Summary of the panel session at the 38th annual surgical symposium of the association of VA surgeons: What is the big deal about frailty?

JAMA Surgery

Volumn 149, Issue 11, 2014, Pages 1191-1197

  Anaya, Daniel A ^a,b   Johanning, Jason ^c,d   Spector, Seth A ^e   Katlic, Mark R ^f   Perrino, Albert C ^g,h   Feinleib, Jessica ^g,h   Rosenthal, Ronnie A ^g,h  

^a MICHAEL E DEBAKEY VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b BAYLOR COLLEGE OF MEDICINE   (United States)

^c VA NEBRASKA WESTERN IOWA HEALTH CARE SYSTEM   (United States)

^d UNIVERSITY OF NEBRASKA MEDICAL CENTER   (United States)

^e VETERANS AFFAIRS MEDICAL CENTER   (United States)

^f SINAI HOSPITAL OF BALTIMORE   (United States)

^g VETERANS AFFAIRS MEDICAL CENTER   (United States)

^h YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANESTHESIA; CONFERENCE PAPER; EMOTION; FRAIL ELDERLY; FRAILTY; HUMAN; INTERVENTION STUDY; INTRAOPERATIVE PERIOD; OPERATING ROOM; POSTOPERATIVE CARE; PREOPERATIVE PERIOD; SURGEON; SURGICAL PATIENT; SYMPOSIUM; UNITED STATES; AGED; ANALGESIA; CHEMICALLY INDUCED; DELIRIUM; GERIATRIC ASSESSMENT; PATIENT CARE; PREOPERATIVE CARE; PROCEDURES; QUALITY OF LIFE; TREATMENT OUTCOME; VERY ELDERLY;

AGED; AGED, 80 AND OVER; ANESTHESIA; DELIRIUM; FRAIL ELDERLY; GERIATRIC ASSESSMENT; HUMANS; PAIN MANAGEMENT; PATIENT-CENTERED CARE; POSTOPERATIVE CARE; PREOPERATIVE CARE; QUALITY OF LIFE; TREATMENT OUTCOME;

EID: 84911401154     PISSN: 21686254     EISSN: 21686262     Source Type: Journal    
DOI: 10.1001/jamasurg.2014.2064     Document Type: Conference Paper

References (55)

