Practicing Geriatrics: Mission Impossible?

Reuben, David B.; Ganz, David A.

doi:10.1111/jgs.16295

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…We accept the complexity of this challenge, but we believe this relative shortage will be a transient problem as care models evolve and as geriatricians are no longer practicing solely as primary care physicians but rather as focused specialists for comanagement. 30 As geriatric consultants recommend new personalized pathways for older patients and collaborate with surgical teams, there must be documentation of patientsʼ treatment goals and the new management recommendations that reflect those goals in an obvious and easily identifiable way for subsequent providers. Care will continue to be patient centered only if the entire care team can view and understand the care planning discussions that have already taken place between patients and their providers.…”

Section: Challengesmentioning

confidence: 99%

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Launching a Geriatric Surgery Center: Recommendations from the Society for Perioperative Assessment and Quality Improvement

Cooper

Abbett

Feng

et al. 2020

J American Geriatrics Society

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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.

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Section: Challengesmentioning

confidence: 99%

“…The lack of adequate geriatrician staffing may be another challenge. We accept the complexity of this challenge, but we believe this relative shortage will be a transient problem as care models evolve and as geriatricians are no longer practicing solely as primary care physicians but rather as focused specialists for comanagement 30 …”

Section: Challengesmentioning

confidence: 99%