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The Preoperative Assessment and Optimization of Patients Undergoing Major Urological Surgery
PURPOSE OF REVIEW: Improving patient outcomes from major urological surgery requires not only advancement in surgical technique and technology, but also the practice of patient-centered, multidisciplinary, and integrated medical care of these patients from the moment of contemplation of surgery unti...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5486597/ https://www.ncbi.nlm.nih.gov/pubmed/28589402 http://dx.doi.org/10.1007/s11934-017-0701-z |
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author | Cui, Helen W. Turney, Benjamin W. Griffiths, John |
author_facet | Cui, Helen W. Turney, Benjamin W. Griffiths, John |
author_sort | Cui, Helen W. |
collection | PubMed |
description | PURPOSE OF REVIEW: Improving patient outcomes from major urological surgery requires not only advancement in surgical technique and technology, but also the practice of patient-centered, multidisciplinary, and integrated medical care of these patients from the moment of contemplation of surgery until full recovery. This review examines the evidence for recent developments in preoperative assessment and optimization that is of relevance to major urological surgery. RECENT FINDINGS: Current perioperative medicine recommendations aim to improve the short-term safety and long-term effectiveness of surgical treatments by the delivery of multidisciplinary integrated medical care. New strategies to deliver this aim include preoperative risk stratification using a frailty index and cardiopulmonary exercise testing for patients undergoing intra-abdominal surgery (including radical cystectomy), preoperative management of iron deficiency and anemia, and preoperative exercise intervention. SUMMARY: Proof of the utility and validity for improving surgical outcomes through advances in preoperative care is still evolving. Evidence-based developments in this field are likely to benefit patients undergoing major urological surgery, but further research targeted at high-risk patients undergoing specific urological operations is required. |
format | Online Article Text |
id | pubmed-5486597 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-54865972017-07-11 The Preoperative Assessment and Optimization of Patients Undergoing Major Urological Surgery Cui, Helen W. Turney, Benjamin W. Griffiths, John Curr Urol Rep Urosurgery (P Sooriakumaran, Section Editor) PURPOSE OF REVIEW: Improving patient outcomes from major urological surgery requires not only advancement in surgical technique and technology, but also the practice of patient-centered, multidisciplinary, and integrated medical care of these patients from the moment of contemplation of surgery until full recovery. This review examines the evidence for recent developments in preoperative assessment and optimization that is of relevance to major urological surgery. RECENT FINDINGS: Current perioperative medicine recommendations aim to improve the short-term safety and long-term effectiveness of surgical treatments by the delivery of multidisciplinary integrated medical care. New strategies to deliver this aim include preoperative risk stratification using a frailty index and cardiopulmonary exercise testing for patients undergoing intra-abdominal surgery (including radical cystectomy), preoperative management of iron deficiency and anemia, and preoperative exercise intervention. SUMMARY: Proof of the utility and validity for improving surgical outcomes through advances in preoperative care is still evolving. Evidence-based developments in this field are likely to benefit patients undergoing major urological surgery, but further research targeted at high-risk patients undergoing specific urological operations is required. Springer US 2017-06-06 2017 /pmc/articles/PMC5486597/ /pubmed/28589402 http://dx.doi.org/10.1007/s11934-017-0701-z Text en © The Author(s) 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Urosurgery (P Sooriakumaran, Section Editor) Cui, Helen W. Turney, Benjamin W. Griffiths, John The Preoperative Assessment and Optimization of Patients Undergoing Major Urological Surgery |
title | The Preoperative Assessment and Optimization of Patients Undergoing Major Urological Surgery |
title_full | The Preoperative Assessment and Optimization of Patients Undergoing Major Urological Surgery |
title_fullStr | The Preoperative Assessment and Optimization of Patients Undergoing Major Urological Surgery |
title_full_unstemmed | The Preoperative Assessment and Optimization of Patients Undergoing Major Urological Surgery |
title_short | The Preoperative Assessment and Optimization of Patients Undergoing Major Urological Surgery |
title_sort | preoperative assessment and optimization of patients undergoing major urological surgery |
topic | Urosurgery (P Sooriakumaran, Section Editor) |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5486597/ https://www.ncbi.nlm.nih.gov/pubmed/28589402 http://dx.doi.org/10.1007/s11934-017-0701-z |
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