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Surgery in Elderly People - Conclusion

age clinical surgical care patients oncology

In many ways, surgical management of elderly patients reflects procedures seen in other areas of clinical medicine. For example, special considerations are also necessary when dealing with the pediatric population or pregnant women. The appropriate study of surgical outcomes in the older adult has been incomplete, however, and care of this growing population has tended to be somewhat marginalized as a result. There is a growing body of knowledge that indicates that outcomes following surgery are not a product of age, but rather of the whole-body physiology of the individual. An increasing life expectancy among older adults mandates a re-examination of the rationalization of health care resources and considerations of quality of life following surgical intervention. To achieve these goals, an approach is required to ensure adequate quality of care and to expedite the return of patients to their baseline level of function and home environment.

RAKESH C. ARORA KENNETH ROCKWOOD

See also ANESTHESIA; DECONDITIONING; DELIRIUM; FRAILTY; HIP FRACTURE; MULTIDISCIPLINARY TEAM; PAIN MANAGEMENT; REHABILITATION; REVASCULARIZATION, BYPASS SURGERY, AND ANGIOPLASTY.

BIBLIOGRAPHY

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BERGER, D. H., and ROSLYN, J. J. ‘‘Cancer Surgery in the Elderly.’’ Clinics in Geriatric Medicine 13, no. 1 (1997): 119–141.

KARL, R. C.; SMITH, S. K.; and FABRI, P. J. ‘‘Validity of Major Cancer Operations in Elderly Patients.’’ Annals of Surgical Oncology 2, no. 2 (1995): 107–113.

KEMENY, M. M.; BUSCH-DEVEREAUX, E.; MERRIAM, L. T.; and O’HEA, B. J. ‘‘Cancer Surgery in the Elderly.’’ Hematology and Oncology Clinics of North America 14, no. 1 (2000): 169–192.

UDEKWU, P.; GURKIN, B.; OLLER, D.; LAPIO, L.; and BOURBINA, J. ‘‘Quality of Life and Functional Level in Elderly Patients Surviving Surgical Intensive Care.’’ Journal of the American College of Surgery 193, no. 3 (2001): 245–249.

VENTURA, S. J.; PETERS, K. D.; MARTIN, J. A.; and MAURER, J. D. ‘‘Births and Deaths: United States, 1996.’’ Monthly Vital Statistics Reports 46 (1997).

ZENILMAN, M. E. ‘‘Surgery in the Elderly.’’ Current Problems in Surgery 35, no. 2 (1998): 99–179.

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