TY - JOUR
T1 - Definition and assessment of frailty in older patients
T2 - The surgical, anaesthesiological and oncological perspective
AU - Dottorini, Lorenzo
AU - Turati, Luca
AU - Mattei, Luca
AU - Formenti, Paolo
N1 - Funding Information:
Publication costs for this article were supported by ecancer (UK Charity number 1176307).
Publisher Copyright:
© 2020 the authors.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/9/15
Y1 - 2020/9/15
N2 - The number of oncology, surgery and anaesthesia procedures in older patients has greatly increased in recent years due to ageing populations. Older patients are typically characterised by physical changes such as comorbidities, decline in physiological activities and cognitive impairment. All these factors, together with polypharmacological therapies, may substantially impact perioperative outcome, quality of recovery and, more in general, quality of life. A comprehensive multidisciplinary approach to perioperative care is thus needed. The assessment of frailty has a central role in the pre-operative evaluation of older patients and, with a multidisciplinary approach. The best surgical procedures and oncologic therapies can be accurately discussed in the pre- and post-operative periods. All clinicians involved in this scenario should be proactive in multidisciplinary care to achieve better outcomes.
AB - The number of oncology, surgery and anaesthesia procedures in older patients has greatly increased in recent years due to ageing populations. Older patients are typically characterised by physical changes such as comorbidities, decline in physiological activities and cognitive impairment. All these factors, together with polypharmacological therapies, may substantially impact perioperative outcome, quality of recovery and, more in general, quality of life. A comprehensive multidisciplinary approach to perioperative care is thus needed. The assessment of frailty has a central role in the pre-operative evaluation of older patients and, with a multidisciplinary approach. The best surgical procedures and oncologic therapies can be accurately discussed in the pre- and post-operative periods. All clinicians involved in this scenario should be proactive in multidisciplinary care to achieve better outcomes.
KW - Anaesthetist
KW - Assessment
KW - Elderly
KW - Geriatric
KW - Oncologist
KW - Surgery
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U2 - 10.3332/ECANCER.2020.1105
DO - 10.3332/ECANCER.2020.1105
M3 - Article
AN - SCOPUS:85092287182
VL - 14
JO - ecancermedicalscience
JF - ecancermedicalscience
SN - 1754-6605
M1 - 1105
ER -