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[Preoperative geriatric screening in care path 'AAA'].

Jozé Braspenning1,2, Anne Verstraten1, Mark Dirven3

  • 1Radboudumc, Nijmegen. Centrum voor Geïntegreerde Zorg, afd. Geriatrie.

Nederlands Tijdschrift Voor Geneeskunde
|January 4, 2024
PubMed
Summary
This summary is machine-generated.

Preoperative geriatric screening (POGS) aids informed decisions for infrarenal abdominal aortic aneurysm patients. Geriatric advice aligns with frailty scales, showing significant value in surgical care pathways.

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Area of Science:

  • Geriatric Medicine
  • Vascular Surgery
  • Health Services Research

Background:

  • Infrarenal abdominal aortic aneurysms require careful management, often involving complex treatment decisions.
  • Preoperative assessment is crucial for optimizing patient outcomes and tailoring interventions.
  • The role of geriatric screening in this patient population is not fully established.

Purpose of the Study:

  • To determine the added value of preoperative geriatric screening (POGS) in the care pathway for infrarenal abdominal aortic aneurysms.
  • To assess adherence to geriatric recommendations by vascular surgeons.
  • To evaluate the consistency of geriatric advice with frailty measures.

Main Methods:

  • Retrospective observational study of patients (>60 years) with non-acute aortic pathology (2018-2021).
  • Data on preoperative screening (including frailty measures) and treatment extracted from medical records.
  • Descriptive and inferential statistics used for analysis; manual data verification for completeness.

Main Results:

  • POGS was performed in 26% of 343 included patients.
  • Vascular surgeons adhered to geriatric advice in 84.2% of cases.
  • Geriatric advice showed strong consistency with the Clinical Frailty Scale; ~20% of POGS data were missing.

Conclusions:

  • Integrating POGS into the care pathway facilitates more informed choices for healthcare professionals and patients.
  • Strong adherence suggests significant added value of geriatric screening in vascular surgery.
  • Recommend incorporating POGS into the infrarenal abdominal aortic aneurysm care pathway and exploring its use in other surgical pathways.