{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:54:06Z","timestamp":1792166046167,"version":"4.4.0"},"reference-count":46,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T00:00:00Z","timestamp":1675123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older surgical patients have an increased risk for postoperative complications, driving up healthcare costs. We determined if postoperative co\u2010management of older surgery patients is associated with postoperative outcomes and hospital costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective data were collected for patients \u226570\u2009years old undergoing colorectal surgery at a community teaching hospital. Patient outcomes were compared between those receiving postoperative surgery co\u2010management care through the Optimization of Senior Care and Recovery (OSCAR) program and controls who received standard of care. Main outcome measures were postoperative complications and hospital charges, 30\u2010day readmission rate, length of stay (LOS), and transfer to intensive care during hospitalization. Multivariable linear regression was used to model total charge and multivariable logistic regression to model complications, adjusted for multiple variables (e.g., age, sex, race, body mass index, Charlson Comorbidity Index [CCI], American Society of Anesthesiologists score, surgery duration).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All 187 patients in the OSCAR and control groups had a similar mean CCI score of 2.7 (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.95). Compared to the control group, OSCAR recipients experienced less postoperative delirium (17% vs. 8%;\n                      <jats:italic>p\u2009=<\/jats:italic>\n                      \u00a00.05), cardiac arrhythmia (12% vs. 3%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.03), and clinical worsening requiring transfer to intensive care (20% vs. 6%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.005). OSCAR group patients had a shorter mean LOS among high\u2010risk patients (CCI \u22653) (\u22121.8\u2009days;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.09) and those \u226580\u2009years old (\u22122.3\u2009days;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.07) compared to the control group. Mean total hospital charge was $10,297 less per patient in the OSCAR group (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.01), with $17,832 less per patient with CCI \u22653 (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.01), than the control group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A co\u2010management care approach after colorectal surgery in older patients improves outcomes and decreases costs, with the most benefit going to the oldest patients and those with higher comorbidity scores.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18216","type":"journal-article","created":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T23:50:34Z","timestamp":1675209034000},"page":"1452-1461","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Integrated postoperative care model for older colorectal surgery patients improves outcomes and reduces healthcare costs"],"prefix":"10.1111","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5130-1909","authenticated-orcid":false,"given":"Sevdenur","family":"Cizginer","sequence":"first","affiliation":[{"name":"Department of Surgery The Miriam Hospital  Providence Rhode Island USA"},{"name":"Department of Medicine Warren Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Department of Health Services Policy and Practice, Brown University School of Public Health  Providence Rhode Island 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