0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary | SURGICAL CARE OF THE AGING POPULATION

Geriatric Risk Assessment in Surgery:  Keeping It Simple

Michael E. Zenilman, MD1,2,3
[+] Author Affiliations
1Johns Hopkins School of Medicine, Bethesda, Maryland
2State University of New York Downstate School of Medicine, New York, New York
3State University of New York Downstate School of Public Health, Brooklyn, New York
JAMA Surg. 2013;148(12):1138-1139. doi:10.1001/jamasurg.2013.2765.
Text Size: A A A
Published online

Extract

Jones et al1 are trying to make things simple. As surgeons, we interact daily with elderly patients who come with complex histories, which are suited in a panoply of drugs that we barely recognize and can adversely affect the results of our operations. We are immediately expected to accurately address their surgical risk. We need some simplicity.

Surgeons are expected to predict outcomes daily—it is even documented as the risks, benefits, and alternatives conversations we have with our patients and families. For elderly patients, there are established tools we can use to do this risk assessment (discussed here), but the best ones are complex and time consuming, and I frankly cannot remember all the variables needed for the calculations within each model.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Clinical Resolution

Users' Guides to the Medical Literature
Which Measure of Association Is Best?

brightcove.createExperiences();