{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:10:42Z","timestamp":1790892642488,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,4,21]],"date-time":"2020-04-21T00:00:00Z","timestamp":1587427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,4,21]],"date-time":"2020-04-21T00:00:00Z","timestamp":1587427200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,4,21]],"date-time":"2020-04-21T00:00:00Z","timestamp":1587427200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"funder":[{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["#IRG 81\u2010001\u201026"],"award-info":[{"award-number":["#IRG 81\u2010001\u201026"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["L30 CA220861"],"award-info":[{"award-number":["L30 CA220861"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["#IRG 81-001-26"],"award-info":[{"award-number":["#IRG 81-001-26"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["L30 CA220861"],"award-info":[{"award-number":["L30 CA220861"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Preoperative assessment of geriatric\u2010specific determinants of health may enhance perioperative risk stratification among elderly patients. This study examines effects of geriatric\u2010specific variables on postoperative outcomes in patients undergoing elective major abdominal operations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients included in the ACS NSQIP pilot Geriatric Surgery Research File program who underwent elective pancreatic, liver, and colorectal operations between 2014 and 2016 were examined. Multivariable analyses were performed to evaluate associations between patient\u2010specific geriatric variables and risk of death, morbidity, readmission, and discharge destination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 4165 patients were included. Patients \u226585 years were more likely to die, experience postoperative morbidity, and be discharged to a facility (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.039) than younger patients. Preoperatively, patients\u2009\u226585 years were more likely to use a mobility aid, have a prior fall, have consent signed by a surrogate, and to live alone at home prior to operation (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). After adjustment for ACS NSQIP\u2010estimated probabilities of morbidity or mortality, no geriatric\u2010specific preoperative risk factors were significantly associated with increased risk of death or complications in any age group (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.055). Patients 75\u201384 and\u2009\u226585 years were more likely to be discharged to facility (OR 2.33 and 4.75, respectively, both\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) compared to patients 65\u201374 years. All geriatric\u2010specific variables: use of mobility aid, living alone, consent signed by a surrogate, and fall history, were significantly associated with discharge to a facility (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>After adjusting for comorbid conditions, geriatric\u2010specific variables are not associated with postoperative mortality and morbidity among elderly patients; however, geriatric\u2010specific variables are significantly associated with discharge to a facility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-020-05515-0","type":"journal-article","created":{"date-parts":[[2020,4,21]],"date-time":"2020-04-21T11:04:28Z","timestamp":1587467068000},"page":"2592-2600","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Safety of Major Abdominal Operations in the Elderly: A Study of Geriatric\u2010Specific Determinants of Health"],"prefix":"10.1002","volume":"44","author":[{"given":"Allison N.","family":"Martin","sequence":"first","affiliation":[{"name":"Department of Surgery University of Virginia Charlottesville VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darian L.","family":"Hoagland","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Virginia Charlottesville VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence E.","family":"Turrentine","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Virginia Charlottesville VA USA"},{"name":"Surgical Outcomes Research Center University of Virginia Charlottesville VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Scott","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Virginia Charlottesville VA USA"},{"name":"Surgical Outcomes Research Center University of Virginia Charlottesville VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor M.","family":"Zaydfudim","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Virginia Charlottesville VA USA"},{"name":"Division of Surgical Oncology, Section of Hepatobiliary and Pancreatic Surgery University of Virginia Box 800709 22908\u20100709 Charlottesville VA USA"},{"name":"Surgical Outcomes Research Center University of Virginia Charlottesville VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2015.12.026"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2019.04.017"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.007611"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.06.012"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2018.04.006"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2006.08.026"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2012.02.007"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2010.01.028"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010019\u20101418\u20102"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2012.06.017"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2017.08.012"},{"key":"e_1_2_10_13_1","unstructured":"American College of Surgeons National Surgical Quality Improvement P(2018) Geriatric Surgery Research File (GSRF) user guide 2014\u20102016.American College of Surgeons"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.07.385"},{"key":"e_1_2_10_15_1","volume-title":"ACS NSQIP\u00ae semiannual report","author":"American College of Surgeons National Surgical Quality Improvement P","year":"2016"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/07317115.2013.788114"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2013.08.001"},{"key":"e_1_2_10_18_1","first-page":"1669","article-title":"A comparison between uni\u2010 and multidimensional frailty measures: prevalence, functional status, and relationships with disability","volume":"10","author":"Roppolo M","year":"2015","journal-title":"Clin Interv Aging"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318195e12f"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.04.041"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.126.5.1583"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001367"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.0629"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10096"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2016.05.014"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0000000000000274"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-020-05515-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00268-020-05515-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-020-05515-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-020-05515-0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T09:46:47Z","timestamp":1764150407000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-020-05515-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,21]]},"references-count":25,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1007\/s00268-020-05515-0"],"URL":"https:\/\/doi.org\/10.1007\/s00268-020-05515-0","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,21]]},"assertion":[{"value":"21 April 2020","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"None of the authors have personal, financial, or other conflicts of interest to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}