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Comment & Response
September 8, 2021

Associations of Preoperative Frailty With Cancer and Noncancer Deaths of Older Adults Following Surgery for Cancer—Reply

Author Affiliations
  • 1Department of Surgery, University of Toronto, Toronto, Ontario, Canada
  • 2Department of Surgery, St Michael’s Hospital, Toronto, Ontario, Canada
  • 3Li Ka Shing Knowledge Institute, St Michael’s Hospital, Toronto, Ontario, Canada
  • 4Division of General Surgery, Sunnybrook Health Sciences Centre–Odette Cancer Centre, Toronto, Ontario, Canada
  • 5Sunnybrook Research Institute, Toronto, Ontario, Canada
  • 6ICES, Toronto, Ontario, Canada
JAMA Surg. 2022;157(1):83. doi:10.1001/jamasurg.2021.4409

In Reply For older adults undergoing cancer surgery, understanding frailty status is important to patient-oriented outcomes including time at home, home care use, and cause-specific survival across cancer types.1-3 Preoperative geriatric assessment improves risk stratification and shared decision-making and enables targeted multidisciplinary intervention (eg, prehabilitation, nutritional supplementation, and shared care).4 Yet, despite growing understanding and guideline recommendations, older adult–specific care strategies relevant to cancer surgery, including frailty assessment, are rarely used.4-6

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