Vasculogeriatrics: embracing shared care with our colleagues in geriatric medicine should not be a threat

Contribution of general medicine to perioperative and consultative care: an Australian metropolitan teaching hospital experience

“…Physician involvement in the multidisciplinary team has been shown to improve the quality of perioperative care by lowering the risk of postoperative complications 2,3,5 and reducing the length of stay 2 and associated health care costs, 6 while also improving patient satisfaction 3 . In Australia, strong evidence supports shared care perioperative models provided by geriatricians for older patients undergoing surgical procedures for specific conditions such as hip fractures 7–9 . However, outside these specific conditions, patient populations and perioperative referral criteria, there remains a heterogeneous group of surgical patients who require physicians’ input for their medical comorbidities and various other issues that arise as a result of surgical admission.…”

“…3 In Australia, strong evidence supports shared care perioperative models provided by geriatricians for older patients undergoing surgical procedures for specific conditions such as hip fractures. [7][8][9] However, outside these specific conditions, patient populations and perioperative referral criteria, there remains a heterogeneous group of surgical patients who require physicians' input for their medical comorbidities and various other issues that arise as a result of surgical admission.…”