{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T13:54:23Z","timestamp":1791035663977,"version":"4.1.0"},"reference-count":26,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Cirug\u00eda Espa\u00f1ola (English Edition)"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.cireng.2026.800381","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T15:25:43Z","timestamp":1788276343000},"page":"800381","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Results of implementing an Integrated Care Area for frail patients requiring surgery. 413 patients: Short and long-term postoperative morbidity and quality of life"],"prefix":"10.1016","volume":"104","author":[{"given":"Jordi","family":"Castellv\u00ed Valls","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amparo","family":"Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc\u00eda","family":"Gil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Pareja","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sira","family":"Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisenda","family":"Pujol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Sotelo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Llu\u00eds","family":"Pascual","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas","family":"Bad\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isidre","family":"Mart\u00ed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.cireng.2026.800381_bib0005","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.amjsurg.2007.12.022","article-title":"Colorectal cancer surgery in the elderly: acceptable morbidity?","volume":"195","author":"Ong","year":"2008","journal-title":"Am J Surg"},{"issue":"5","key":"10.1016\/j.cireng.2026.800381_bib0010","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1002\/bjs.4913","article-title":"Co-morbidity leads to altered treatment and worse survival of elderly patients with colorectal cancer","volume":"92","author":"Lemmens","year":"2005","journal-title":"Br J Surg"},{"issue":"4","key":"10.1016\/j.cireng.2026.800381_bib0015","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.jamcollsurg.2012.06.017","article-title":"Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society","volume":"215","author":"Chow","year":"2012","journal-title":"J Am Coll Surg"},{"issue":"2","key":"10.1016\/j.cireng.2026.800381_bib0020","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1093\/ageing\/afr182","article-title":"Frailty in the older surgical patient: a review","volume":"41","author":"Partridge","year":"2012","journal-title":"Age Ageing"},{"issue":"1","key":"10.1016\/j.cireng.2026.800381_bib0025","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1245\/s10434-010-1327-2","article-title":"When reporting on older patients with cancer, frailty information is needed","volume":"18","author":"Audisio","year":"2011","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.cireng.2026.800381_bib0030","series-title":"Recuperaci\u00f3n intensificada de la cirug\u00eda del adulto","author":"V\u00eda cl\u00ednica","year":"2021"},{"issue":"4","key":"10.1016\/j.cireng.2026.800381_bib0035","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/j.jamcollsurg.2013.06.012","article-title":"Too frail for surgery? Initial results of a large multidisciplinary prospective study examining preoperative variables predictive of poor surgical outcomes","volume":"217","author":"Revenig","year":"2013","journal-title":"J Am Coll Surg"},{"key":"10.1016\/j.cireng.2026.800381_bib0040","series-title":"Preoperative tests: NICE guideline","year":"2003"},{"issue":"2","key":"10.1016\/j.cireng.2026.800381_bib0045","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1097\/00000542-200202000-00037","article-title":"Practice advisory for preanesthesia evaluation","volume":"96","year":"2002","journal-title":"Anesthesiology"},{"issue":"2","key":"10.1016\/j.cireng.2026.800381_bib0050","doi-asserted-by":"crossref","first-page":"61","DOI":"10.3109\/09638288809164103","article-title":"The Barthel ADL Index: a reliability study","volume":"10","author":"Collin","year":"1988","journal-title":"Int Disabil Stud"},{"issue":"4","key":"10.1016\/j.cireng.2026.800381_bib0055","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/S0025-7753(01)72040-4","article-title":"Adaptaci\u00f3n y validaci\u00f3n al espa\u00f1ol del cuestionario de Pfeiffer (SPMSQ)","volume":"117","author":"Mart\u00ednez de la Iglesia","year":"2001","journal-title":"Med Clin (Barc)"},{"key":"10.1016\/j.cireng.2026.800381_bib0060","series-title":"Programa de prevenci\u00f3n y atenci\u00f3n a la cronicidad","year":"2012"},{"issue":"2","key":"10.1016\/j.cireng.2026.800381_bib0065","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann Surg"},{"issue":"3","key":"10.1016\/j.cireng.2026.800381_bib0070","doi-asserted-by":"crossref","first-page":"M146","DOI":"10.1093\/gerona\/56.3.M146","article-title":"Frailty in older adults: evidence for a phenotype","volume":"56","author":"Fried","year":"2001","journal-title":"J