Improving Outcomes in Urological Surgery for the Elderly: Strategies for Optimization and Risk Reduction.

IF 2.9 2区医学 Q2 UROLOGY & NEPHROLOGY

Current Urology Reports Pub Date : 2025-06-30 DOI:10.1007/s11934-025-01284-2

Patrick Juliebø-Jones, Christian Beisland

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Abstract

Purpose of review: The purpose was to present latest findings on factors that can help improve risk profiling for surgery in the elderly and thus improve outcomes.

Recent findings: Approximately two thirds of patients undergoing urological surgery are elderly. A number of assessment tools are now available for clinical application to facilitate risk planning when considering surgery. There is an overall lack of trials performed in the elderly on account of a number of factors including cognitive impairment, mobility and perceived lack of benefit. Clinicians are generally poor at estimating 10-year survival in patients and usually underestimate it. Treatment success in this demographic varies from the index patient and an individualised approach should be taken. It is of increasing relevance for clinicians to familiarize themselves with tools that can facilitate surgical care in the elderly. Prospective studies are needed, which also monitor outcomes in patients who did not undergo surgery.

查看原文本刊更多论文

改善老年人泌尿外科手术的结果：优化和降低风险的策略。

综述的目的：目的是介绍有助于改善老年人手术风险分析从而改善预后的因素的最新发现。最近的发现：大约三分之二接受泌尿外科手术的患者是老年人。现在有许多评估工具可用于临床应用，以便在考虑手术时进行风险规划。由于认知障碍、活动能力和缺乏益处等因素，在老年人中进行的试验总体上缺乏。临床医生通常不善于估计患者的10年生存率，通常会低估它。治疗成功在这一人口统计不同的指数病人，应采取个体化的方法。对于临床医生来说，熟悉能够促进老年人手术护理的工具是越来越重要的。需要前瞻性研究，也要监测未接受手术的患者的预后。

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来源期刊

Current Urology Reports UROLOGY & NEPHROLOGY-

CiteScore

4.60

自引率

3.80%

发文量

期刊介绍： This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.