Comprehensive Geriatric Assessment of Older Surgical Patients

A special issue of Geriatrics (ISSN 2308-3417).

Deadline for manuscript submissions: 20 April 2027 | Viewed by 1173

Special Issue Editors


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Guest Editor
CLARITY (Collaborative Ageing Research) Group, North Bristol NHS Trust, Bristol, UK
Interests: geriatrics

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Guest Editor
Geriatric Medicine, NHS North Bristol NHS Trust, Bristol, UK
Interests: geriatric perioperative care; major trauma; end of life care

Special Issue Information

Dear Colleagues, 

Advancing age is a risk factor for the development of oncological, vascular and degenerative diseases. The optimal treatment of these pathologies often includes surgery. However older patients are at higher risk of adverse outcomes from surgery, including mortality, complications and functional decline. The reasons for this are complex but linked with the increased prevalence of medical comorbidity in older age, combined with physiological changes in ageing. These factors increase the risk of medical complications in the perioperative period.

However, emerging evidence from a small number of clinical studies indicates that a comprehensive geriatric assessment (CGA) based approach may reduce these risks of surgery and improve outcomes for patients. However, such evidence is limited to a handful of surgical specialties or clinical settings. Further research is needed to establish what the effect of CGA is on surgical patients in specialties which have not yet been adequately studied.

This Special Issue will focus on publishing original research examining the effect of CGA-based care in older patients undergoing surgery, or in those displaying surgical pathology, such as aspects of geriatric trauma. It will also provide a publication opportunity for researchers reporting real-life implementation of CGA-based perioperative care and the outcomes of service development. 

Dr. David Shipway
Dr. Frances Rickard
Guest Editors

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Keywords

  • comprehensive geriatric assessment
  • older adults
  • surgery
  • perioperative medicine
  • trauma

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Published Papers (1 paper)

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Research

11 pages, 1188 KB  
Article
Patient-Centred Care for Older Patients Considering Surgery: An Evaluation of the Perioperative Care of Older Patients Service at an Australian Tertiary Hospital
by Rachel Aitken, Katherine Gregorevic, Michelle Preeo, Ross Bicknell, Alyssa Griffiths, Jared Tower, Ned Douglas, Chuan-Whei Lee, Janette Wright, Jai Darvall and Wen Kwang Lim
Geriatrics 2026, 11(3), 55; https://doi.org/10.3390/geriatrics11030055 (registering DOI) - 28 Apr 2026
Viewed by 297
Abstract
Background/Objectives: As mounting numbers of older people consider surgery, the importance of aligning treatments with patient values and goals is paramount. This has led to the growth of POPS (Perioperative care of Older Patients) services internationally and across Australia. An observational pilot [...] Read more.
Background/Objectives: As mounting numbers of older people consider surgery, the importance of aligning treatments with patient values and goals is paramount. This has led to the growth of POPS (Perioperative care of Older Patients) services internationally and across Australia. An observational pilot evaluation of the Melbourne Health POPS service was conducted throughout 2022, with the aims of describing the population, measuring patient-reported outcomes and comparing postoperative outcomes to a matched historical cohort. Methods: Data were sourced from clinical review, electronic medical records and health intelligence. Patients who pursued surgery were matched 2:1 with a 2020 control cohort on up to 10 characteristics ranked on clinical judgement. Patient-reported outcomes were collected at 3 months post-surgery or at the clinic in consenting participants. Results: There were 128 participants, of whom 64 (50%) pursued non-surgical management. Participants were older (median 79 [13] years), frail (median CFS 5 [2]), and multimorbid (median CCI 5 [2.25]). Despite increased perioperative risk amongst the POPS surgical group (ASA-4 23.4% vs. 5.5%, p < 0.001), increased incidence of postoperative delirium (15% vs. 5.8%, p = 0.042) and ICU admission (21.7% vs. 7.5%, p = 0.006) compared to the control group, median length of stay was similar (4.3 [6.7] vs. 4.3 [5.1] days, p = 0.537). Patient-reported outcomes were similar between surgical and non-surgical POPS groups (90.7% vs. 88.1% would make the same surgical decision, p = 0.697). Conclusions: Patients attending POPS were multimorbid with geriatric syndromes and elevated perioperative risk. A high proportion pursued non-operative care. Patient-reported feedback was high with low decisional regret. Full article
(This article belongs to the Special Issue Comprehensive Geriatric Assessment of Older Surgical Patients)
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