• Giothini S Thirunavukarasu, PartridgeJudith S LJSLPerioperative Medicine for Older People undergoing Surgery (POPS), Guy's and St Thomas' NHS Foundation Trust, London, UK.School of Life Course and Population Sciences, Faculty of Life Sciences and Medicine, King's College London, Lon, and Jugdeep K Dhesi.
• Perioperative Medicine for Older People undergoing Surgery (POPS), Guy's and St Thomas' NHS Foundation Trust, London, UK.
• Brit J Hosp Med. 2024 Jul 30; 85 (7): 181-8.

AbstractOlder adults constitute a large proportion of patients undergoing surgery and present with complexity, predisposing them to adverse postoperative outcomes. Inequalities exist in the provision of surgical care across the United Kingdom evidenced by increased waiting times in areas of social deprivation, a disparity in the provision of surgical care across geographic locations as well as a variation in the medical management of comorbidities in surgical patients. Addressing inequalities in the delivery of perioperative care for older adults necessitates a multi-faceted approach. It requires implementation of an evidence-based approach to optimisation of older surgical adults using Comprehensive Geriatric Assessment and optimisation methodology at scale, development of an age-attuned, flexible, transdisciplinary workforce, a restructuring of funding to commission services addressing the needs of the older surgical population and a change in culture and professional and public understanding of the needs of the older surgical patient.

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