Perioperative Assessment at the BGS Autumn Meeting

Dr Jugdeep Dhesi is Chair of the BGS Perioperative Care of Older People Ungergoing Surgery SIG (POPS) and is consultant physician and clinical lead for the POPS service at Guy’s and St Thomas’ Hospitals. She will be Chairing the POPS Session at the BGS Autumn Meeting.

perioperative-nursing-300x199Older surgical patients are presenting us geriatricians with challenges. How should geriatric medicine fit into the national agenda for perioperative medicine? Which models of care work best in improving outcomes for this complex multimorbid group of patients? Do different surgical subspecialties require different approaches? How should these services differ between the district general and teaching hospital? Should elective and emergency older surgical patients be given equivalent geriatric medicine input? How can we balance the frequent calls to involve geriatricians in the care of older surgical patients against the numerous unfilled consultant posts in ‘traditional’ geriatric medicine that already exist? These issues will be explored in the POPS SIG session at the BGS meeting in Glasgow (Friday 25th November). Continue reading

It’s Time to Reframe How We Care for Older Adults Facing Surgery

Dr. Ko is Director of the American College of Surgeons Division of Research and Optimal Patient Care and ACS NSQIP, and Principal Investigator of the Coalition for Quality in Geriatrics Surgery (CQGS) Project, based in Chicago, Illinois. He is a practicing surgeon, who serves as professor of surgery and health services at the UCLA Schools of Medicine and Public Health and holds the Robert and Kelly Day Chair in Surgical Outcomes.

Dr. Rosenthal is Chair of the Geriatric Surgery Task Force, Co-Principal Investigator, CQGS Project. She is professor of surgery at Yale University, and chief of surgery at the VA Connecticut Healthcare System. Specializing in geriatric surgery, Dr. Rosenthal is dedicated to helping older patients who have a variety of gastrointestinal and biliary diseases.

geriatricguidelinescover finalThe United States population is dramatically aging. The baby boom generation has reached 65. In fact, there are at least 10,000 people turning 65 every day. The U.S. Census Bureau projects the percentage of men and women 65 years and older will more than double between 2010 and 2050.

Now, more than ever, we see a demographic imperative to pay attention to the rapidly growing number of older adults.  Despite the fact that patients 65 and older make up only 13 percent of the U.S. population, they account for more than one-third of the operations we perform in the U.S. each year. Continue reading