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Related Experiment Videos

Developing quality indicators for elderly patients undergoing abdominal operations.

Marcia L McGory1, Paul G Shekelle, Laurence Z Rubenstein

  • 1Department of Surgery, David Geffen School of Medicine at University of California, Los Angeles, CA 90095-6904, USA.

Journal of the American College of Surgeons
|November 29, 2005
PubMed
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Quality indicators were developed to improve surgical care for elderly patients undergoing abdominal operations. These process measures focus on perioperative care, addressing unique needs of older adults to enhance outcomes.

Area of Science:

  • Geriatric Medicine
  • Surgical Quality Improvement
  • Perioperative Care

Background:

  • The global population is aging, leading to increased demand for surgical services.
  • Optimizing care for elderly surgical patients is crucial due to their unique physiological and medical needs.
  • Developing targeted strategies is essential to meet the growing surgical needs of the elderly population.

Purpose of the Study:

  • To develop process-based quality indicators for elderly patients undergoing abdominal operations.
  • To identify meaningful ways to improve perioperative care for this specific patient cohort.
  • To establish a framework for enhancing surgical outcomes in older adults.

Main Methods:

  • Structured interviews with thought leaders and systematic literature reviews identified candidate quality indicators.

Related Experiment Videos

  • A modified RAND/UCLA Appropriateness Methodology was employed.
  • An expert panel of physicians rated and discussed the candidate indicators.

    • Main Results:

    • Eighty-nine candidate indicators were identified across seven domains: comorbidity assessment, elderly issues, medication use, patient-provider discussions, intraoperative care, postoperative management, and discharge planning.
    • Seventy-six of the 89 candidate indicators were rated as valid by the expert panel.
    • Many valid indicators addressed processes not typically standard for younger surgical patients.

    Conclusions:

    • Quality surgical care for the growing elderly population is of paramount importance.
    • This project successfully identified and rated process measures for high-quality perioperative care in elderly surgical patients using a validated methodology.
    • These represent the first set of quality indicators specifically developed for elderly patients undergoing abdominal surgery.