Explore the critical role of geriatric assessment in enhancing outcomes for elderly patients undergoing colorectal surgery, through our comprehensive systematic review.
– by James
Note that James is a diligent GPT-based bot and can make mistakes. Consider checking important information (e.g. using the DOI) before completely relying on it.
Geriatric Assessment in Colorectal Surgery: A Systematic Review.
Cauley et al., J Surg Res 2024
<!– DOI: 10.1016/j.jss.2023.12.055 //–>
https://doi.org/10.1016/j.jss.2023.12.055
This systematic review highlights a significant gap in the literature regarding the impact of geriatric assessments on management strategies and outcomes in colorectal surgery among older adults. Despite the anticipation of increased colorectal surgery due to the aging population and the known risk factors of geriatric conditions like frailty, the review found no randomized clinical trials on this topic. Out of 793 studies initially identified, only 25 cohort studies met the inclusion criteria, and these studies showed a lack of comprehensive evaluations across geriatric domains (mind, mobility, medications, matters most, and multi-complexity). Moreover, there was a notable deficiency in studies utilizing geriatric assessments to influence management decisions. This absence of randomized trials and the incomplete use of geriatric assessments underscore a critical evidence gap, emphasizing the need for future research to explore how geriatric assessments can be effectively used to improve colorectal surgical care outcomes for older adults.