This observational study and intervention develop a prototype of a tool to improve the preoperative decision-making process and manage postoperative expectations among older adults undergoing high-risk surgery.
This cohort study uses American College of Surgeons National Surgical Quality Improvement Program data to investigate the association between loss of independence among older adult patients after surgical procedures and readmission and death after discharge.
This cohort study measures opioid use between 90 days and 1 year after major surgery..
This cohort study evaluates how the age-related risk of discharge to postacute care facilities after major abdominal surgery is affected by preoperative functional status and postoperative complications.
An 84-year-old woman presented with 2 days of progressive abdominal distention and nausea, a distended abdomen without peritoneal signs on examination, an elevated white blood cell count, and segmental small-bowel dilatation on abdominal x-ray. What is your diagnosis?
This Viewpoint reviews a meta-analysis investigating whether ultrasound screening for abdominal aortic aneurysm reduces mortality in men older than 65 years and questions the math and recommendation.
This study examines whether gastric bypass surgery is equally effective in reducing mortality in groups undergoing surgery at different ages.
An elderly woman presented to the emergency department with sudden-onset upper abdominal pain and vomiting for 7 days. What is your diagnosis?
This case series reports that patients with systemic inflammatory disease are at high risk for postoperative complications, type II endoleak, sac expansion, and additional interventions after endovascular aneurysm repair.
This Viewpoint discusses clinical breast examination as an alternative to screening mammography in elderly women.
This analysis assesses the reported prevalence of domestic violence among trauma patients.
This prospective cohort study found that postoperative complications and delirium are separately associated with adverse events and demonstrate a combined effect.
This study reports on the morbidity and mortality rates among patients who undergo an elective or emergency paraesophageal hernia repair.
An elderly man presented to the emergency department with a 1-month history of new-onset, persistent lower abdominal and flank pain that was sharp and constant with intermittent radiation to the back and associated anorexia with a 10-kg weight loss. What is your diagnosis?
This retrospective cohort study shows that health care reform in Massachusetts did not affect insurance coverage for trauma patients but was associated with a transient increase in adjusted mortality rates. See also the Invited Commentary by Lee.
This study evaluates the safety of not performing a sentinel node biopsy for patients 70 years of age or older with clinically node-negative breast cancer.