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Age of patients undergoing surgery
A J Fowler1, T E F Abbott1,2, J Prowle1
1William Harvey Research Institute, Queen Mary University of London, London, UK.
The surgical patient population in England is aging faster than the general population. This trend necessitates healthcare policy adaptation for safe and sustainable surgical care delivery.
Area of Science:
- Geriatric Medicine
- Surgical Outcomes
- Healthcare Policy
Background:
- Advancing age is linked to poorer surgical outcomes.
- The aging demographic presents challenges for healthcare providers.
- This study examines age trends in surgical patients within England's National Health Service.
Purpose of the Study:
- To analyze trends in the age of patients undergoing surgery in England.
- To compare the aging rate of the surgical population with the general population.
- To project future surgical population growth and associated costs.
Main Methods:
- Ecological time-trend analysis using Hospital Episode Statistics and Office for National Statistics data (1999-2015).
- Calculation of patient age proportions, mean age, and age profile changes.
- Linear regression modeling to estimate future growth and costs.
Main Results:
- The surgical population is older than the general population, with the gap widening over time.
- The proportion of patients aged 75+ undergoing surgery increased significantly from 1999 to 2015.
- Projected figures indicate a substantial increase in surgeries for older adults by 2030, with significant cost implications.
Conclusions:
- The surgical patient population in England is aging more rapidly than the general population.
- Urgent adaptation of healthcare policies is required to ensure safe and sustainable surgical care.
- Future planning must account for the increasing number of elderly patients requiring surgical interventions.
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