1. United Nations Dept of Economic and Social Affairs, Population Division. World Population Ageing: 1950-2050. New York, NY: United Nations; 2005.
2. Administration on Aging; Administration for Community Living. A Profile of Older Americans: 2013. Washington, DC: US Dept of Health and Human Services; 2014.
3. Anaya DA, Becker NS, Abraham NS. Global graying, colorectal cancer and liver metastasis: new implications for surgical management. Crit Rev Oncol Hematol. 2011;77(2):100-108.
4. DeFrances CJ, Lucas CA, Buie VC, Golosinskiy A. 2006 National Hospital Discharge Survey. Natl Health Stat Report. 2008;(5):1-20.
5. Hall MJ, DeFrances CJ, Williams SN, Golosinskiy A, Schwartzman A. National Hospital Discharge Survey: 2007 summary. Natl Health Stat Report. 2010;(29):1-20, 24.
6. Colorectal Cancer Collaborative Group. Surgery for colorectal cancer in elderly patients: a systematic review. Lancet. 2000;356(9234):968-974.
7. Gross CP,McAvay GJ, Krumholz HM, Paltiel AD, Bhasin D, Tinetti ME. The effect of age and chronic illness on life expectancy after a diagnosis of colorectal cancer: implications for screening. Ann Intern Med. 2006;145(9):646-653.
8. Chow WB, Rosenthal RA, Merkow RP, Ko CY, Esnaola NF; American College of Surgeons National Surgical Quality Improvement Program; American Geriatrics Society. Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. J Am Coll Surg. 2012;215(4):453-466.
9. Audisio RA, Pope D, Ramesh HS, et al; PACE participants. Shall we operate? preoperative assessment in elderly cancer patients (PACE) can help: a SIOG surgical task force prospective study. Crit Rev Oncol Hematol. 2008;65(2):156-163.
10. Inouye SK, Studenski S, TinettiME, Kuchel GA. Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc. 2007;55(5):780-791.
11. Fried LP, Tangen CM,Walston J, et al Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56 (3):M146-M156.
12. Dayhoff NE, Suhrheinrich J, Wigglesworth J, Topp R, Moore S. Balance and muscle strength as predictors of frailty among older adults. J Gerontol Nurs. 1998;24(7):18-27, quiz 54-55.
13. Makary MA, Segev DL, Pronovost PJ, et al. Frailty as a predictor of surgical outcomes in older patients. J AmColl Surg. 2010;210(6):901-908.
14. McAdams-DeMarco MA, Law A, SalterML, et al. Frailty and early hospital readmission after kidney transplantation. Am J Transplant. 2013;13(8):2091-2095.
15. Robinson TN,Wu DS, Pointer L, Dunn CL, Cleveland JC Jr, Moss M. Simple frailty score predicts postoperative complications across surgical specialties. AmJ Surg. 2013;206(4):544-550.
16. Robinson TN, Eiseman B,Wallace JI, et al. Redefining geriatric preoperative assessment using frailty, disability and co-morbidity. Ann Surg. 2009;250(3):449-455.
17. Robinson TN,Wallace JI,Wu DS, et al. Accumulated frailty characteristics predict postoperative discharge institutionalization in the geriatric patient. J AmColl Surg. 2011;213(1):37-42, discussion 42-44.
18. Farhat JS, Velanovich V, Falvo AJ, et al. Are the frail destined to fail? frailty index as predictor ofsurgical morbidity and mortality in the elderly. J Trauma Acute Care Surg. 2012;72(6):1526-1530, discussion 1530-1531.
19. Fried TR, Bradley EH, Towle VR, Allore H. Understanding the treatment preferences of seriously ill patients. N Engl J Med. 2002;346(14): 1061-1066.
20. Rockwood K, Mitnitski A. Frailty defined by deficit accumulation and geriatric medicine defined by frailty. Clin Geriatr Med. 2011;27(1):17-26.
21. Afilalo J, EisenbergMJ, Morin JF, et al. Gait speed as an incremental predictor of mortality and major morbidity in elderly patients undergoing cardiac surgery. J AmColl Cardiol. 2010;56(20): 1668-1676.
22. Chung CJ,Wu C, JonesM, et al. Reduced handgrip strength as a marker of frailty predicts clinical outcomes in patients with heart failure undergoing ventricular assist device placement. J Card Fail. 2014;20(5):310-315.
23. Hodari A, Hammoud ZT, Borgi JF, Tsiouris A, Rubinfeld IS. Assessment of morbidity and mortality after esophagectomy using a modified frailty index. Ann Thorac Surg. 2013;96(4):1240-1245.
24. Johnson MS, Bailey TL, Schmid KK, Lydiatt WM, Johanning JM. A frailty index identifies patients at high risk of mortality after tracheostomy. Otolaryngol Head Neck Surg. 2014; 150(4):568-573.
25. Katlic MR. The Holy Grail of geriatric surgery. Ann Surg. 2013;257(6):1005-1006.
26. Lee DH, Buth KJ, Martin BJ, Yip AM, Hirsch GM. Frail patients are at increased risk for mortality and prolonged institutional care after cardiac surgery. Circulation. 2010;121(8):973-978.
27. Miller KR, Wischmeyer PE, Taylor B, McClave SA. An evidence-based approach to perioperative nutrition support in the elective surgery patient. JPEN J Parenter Enteral Nutr. 2013;37(5 suppl):39S-50S.
28. Jack S,West M, GrocottMP. Perioperative exercise training in elderly subjects. Best Pract Res Clin Anaesthesiol. 2011;25(3):461-472.
