Thoracic surgery with geriatric assessment and collaboration can prepare frail older adults for lung cancer surgery.

ABSTRACT:

Background and objectives

We assessed frailty, measured by a comprehensive geriatric assessment-based frailty index (FI-CGA), and its association with postoperative outcomes among older thoracic surgical patients.

Methods

Patients aged ≥65 years evaluated in the geriatric-thoracic clinic between June 2016 through May 2020 who underwent lung surgery were included. Frailty was defined as FI-CGA > 0.2, and "occult frailty", a level not often recognized by surgical teams, as 0.2 < FI-CGA < 0.4. A qualitative analysis of geriatric interventions was performed.

Results

Seventy-three patients were included, of which 45 (62%) were nonfrail and 28 (38%) were frail. "Occult frailty" was present in 23/28 (82%). Sixty-one (84%) had lung malignancy. Geriatric interventions included

SUBMITTER: Cooper L 

PROVIDER: S-EPMC9276553 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature