{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T20:04:14Z","timestamp":1784145854349,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Pancreaticoduodenectomy (PD) carries substantial risks in elderly patients, emphasizing the need for optimized perioperative care. Comprehensive geriatric assessments (CGAs) \u2010 evaluating medical, functional, and psychosocial domains \u2010 may mitigate these risks. This study investigates the impact of a preoperative evaluation by a dedicated geriatric surgery service on outcomes in elderly patients undergoing PD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Materials<\/jats:title>\n                    <jats:p>\n                      This was a retrospective cohort study of elderly (age over 75 years) patients that underwent PD (GA\u2009+\u200975,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200923) following preoperative workup by a specialized geriatric surgery service (GSS). Control groups included elderly patients without geriatric assessment (non\u2010GA\u2009+\u200975,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200973) and non\u2010elderly patients (\u2009&lt;\u200975 years,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009275). Short\u2010 and long\u2010term outcomes were compared across the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      While baseline demographics were similar between GA\u2009+\u200975 and non\u2010GA\u2009+\u200975 groups, comorbidity profiles differed. Higher rates of chronic obstructive pulmonary disease (21.7% vs. 2.7%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) and asthma (26% vs. 1.4%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) were observed in the GA\u2009+\u200975 group. Despite this, GA\u2009+\u200975 patients had significantly lower rates of postoperative pneumonia (4.3% vs. 18.1%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), readmission (26.1% vs. 41.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; also lower than the non\u2010elderly cohort), and delirium (4.3% vs. 36.1%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). There were no significant differences in overall major complications or 30\u2010\/90\u2010day survival rates as well as long\u2010term outcomes between the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Preoperative evaluation by a dedicated GSS was associated with improved postoperative outcomes in elderly patients undergoing PD. These findings support the integration of CGAs into perioperative planning to enhance recovery and reduce complications in older adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.70230","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T05:21:51Z","timestamp":1773206511000},"page":"942-950","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative Workup by a Dedicated Geriatric Surgery Service Improves Outcomes in Elderly Patients Undergoing Pancreaticoduodenectomy"],"prefix":"10.1002","volume":"133","author":[{"given":"Karny","family":"Ilan","sequence":"first","affiliation":[{"name":"Department of General Surgery and Transplantation Sheba Medical Center Tel\u2010Hashomer Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niv","family":"Pencovich","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Transplantation Sheba Medical Center Tel\u2010Hashomer Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mila","family":"Zelezetski","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Transplantation Sheba Medical Center Tel\u2010Hashomer Israel"},{"name":"Unit of Geriatric General Surgery, Sheba Medical Center, Gray Faculty of Medical and Health Sciences Tel Aviv University Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noa","family":"Avishay","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Transplantation Sheba Medical Center Tel\u2010Hashomer Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arielle","family":"Jacover","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Transplantation Sheba Medical Center Tel\u2010Hashomer Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron","family":"Pery","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Transplantation Sheba Medical Center Tel\u2010Hashomer Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rony","family":"Eshkenazy","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Transplantation Sheba Medical Center Tel\u2010Hashomer Israel"},{"name":"Intensive Care Unit, Sheba Medical Center, Gray Faculty of Medical and Health Sciences Tel Aviv University Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuri","family":"Goldes","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Transplantation Sheba Medical Center Tel\u2010Hashomer Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yael","family":"Frenkel","sequence":"additional","affiliation":[{"name":"Unit of Geriatric General Surgery, Sheba Medical Center, Gray Faculty of Medical and Health Sciences Tel Aviv University Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mordechai","family":"Gutman","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Transplantation Sheba Medical Center Tel\u2010Hashomer Israel"},{"name":"Unit of Geriatric General Surgery, Sheba Medical Center, Gray Faculty of Medical and Health Sciences Tel Aviv University Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ido","family":"Nachmany","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Transplantation Sheba Medical Center Tel\u2010Hashomer Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"StatPearls","author":"D'Cruz J. 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