29. Griffiths R, Beech F, Brown A, et al Association of Anesthetists of Great Britain and Ireland. Peri-operative care of the elderly 2014: Association of Anaesthetists of Great Britain and Ireland. Anaesthesia. 2014;69(suppl 1):81-98.
30. Dodds C, Foo I, Jones K, Singh SK,Waldmann C. Peri-operative care of elderly patients - an urgent need for change: a consensus statement to provide guidance for specialist and non-specialist anaesthetists. Perioper Med (Lond). 2013;2(1):6.
31. GrocottMP, Martin DS,Mythen MG. Enhanced recovery pathways as a way to reduce surgical morbidity. Curr Opin Crit Care. 2012;18(4):385-392.
32. Enhanced Recovery After Surgery (UK). ERAS Society (UK) website. http://www.erasuk.net. Accessed August 14, 2014.
33. Pandharipande PP, Girard TD, Jackson JC, et al BRAIN-ICU Study Investigators. Long-term cognitive impairment after critical illness. N Engl J Med. 2013;369(14):1306-1316.
34. Neufeld KJ, Leoutsakos JM, Sieber FE, et al. Outcomes of early delirium diagnosis after general anesthesia in the elderly. Anesth Analg. 2013;117(2): 471-478.
35. Pandharipande PP, Pun BT, Herr DL, et al. Effect of sedation with dexmedetomidine vs lorazepam on acute brain dysfunction in mechanically ventilated patients: the MENDS randomized controlled trial. JAMA. 2007;298(22):2644-2653.
36. Memtsoudis SG, Sun X, Chiu YL, et al. Perioperative comparative effectiveness of anesthetic technique in orthopedic patients. Anesthesiology. 2013;118(5):1046-1058.
37. Abbas SM, Hill AG. Systematic review of the literature for the use of oesophageal Doppler monitor for fluid replacement in major abdominal surgery. Anaesthesia. 2008;63(1):44-51.
38. Carson JL, Grossman BJ, Kleinman S, et al Clinical Transfusion Medicine Committee of the AABB. Red blood cell transfusion: a clinical practice guideline from the AABB∗. Ann Intern Med. 2012;157 (1):49-58.
39. Amato A, Pescatori M. Perioperative blood transfusions for the recurrence of colorectal cancer. Cochrane Database Syst Rev. 2006;(1):CD005033.
40. Partridge JS, Harari D, Dhesi JK. Frailty in the older surgical patient: a review. Age Ageing. 2012;41 (2):142-147.
41. Revenig LM, Canter DJ, Taylor MD, et al. Too frail for surgery? initial results of a large multidisciplinary prospective study examining preoperative variables predictive of poor surgical outcomes. J Am Coll Surg. 2013;217(4):665-670, e1.
42. Bentrem DJ, Cohen ME, Hynes DM, Ko CY, Bilimoria KY. Identification of specific quality improvement opportunities for the elderly undergoing gastrointestinal surgery. Arch Surg. 2009;144(11):1013-1020.
43. Sheetz KH, Guy K, Allison JH, et al. Improving the care of elderly adults undergoing surgery in Michigan. J AmGeriatr Soc. 2014;62(2):352-357.
44. Sheetz KH,Waits SA, Krell RW, Campbell DA Jr, Englesbe MJ, Ghaferi AA. Improving mortality following emergent surgery in older patients requires focus on complication rescue. Ann Surg. 2013;258(4):614-617, discussion 617-618.
45. Friese CR, Aiken LH. Failure to rescue in the surgical oncology population: implications for nursing and quality improvement. Oncol Nurs Forum. 2008;35(5):779-785.
46. Leung JM, Tsai TL, Sands LP. Brief report: preoperative frailty in older surgical patients is associated with early postoperative delirium. Anesth Analg. 2011;112(5):1199-1201.
47. Matsushima K, Schaefer EW, Won EJ, Armen SB, Indeck MC, Soybel DI. Positive and negative volume-outcome relationships in the geriatric trauma population. JAMA Surg. 2014;149(4):319-326.
48. Marcantonio ER, Flacker JM,Wright RJ, Resnick NM. Reducing delirium after hip fracture: a randomized trial. J AmGeriatr Soc. 2001;49(5): 516-522.
49. Kalisvaart KJ, de Jonghe JF, Bogaards MJ, et al. Haloperidol prophylaxis for elderly hip-surgery patients at risk for delirium: a randomized placebo-controlled study. J AmGeriatr Soc. 2005; 53(10):1658-1666.
50. Harari D, Hopper A, Dhesi J, Babic-Illman G, Lockwood L, Martin F. Proactive care of older people undergoing surgery ('POPS'): designing, embedding, evaluating and funding a comprehensive geriatric assessment service for older elective surgical patients. Age Ageing. 2007; 36(2):190-196.
51. Friedman SM, Mendelson DA, Bingham KW, Kates SL. Impact of a comanaged Geriatric Fracture Center on short-term hip fracture outcomes. Arch Intern Med. 2009;169(18):1712-1717.
52. Radtke FM, Franck M, Lendner J, Krüger S, Wernecke KD, Spies CD. Monitoring depth of anaesthesia in a randomized trial decreases the rate of postoperative delirium but not postoperative cognitive dysfunction. Br J Anaesth. 2013;110(suppl 1):i98-i105.
53. Balentine CJ, Naik AD, Robinson CN, et al. Association of high-volume hospitals with greater likelihood of discharge to home following colorectal surgery. JAMA Surg. 2014;149(3):244-251.
54. Li LT, Barden GM, Balentine CJ, et al. Postoperative transitional care needs in the elderly: an outcome of recovery associated with worse long-term survival [published online April 16, 2014]. Ann Surg. doi:10.1097/SLA.0000000000000673.
55. Glance LG, Osler TM, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381.