / 06期
关键词：
comprehensive geriatric assessment; geriatric surgery; older adults;
D O I：
10.1097/MOU.0000000000001209
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Purpose of reviewOlder adults undergoing urologic cancer surgery have unique needs and require unique risk assessment and management. This review will discuss recent literature on brief screening tools to identify high risk older adults in the preoperative period and the role of comprehensive geriatric assessment (CGA) in identifying and addressing geriatric vulnerabilities for older adults undergoing urologic cancer surgery.Recent findingsFrailty screening tools such as the G8 can be used to identify patients who are at an increased risk of adverse postoperative outcomes such as postoperative complications and prolonged length of stay. CGA can provide more detailed information about geriatric syndromes prior to urologic cancer surgery.SummaryScreening tools for geriatric vulnerabilities and CGA are valuable tools for the urologist in identifying high-risk older adults, counseling patients on perioperative risk and addressing vulnerabilities prior to surgery. Making health system-wide changes can allow this optimal practice to reach more older surgical patients.
引用
收藏
页码：438 / 443
页数：6
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