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Invited Commentary
July 2014

More Powerful Than the American Society of Anesthesiology Score

Author Affiliations
  • 1Department of Surgery, Johns Hopkins School of Medicine, Bethesda, Maryland
  • 2State University of New York Downstate School of Public Health, Brooklyn
JAMA Surg. 2014;149(7):640-641. doi:10.1001/jamasurg.2014.192

The article by Kim et al1 is important for 2 reasons. First, it is part of a current series that focuses on geriatric indicators for determining the risk of surgery in our elderly patients. Although a wonderful review of best practices for geriatric assessment was published in 2012,2 based on data from the American College of Surgeons National Surgical Quality Improvement Program, Kim et al used their own tool, described in a previous study.3 The earlier study focused on in-hospital mortality; the current one expands the follow-up to 1 year. It is unfortunate that the authors did not measure functional outcome, which in this population is more important than survival, but I am sure they will in the future.