Is current preoperative frailty assessment adequate?

Eamer, G., Gibson, J. A., Gillis, C., Hsu, A. T., Krawczyk, M. , MacDonald, E., Whitlock, R. and Khadaroo, R. G. (2017) Is current preoperative frailty assessment adequate? Canadian Journal of Surgery, 60(6), 1417. (doi:10.1503/cjs.001417) (PMID:28930048)

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Abstract

Preoperative frailty predicts adverse postoperative outcomes. Recommendations for preoperative assessment of elderly patients include performing a frailty assessment. Despite the advantages of incorporating frailty assessment into surgical settings, there is limited research on surgical health care professionals’ perception and use of frailty assessment for perioperative care. We surveyed local health care employees to assess their attitudes toward and practices for frail patients. Nurses and allied health professionals were more likely than surgeons to agree frailty should play a role in planning a patient’s care. Lack of knowledge about frailty issues was a prominent barrier to the use of frailty assessments in practice, despite clinicians understanding that frailty affects their patients’ outcomes. Results of this survey suggest further training in frailty issues and the use of frailty assessment instruments is necessary and could improve the uptake of such tools for perioperative care planning.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Krawczyk, Dr Marian
Authors: Eamer, G., Gibson, J. A., Gillis, C., Hsu, A. T., Krawczyk, M., MacDonald, E., Whitlock, R., and Khadaroo, R. G.
College/School:College of Social Sciences > School of Interdisciplinary Studies
Journal Name:Canadian Journal of Surgery
Publisher:Canadian Medical Association
ISSN:0008-428X
ISSN (Online):1488-2310
Published Online:19 September 2017
Copyright Holders:Copyright © 2017 Joule Inc. or its Licensors
First Published:First published in Canadian Journal of Surgery 60(6):1417
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher
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