[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.197.124.106. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Special Communication
November 2014

Summary of the Panel Session at the 38th Annual Surgical Symposium of the Association of VA SurgeonsWhat Is the Big Deal About Frailty?

Author Affiliations
  • 1Houston VA Center for Innovations in Quality, Effectiveness and Safety (IQUEST), Michael E. DeBakey VA Medical Center, Houston, Texas
  • 2Operative Care Line, Michael E. DeBakey VA Medical Center, Houston, Texas
  • 3Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
  • 4Operative Care Line, Nebraska–Western Iowa VA Medical Center, Omaha
  • 5Department of Surgery, University of Nebraska Medical Center, Omaha
  • 6Operative Care Line, Miami VA Healthcare System, Miami, Florida
  • 7Sinai Center for Geriatric Surgery, Department of Surgery, Sinai Hospital, Baltimore, Maryland
  • 8Department of Anesthesiology, VA Connecticut Healthcare System, New Haven
  • 9Yale University School of Medicine, New Haven, Connecticut
  • 10Surgical Service, VA Connecticut Healthcare System, New Haven
  • 11Department of Surgery, Yale University School of Medicine, New Haven, Connecticut
JAMA Surg. 2014;149(11):1191-1197. doi:10.1001/jamasurg.2014.2064
Abstract

Owing to the phenomenon known as “global graying,” elderly-specific conditions, including frailty, will become more prominent among patients undergoing surgery. The concept of frailty, its effect on surgical outcomes, and its assessment and management were discussed during the 38th Annual Surgical Symposium of the Association of VA Surgeons panel session entitled “What’s the Big Deal about Frailty?” and held in New Haven, Connecticut, on April 7, 2014. The expert panel discussed the following questions and topics: (1) Why is frailty so important? (2) How do we identify the frail patient prior to the operating room? (3) The current state of the art: preoperative frail evaluation. (4) Preoperative interventions for frailty prior to operation: do they work? (5) Intraoperative management of the frail patient: does anesthesia play a role? (6) Postoperative care of the frail patient: is rescue the issue? This special communication summarizes the panel session topics and provides highlights of the expert panel’s discussions and relevant key points regarding care for the geriatric frail surgical patient.

×