Perioperative Optimization of Frail Older Adults Undergoing Elective Colorectal Surgery
The POSH model provides high-risk patients with individualized risk stratification, comprehensive interdisciplinary strategies for risk mitigation, and alignment of care with patient goals. When elective colorectal surgery was within their goals of care, frail older adults safely underwent operative intervention after careful perioperative optimization. Future studies should include a mixed-method exploration of the patient perspective and a randomized controlled trial to quantify the impact of the POSH clinic on short- and long-term postoperative outcomes.
Authors
- Praachi Raje (ORCID: https://orcid.org/0000-0002-8654-9007)
- Rocco Ricciardi
- Matthew Russell (ORCID: https://orcid.org/0000-0002-6898-1197)
- Christy E. Cauley (ORCID: https://orcid.org/0000-0003-3847-9486)
- Sarah Rudasill (ORCID: https://orcid.org/0000-0002-9586-3209)
- Grace C. Lee (ORCID: https://orcid.org/0000-0001-5189-8373)
- Masaya Higuchi (ORCID: https://orcid.org/0000-0002-7584-5281)
- Rory Vu Mather (ORCID: https://orcid.org/0000-0002-5667-9732)
- Jasmine Johnson
- Hiroko Kunitake
- Rebecca Tang (ORCID: https://orcid.org/0009-0007-4315-1211)
- Sindhura Pulluru
Institutions
- Massachusetts General Hospital (US)
Publication Details
- Journal
- Journal of the American Geriatrics Society
- Published
- 2025-12-12
- DOI
- https://doi.org/10.1111/jgs.70211
- Citations
- 1
- Primary Topic
- Frailty in Older Adults
- Type
- article
- Field-Weighted Citation Impact
- 1.22