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Updated: Feb 3, 2026

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Exploring Diagnostic Challenges and Performance Feedback in Older Adult Emergency General Surgery.

Jessica K Liu1,2, Xane D Peters1,3, Sarah L Remer1,3

  • 1Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois, USA.

World Journal of Surgery
|February 1, 2026
PubMed
Summary

Clinicians face diagnostic challenges with older adults in emergency general surgery (EGS). Strategies involving multidisciplinary input and patient-centered tools can improve care for this growing patient population.

Keywords:
diagnosisemergency general surgeryolder adultsperformance feedbackquality improvement

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Area of Science:

  • Geriatric Surgery
  • Surgical Diagnostics
  • Qualitative Research Methods

Background:

  • Older adults (65+) represent a growing segment of emergency general surgery (EGS) admissions.
  • This demographic is at higher risk for diagnostic delays and poorer surgical outcomes.
  • Understanding clinician perspectives is crucial for improving care.

Purpose of the Study:

  • To explore clinicians' views on diagnostic challenges specific to older adults in EGS.
  • To identify strategies for enhancing diagnostic feedback and improving care for elderly EGS patients.

Main Methods:

  • Qualitative study utilizing semi-structured focus groups with frontline clinicians.
  • Participants had high-volume experience with older adult EGS patients.
  • Data were transcribed and analyzed using an inductive qualitative approach.

Main Results:

  • Twenty-two clinicians identified key diagnostic challenges: atypical presentations, comorbidities, and age-specific complications.
  • Non-diagnostic factors like functional status, patient preferences, and social needs were critical.
  • Recommended tools included multidisciplinary expertise, risk calculators, cognitive/functional assessments, and goal-of-care protocols.

Conclusions:

  • Frontline clinicians highlighted unique diagnostic considerations for older adults in EGS.
  • Context-specific tools and strategies are essential for improving care delivery.
  • Future quality improvement initiatives should integrate these findings into existing frameworks.