Comprehensive Geriatric Assessment in the perioperative setting; where next?
Comprehensive Geriatric Assessment (CGA) is being employed in the perioperative setting to improve outcomes for older surgical patients. Traditionally CGA is delivered by a geriatrician led multidisciplinary team but with the acknowledged workforce challenges in geriatric medicine, it has been sugge...
| Publicado en: | Age & Ageing Vol. 48; no. 5; pp. 624 - 628 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Oxford University Press / USA
Sep2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=138485728&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 138485728 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Sep2019 vid: 48 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 138485728 10.1093/ageing/afz069 ppf: 624 ppct: 4 formats: tig: atl: Comprehensive Geriatric Assessment in the perioperative setting; where next? aug: au: Dhesi, Jugdeep Moonesinghe, S Ramani Partridge, Judith affil: Perioperative medicine for Older People undergoing Surgery (POPS), Guy's and St Thomas' NHS Foundation Trust, London Primary Care and Public Health Sciences, Faculty of Life Sciences and Medicine, King's College London University College London Hospitals & National Institute of Health Biomedical Research Centre, London, UK su: Elder care Labor supply Medical care Patients Geriatric assessment Health care teams Surgery Perioperative care sug: subj: Elder care Labor supply Medical care Patients Continuing Care Retirement Communities Temporary Help Services Geriatric assessment Health care teams Surgery Perioperative care keyword: Comprehensive Geriatric Assessment (CGA) implementation science models of care older people perioperative quality improvement Comprehensive Geriatric Assessment (CGA) implementation science models of care older people perioperative quality improvement ab: Comprehensive Geriatric Assessment (CGA) is being employed in the perioperative setting to improve outcomes for older surgical patients. Traditionally CGA is delivered by a geriatrician led multidisciplinary team but with the acknowledged workforce challenges in geriatric medicine, it has been suggested that non-geriatricians may be able to deliver CGA. HOW-CGA developed a toolkit to facilitate the delivery of CGA by non-geriatricians in the perioperative setting. Across two hospital sites uptake and implementation of this toolkit was limited by a potential lack of face validity, behavioural and cultural barriers and an acknowledgement that geriatric medicine expertise is key to CGA and optimisation. In-keeping with this finding there has been an observed expansion in geriatrician led CGA services for older surgical patients in the UK. In order to demonstrate the effectiveness of perioperative CGA services, implementation science should be combined with health services research methodology and the use of big data through linked national audit. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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