Tag Archive for ‘geriatric surgery’

ACS CRP

Geriatric assessment and frailty in older cancer patients

The importance of identifying high-risk, frail cancer patients to ensure optical care is the focus of this month’s column.

CQGS

ACS CQGS introduces course on care of the complex older patient

The development of the Management of the Complex Older Surgical Patient: Geriatric and Palliative Care course is described as are best practices for geriatric surgical care.

ACS CRP

Improving surgical care and outcomes through the OPTI-Surg toolkit

The OPTI-Surg study evaluates an efficient screening and optimization tool for improving outcomes after major cancer surgery.

The Coalition for Quality in Geriatric Surgery Project

CQGS releases preliminary standards for quality surgical care for older adults

The Coalition for Quality in Geriatric Surgery launched its alpha pilot phase in January to determine reviewer feedback on its hospital-level surgical care standards for older adults.

Improving quality in geriatric surgery

Improving quality in geriatric surgery: A blueprint from the American College of Surgeons

This article outlines the development of the ACS quality improvement activities specifically aimed at the care of geriatric surgical patients under the aegis of the Coalition for Quality in Geriatric Surgery and the ACS NSQIP Geriatric Surgery Pilot Project.

Surgical futility and patient-centered care: The effects of human nature in decision making

The need for surgeons to competently communicate of the quality-of-life benefits of nonsurgical and palliative care to patients and families is the focus of this article.

geriatric

The ACS leads efforts to improve quality of care for older surgical patients

This news brief summarizes ACS efforts to enhance the quality of surgical care for older adults.

Dr. Ko

ACS NSQIP National Conference inspires participants to innovate to make a difference

More than 1,500 individuals who work in hospital quality improvement programs participated in the ACS National Surgical Quality Improvement Program 2016 Annual Conference, July 16–19, in San Diego, CA.

ACS and Hartford Foundation launch four-year geriatric initiative

The ACS in partnership with the John A. Hartford Foundation, announced a four-year initiative aimed at improving health care for older surgical patients through a standards and verification program for hospitals.

The ACS NSQIP Geriatric Surgery Pilot Project: Improving care for older surgical patients

An overview of the ACS NSQIP Geriatric Surgery Pilot Project and its primary aim—to evaluate specific geriatric variables for incorporation into the ACS NSQIP set of essential variables—is provided in this article.

Letters to the Editor

The following comments were received regarding recent articles published in the Bulletin.

RAS Issues Symposium: Surgery at the end of life: For love or money?

To operate, or not to operate—that is the question. Data show that in 2008, among Medicare beneficiaries in the final year of life, nearly one in three underwent a surgical procedure. Nearly one in five had surgery in the last month of life, and nearly one in 10 had surgery in the last week of life. Why do we operate on these patients? Does the availability of hospital beds influence surgeons to operate more frequently? Perhaps—but the reasons surgeons operate are more complicated than these data would suggest.

RAS Issues Symposium: Reining in the scalpel

Recent articles in the mainstream press indicate a growing public awareness that end-of-life procedures are overused. As surgeons, we know that the decision to perform surgery at the end of life is difficult, and there is no shortage of manuscripts delving into this complex topic. From this author’s perspective, end-of-life operations, specifically in the elderly, are overused and do little to lengthen or improve quality of life and, indeed, often cause more harm than good.

RAS Issues Symposium: An argument against heroic intervention

Recent articles in the mainstream press indicate a growing public awareness that end-of-life procedures are overused. As surgeons, we know that the decision to perform surgery at the end of life is difficult, and there is no shortage of manuscripts delving into this complex topic. From this author’s perspective, end-of-life operations, specifically in the elderly, are overused and do little to lengthen or improve quality of life and, indeed, often cause more harm than good.

ACS and AGS collaborate on landmark guidelines for geriatric surgical patient care

The American College of Surgeons (ACS) and the American Geriatrics Society (AGS) have collaborated on the development of new comprehensive guidelines for the preoperative care of the nation’s elderly patients. This article summarizes the development of these guidelines which are the culmination of two years of research and analysis by a multidisciplinary expert panel representing the ACS, the AGS, and a range of medical specialties.

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