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Melkonyan G.G.

Russian Medical Academy of Continuing Professional Education;
Hospital for War Veterans No. 3

Protsenko D.N.

Moscow Multidisciplinary Clinical Center "Kommunarka";
Pirogov Russian National Research Medical University

Runikhina N.K.

Pirogov Russian National Research Medical University;
Russian Gerontology Research and Clinical Center of the Pirogov Russian National Research Medical University

Tkacheva O.N.

Russian Gerontology Research and Clinical Center of the Pirogov Russian National Research Medical University

Revishvili A.Sh.

A.V. Vishnevsky National Medical Research Center for Surgery

Tsarenko S.V.

National Medical Research Center "Treatment and Rehabilitation Center"

Eruslanova K.A.

Russian Gerontology Research and Clinical Center of the Pirogov Russian National Research Medical University

Consensus on topical issues of multidisciplinary management of elderly patients with frailty in planned surgical care delivery

Authors:

Melkonyan G.G., Protsenko D.N., Runikhina N.K., Tkacheva O.N., Revishvili A.Sh., Tsarenko S.V., Eruslanova K.A.

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Journal: Pirogov Russian Journal of Surgery. 2024;(8‑2): 3‑15

DOI: 10.17116/hirurgia20240823

Read: 1037 times

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Table of contents

CONSENSUS ON TOPICAL ISSUES OF MULTIDISCIPLINARY MANAGEMENT OF ELDERLY PATIENTS WITH FRAILTY IN PLANNED SURGICAL CARE DELIVERY
CONSENSUS ON TOPICAL ISSUES OF MULTIDISCIPLINARY MANAGEMENT OF ELDERLY PATIENTS WITH FRAILTY IN PLANNED SURGICAL CARE DELIVERY

To cite this article:

Melkonyan GG, Protsenko DN, Runikhina NK, Tkacheva ON, Revishvili ASh, Tsarenko SV, Eruslanova KA. Consensus on topical issues of multidisciplinary management of elderly patients with frailty in planned surgical care delivery. Pirogov Russian Journal of Surgery. 2024;(8‑2):3‑15. (In Russ.)
https://doi.org/10.17116/hirurgia20240823

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The number of elderly and senile patients who are in need of surgical care delivery is growing steadily year over year. This category of patients is characterized by comorbidity, polypragmasy and high prevalence of geriatric syndromes including loss of autonomy, malnutrition and cognitive impairments that increase the risk of developing perioperative complications. Management of these patients at all stages requires a comprehensive multidisciplinary approach. Nevertheless, there is no uniform understanding of solution of this problem at present. Determination of consensus on certain issues using the Delphi method will allow to gather and unite expert opinions. In this regard, the working group formulated the main points of management of elderly and senile patients before, during and after surgical treatment and conducted a cross-sectional analysis of experts’ opinions.

Authors:

Melkonyan G.G.

Russian Medical Academy of Continuing Professional Education;
Hospital for War Veterans No. 3

Protsenko D.N.

Moscow Multidisciplinary Clinical Center "Kommunarka";
Pirogov Russian National Research Medical University

Runikhina N.K.

Pirogov Russian National Research Medical University;
Russian Gerontology Research and Clinical Center of the Pirogov Russian National Research Medical University

Tkacheva O.N.

Russian Gerontology Research and Clinical Center of the Pirogov Russian National Research Medical University

Revishvili A.Sh.

A.V. Vishnevsky National Medical Research Center for Surgery

Tsarenko S.V.

National Medical Research Center "Treatment and Rehabilitation Center"

Eruslanova K.A.

Russian Gerontology Research and Clinical Center of the Pirogov Russian National Research Medical University

Received:

25.07.2024

Accepted:

05.08.2024

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References:

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  2. Prince MJ, Wu F, Guo Y, et al. The burden of disease in older people and implications for health policy and practice. Lancet. 2015;385(9967):549-562.  https://doi.org/10.1016/S0140-6736(14)61347-7
  3. Berlin NL, Kirch M, Singer DC, Solway E, Malani PN, Kullgren JT. Preoperative Concerns of Older US Adults and Decisions About Elective Surgery. JAMA Netw Open. 2024;7(1):e2353857. Published 2024 Jan 02.  https://doi.org/10.1001/jamanetworkopen.2023.53857
  4. Harrison S, Harvie DA, Wensley F, et al. Frailty in the over 65’s undergoing elective surgery (FIT-65) — a three-day study examining the prevalence of frailty in patients presenting for elective surgery. Perioper Med. 2022;11:42.  https://doi.org/10.1186/s13741-022-00272-1
  5. Tkacheva ON, Kotovskaya YuV, Runikhina NK, Frolova EV, Naumov AV, Vorobyeva NM, Ostapenko VS, Mkhitaryan EA, Sharashkina NV, Tyukhmenev EA, Pereverzev AP, Dudinskaya EN. Clinical guidelines on frailty. Russian Journal of Geriatric Medicine. 2020;1:11-46. (In Russ.). https://doi.org/10.37586/2686-8636-1-2020-11-46
  6. Katlic MR. Let It Rain: The American College of Surgeons Geriatric Surgery Verification Program. J Am Geriatr Soc. 2021;69(3):616-617.  https://doi.org/10.1111/jgs.16928
  7. Clinical recommendations “Delirium not caused by alcohol and other psychoactive substances in elderly and senile people”, 2022. (In Russ.). https://cr.minzdrav.gov.ru/schema/742_1
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  10. Clinical recommendations 615 “Malnutrition (malnutrition) in elderly and senile patients”, 2020. (In Russ.). https://cr.minzdrav.gov.ru/recomend/615_2
  11. Clinical recommendations 600 “Falls in elderly and senile patients”, 2020. (In Russ.). https://cr.minzdrav.gov.ru/recomend/600_2
  12. Methodological recommendations “Perioperative management of elderly and senile patients”, 2021. (In Russ.). https://apicr.minzdrav.gov.ru/Files/recomend/%D0%9C%D0%A0104.PDF
  13. Diamond IR, Grant RC, Feldman BM, et al. Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies. J Clin Epidemiol. 2014;67(4):401-409.  https://doi.org/10.1016/j.jclinepi.2013.12.002
  14. Panayi AC, Orkaby AR, Sakthivel D, et al. Impact of frailty on outcomes in surgical patients: A systematic review and meta-analysis. Am J Surg. 2019;218(2):393-400.  https://doi.org/10.1016/j.amjsurg.2018.11.020
  15. Baron DM, Hochrieser H, Posch M, et al. Preoperative anaemia is associated with poor clinical outcome in non-cardiac surgery patients. Br J Anaesth. 2014;113:416-423. 
  16. Fowler AJ, Ahmad T, Phull MK, et al. Meta-analysis of the association between preoperative anaemia and mortality after surgery. Br J Surg. 2015;102:1314-1324.
  17. Shander A, Corwin HL, Meier J, et al. Recommendations From the International Consensus Conference on Anemia Management in Surgical Patients (ICCAMS). Ann Surg. 2023;277(4):581-590.  https://doi.org/10.1097/SLA.0000000000005721
  18. Nikitina TG, Pelekh DM, Filippkina TYu, Rybka MM, Muratov RM, Mironenko VA, Skopin II, Golukhova EZ. Analysis of early postoperative complications after correction of valvular heart defects in the elderly in conditions of artificial circulation. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2022;23(6):633-643. (In Russ.). https://doi.org/10.24022/1810-0694-2022-23-6-633-643
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