For frail, high-risk seniors, surgery decisions should be patient-centered, team-based and physician-led
Wednesday, April 09, 2014
Surgery for frail, senior citizen patients can be risky. A new patient-centered, team-based approach to deciding whether these high-risk patients will benefit from surgery is championed in an April 10 Perspective of the New England Journal of Medicine. The Perspective suggests that the decision to have surgery must balance the advantages and disadvantages of surgical and non-surgical treatment as well as the patient’s values and goals in a team-based setting that includes the patient, his or her family, the surgeon, the primary care physician and the physician anesthesiologist.