Launching a Geriatric Surgery Center: Recommendations from the Society for Perioperative Assessment and Quality Improvement |
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| Authors: | Lisa Cooper MD Sarah K. Abbett MD MPH Aiden Feng MD MBA Rachelle E. Bernacki MD MS Zara Cooper MD Richard D. Urman MD Laura N. Frain MD MPH Angela F. Edwards MD Jeanna D. Blitz MD Houman Javedan MD Angela M. Bader MD MPH |
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| Affiliation: | 1. Division of Aging, Department of Medicine, Brigham and Womenʼs Hospital, Boston, Massachusetts, USA;2. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Womenʼs Hospital, Boston, Massachusetts, USA;3. Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA;4. Department of Surgery, Brigham and Womenʼs Hospital, Boston, Massachusetts, USA;5. Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA;6. Department of Anesthesiology, Duke University School of Medicine, Durham, North Carolina, USA |
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| Abstract: | ![]()
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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| Keywords: | value geriatric surgery geriatric comanagement frailty multidisciplinary |
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