Utilizing a defined multiphase, multispecialty perioperative pathway to achieve functional recovery after surgery

IF 0.4 Q4 SURGERY

Seminars in Colon and Rectal Surgery Pub Date : 2024-11-06 DOI:10.1016/j.scrs.2024.101064

Federica Greco MD , Isacco Montroni MD, PhD

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引用次数: 0

Abstract

This article emphasizes the need for a personalized approach in managing older cancer patients, highlighting the importance of a multidisciplinary team that tailors treatment to the patient's specific health conditions and goals. The objective is to balance positive oncological outcomes with the restoration of independence, reduction of disabilities and enhancement of quality of life. Functional recovery is central to treatment decisions as disability can impact cancer patients more than the prognosis itself. The paper stresses the value of frailty screening tools, nutritional assessment and physical evaluation which help predict postoperative outcomes and guide clinical management. It advocates for comprehensive preoperative evaluations, including geriatric assessments, to prevent both undertreatment and overtreatment. Multimodal prehabilitation can improve postoperative outcomes, reduce healthcare costs, and help older patients remain engaged in society. The article concludes by recommending a patient-centered, individualized approach to optimize functional recovery and alleviate the economic burden on healthcare systems.

查看原文本刊更多论文

利用确定的多阶段、多专科围手术期路径实现术后功能恢复

这篇文章强调，在管理老年癌症患者时需要采取个性化的方法，突出了多学科团队根据患者的具体健康状况和目标进行治疗的重要性。目标是在积极的肿瘤治疗效果与恢复独立、减少残疾和提高生活质量之间取得平衡。功能恢复是治疗决策的核心，因为残疾比预后本身对癌症患者的影响更大。论文强调了虚弱筛查工具、营养评估和身体评估的价值，它们有助于预测术后结果并指导临床管理。论文提倡进行全面的术前评估，包括老年评估，以防止治疗不足和治疗过度。多模式术前康复可改善术后效果，降低医疗成本，并帮助老年患者继续参与社会活动。文章最后建议采用以患者为中心的个性化方法，以优化功能恢复并减轻医疗系统的经济负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Colon and Rectal Surgery SURGERY-

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： Seminars in Colon and Rectal Surgery offers a comprehensive and coordinated review of a single, timely topic related to the diagnosis and treatment of proctologic diseases. Each issue is an organized compendium of practical information that serves as a lasting reference for colorectal surgeons, general surgeons, surgeons in training and their colleagues in medicine with an interest in colorectal disorders.