CME Credit Hours: 1.5
Despite growing evidence and discussion about frailty as a determinant of outcomes in older adults, chronological age is often still used to justify under- or over treatment of these patients. Complicating factors such as predisposition for complications or delirium are not identified by a standard pre-operative interview. Therefore, clinicians must screen for frailty and identify patients who are at risk for these events in the perioperative period. In addition, pre-operative optimization of functional status and comorbidities is essential to achieve post-operative functional recovery.
When looking at treatment options, the standard of care does not always translate into the best tailored treatment when treating geriatric patients. Personalized care is essential to treat the patient based on their disease state, fitness and individual treatment goals. A multidisciplinary approach is needed to prioritize the patients’ needs and wishes, rather than conform to the physicians’ skills.
We will highlight how surgeons can use past studies and experiences to build a multidisciplinary team to take care of geriatric patients in their everyday practices. From all angles, it is clear that older adult patients are unique and their colorectal surgery care should be individualized and approached in a multidisciplinary fashion.
Objectives
At the conclusion of this session, participants should be able to:
- Identify the most useful frailty screening tools at a surgeon’s disposal
- Recognize the key metrics of functional recovery and know how to measure them in the post-operative patient population
- Identify signs of delirium and methods to prevent and treat delirium
- Explain how to identify the key metrics that matter most to geriatric patients
Co-Directors
Julia Berian, MD, Madison, WI
Nicole Saur, MD, Philadelphia, PA
Introduction
Julia Berian, MD, Madison, WI
Nicole Saur, MD, Philadelphia, PA
Frailty Screening and Geriatric Co-Management: An Untapped Resource to Decrease Post-Operative Morbidity and Mortality
Armin Shahrokni, MD, New York, NY
What Really Matters to Geriatric Patients: Patient Reported Outcomes
Jessica Zerillo, MD, Boston, MA
How to Measure and Prioritize Bowel Recovery in Geriatric Patients
Marylise Boutros, MD, Montreal, Q
Final Results of the GOSAFE Multi-Center International Study Evaluating Functional Recovery after Cancer Surgery in 1000 Patients
Isacco Montroni, MD, PhD, Faenza, Italy
How to Prevent and Treat Delirium in Post-Operative Patients
Tammy Hshieh, MD, MPH, Boston, MA
Leveraging the Literature to Establish and Maintain a Geriatric Colorectal Surgery Program
Nicole Saur, MD, Philadelphia, PA
Panel Discussion
Adjourn