Urological-Geriatric Integrated Diagnostic-Therapeutic Pathway for elderly patients with urologic diseases

  • Lisa Cammalleri | lisa.cammalleri@galliera.it Geriatric Unit, Department of Geriatric Care, Orthogeriatric and Rehabilitation, Frailty Area, Galliera Hospital, Genova, Italy.
  • Romina Custureri Geriatric Unit, Department of Geriatric Care, Orthogeriatric and Rehabilitation, Frailty Area, Galliera Hospital, Genova, Italy.
  • Monica Pomata Geriatric Unit, Department of Geriatric Care, Orthogeriatric and Rehabilitation, Frailty Area, Galliera Hospital, Genova, Italy.
  • Fabio Bonini Urology Unit, Galliera Hospital, Genova, Italy.
  • Giacomo Capponi Urology Unit, Galliera Hospital, Genova, Italy.
  • Carlo Introini Urology Unit, Galliera Hospital, Genova, Italy.
  • Alberto Pilotto Geriatric Unit, Department of Geriatric Care, Orthogeriatric and Rehabilitation, Frailty Area, Galliera Hospital, Genova; Interdisciplinary Department of Geriatrics, University of Bari, Italy.

Abstract

Aging of population represents a new challenge for physicians who have to deal with the balance of risk and benefit in a population that is poorly represented in clinical trials. Frail patients need individualized treatments because of their high risk of developing complications in the course of therapies. Several studies have reported the effect of frailty on falls, hospitalization and mortality, but only few have focused on surgical patients and frailty is not included in the traditional surgical risk scales. Geriatric surgery patients have a physiologic vulnerability requiring assessment beyond the traditional preoperative evaluation of adults. Although single organ evaluation cannot be ignored in elderly population, recognition of frail patients during preoperative assessment may provide additional insight in predicting poor outcome; thus, aiding preoperative decision-making. We developed a Urological-Geriatric Integrated Diagnostic-Therapeutic Pathway in order to evaluate ≥65 years old patients affected by urogenital pathologies which require major surgery and to early identify frail subject.

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Published
2019-11-04
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Original Articles
Keywords:
Elderly, urologic surgery, multidimensional prognostic index, frailty, decision making.
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How to Cite
Cammalleri, L., Custureri, R., Pomata, M., Bonini, F., Capponi, G., Introini, C., & Pilotto, A. (2019). Urological-Geriatric Integrated Diagnostic-Therapeutic Pathway for elderly patients with urologic diseases. Geriatric Care, 5(2). https://doi.org/10.4081/gc.2019.8501