Gerontol A Biol Sci Med Sci"},{"issue":"10","key":"10.1016\/j.cireng.2026.800381_bib0075","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1016\/j.aprim.2009.09.024","article-title":"Prevalencia de fragilidad en poblaci\u00f3n urbana mayor de 65 a\u00f1os","volume":"42","author":"Alcal\u00e1","year":"2010","journal-title":"Aten Primaria"},{"issue":"4","key":"10.1016\/j.cireng.2026.800381_bib0080","doi-asserted-by":"crossref","first-page":"2668","DOI":"10.1245\/s10434-023-14693-9","article-title":"Preoperative frailty and malnutrition predict postoperative adverse events and worse survival","volume":"31","author":"Khajoueinejad","year":"2024","journal-title":"Ann Surg Oncol"},{"issue":"11","key":"10.1016\/j.cireng.2026.800381_bib0085","doi-asserted-by":"crossref","first-page":"2322","DOI":"10.1111\/ans.16941","article-title":"The impact of frailty on clinical outcomes in colorectal cancer surgery: a systematic review","volume":"91","author":"Michaud Maturana","year":"2021","journal-title":"ANZ J Surg"},{"issue":"4","key":"10.1016\/j.cireng.2026.800381_bib0090","doi-asserted-by":"crossref","first-page":"2035","DOI":"10.1245\/s10434-022-12970-7","article-title":"Frailty in colorectal cancer surgery and postoperative outcomes","volume":"30","author":"Abdelfatah","year":"2023","journal-title":"Ann Surg Oncol"},{"issue":"11","key":"10.1016\/j.cireng.2026.800381_bib0095","doi-asserted-by":"crossref","first-page":"1510","DOI":"10.1016\/j.ejso.2014.02.239","article-title":"Survival outcome of operated and non-operated elderly patients with rectal cancer","volume":"40","author":"Bhangu","year":"2014","journal-title":"Eur J Surg Oncol"},{"key":"10.1016\/j.cireng.2026.800381_bib0100","series-title":"Gu\u00eda de valoraci\u00f3n preoperatoria en el paciente de edad avanzada","author":"Rojo","year":"2014"},{"issue":"6","key":"10.1016\/j.cireng.2026.800381_bib0105","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1046\/j.1365-2168.2002.02080.x","article-title":"The Surgical Risk Scale as an improved tool for risk-adjusted analysis in comparative surgical audit","volume":"89","author":"Sutton","year":"2002","journal-title":"Br J Surg"},{"issue":"3","key":"10.1016\/j.cireng.2026.800381_bib0110","first-page":"155","article-title":"Colorectal carcinoma in the frail surgical patient: implementation of a work area focused on the complex surgical patient improves postoperative outcome","volume":"96","author":"Castellv\u00ed","year":"2018","journal-title":"Cir Esp (Engl Ed)"},{"key":"10.1016\/j.cireng.2026.800381_bib0115","article-title":"Postoperative complications in ASA III and ASA IV patients: a review of 50,000 cases","volume":"68","author":"Jones","year":"2021","journal-title":"J Clin Anesth"},{"key":"10.1016\/j.cireng.2026.800381_bib0120","article-title":"Risk of postoperative complications and mortality in ASA III and ASA IV patients undergoing major surgery","volume":"5","author":"Jones","year":"2021","journal-title":"Lancet Reg Health Eur"},{"issue":"1","key":"10.1016\/j.cireng.2026.800381_bib0125","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1007\/s00268-014-2783-9","article-title":"Predictive accuracy of postoperative mortality using the ASA physical status classification: a meta-analysis","volume":"39","author":"Koo","year":"2015","journal-title":"World J Surg"},{"issue":"6","key":"10.1016\/j.cireng.2026.800381_bib0130","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.jgo.2016.06.001","article-title":"The impact of frailty on postoperative outcomes in individuals aged 65 years and over undergoing elective colorectal cancer surgery: a systematic review","volume":"7","author":"Fagard","year":"2016","journal-title":"J Geriatr Oncol"}],"container-title":["Cirug\u00eda Espa\u00f1ola (English Edition)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2173507726002231?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2173507726002231?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T13:05:43Z","timestamp":1791032743000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2173507726002231"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":26,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S2173507726002231"],"URL":"https:\/\/doi.org\/10.1016\/j.cireng.2026.800381","relation":{},"ISSN":["2173-5077"],"issn-type":[{"value":"2173-5077","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Results of implementing an Integrated Care Area for frail patients requiring surgery. 413 patients: Short and long-term postoperative morbidity and quality of life","name":"articletitle","label":"Article Title"},{"value":"Cirug\u00eda Espa\u00f1ola (English Edition)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cireng.2026.800381","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.ciresp.2026.800381","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier Espa\u00f1a, S.L.U. on behalf of AEC.","name":"copyright","label":"Copyright"}],"article-number":"800381"}}