{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:11:31Z","timestamp":1786119091840,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30 AG028741"],"award-info":[{"award-number":["P30 AG028741"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Frail older adults undergoing surgery are at increased risk for postoperative complications, functional decline, and prolonged hospitalization. Although comprehensive geriatric assessment (CGA) is increasingly recognized as valuable in surgical care, feasible approaches for ambulatory preoperative assessment remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a prospective cohort study of patients aged 65\u2009years and older referred to an ambulatory preoperative geriatrics program at a large academic medical center between January 2022 and May 2024. Patients underwent CGA guided by the 7Ms framework, which extends the American Geriatrics Society 5Ms framework by incorporating Maintaining Care and Meals. Outcomes included the prevalence and patterns of geriatric syndromes, the types and frequency of preoperative recommendations, and process measures assessing program feasibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty\u2010three older surgical patients were enrolled (mean age 81.7\u2009years). Geriatric syndromes were common, including use of assistive walking devices in 60.3%, mild to terminal illness on the Clinical Frailty Scale in 22.2%, polypharmacy in approximately 90%, and mild cognitive impairment or dementia in 54.1%. Nutritional assessment identified 42.6% of patients at risk for malnutrition and 9.8% as malnourished. CGA guided by the 7Ms framework generated a mean of 11.2 individualized recommendations per patient, most commonly related to coordination with primary care clinicians (73.0%), physical therapy (54.0%), medication deprescribing or dose adjustment (50.8%), and delirium prevention (49.2%). Among enrolled patients, 40 patients (63.5%) ultimately proceeded with surgery, with a median of 11.5\u2009days from initial visit to surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A structured comprehensive geriatric assessment guided by the 7Ms framework is feasible and clinically useful in the ambulatory preoperative setting. By explicitly incorporating care coordination and nutritional assessment, the 7Ms framework offers a pragmatic approach to identifying geriatric vulnerabilities and supporting preoperative optimization in older surgical patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70656","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T17:45:08Z","timestamp":1786038308000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<scp>ALIGN<\/scp>\n                    \u2010\n                    <scp>CARE<\/scp>\n                    : An Age\u2010Friendly Surgical Co\u2010Management Model Guided by the\n                    <scp>7Ms<\/scp>\n                    Framework: Preliminary Data"],"prefix":"10.1111","author":[{"given":"Ko","family":"Harada","sequence":"first","affiliation":[{"name":"Brookdale Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Division of General Internal Medicine Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7639-1798","authenticated-orcid":false,"given":"Yuka","family":"Shichijo","sequence":"additional","affiliation":[{"name":"Brookdale Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yihan","family":"Wang","sequence":"additional","affiliation":[{"name":"Brookdale Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Hung","sequence":"additional","affiliation":[{"name":"Brookdale Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Geriatric Research Education and Clinical Center James J Peters VA Medical Center  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Baim\u2010Lance","sequence":"additional","affiliation":[{"name":"Brookdale Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Geriatric Research Education and Clinical Center James J Peters VA Medical Center  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fred","family":"Ko","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine Larner College of Medicine, University of Vermont  Burlington Vermont USA"},{"name":"Center on Aging Larner College of Medicine, University of Vermont  Burlington Vermont USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3488-2731","authenticated-orcid":false,"given":"Stephanie","family":"Chow","sequence":"additional","affiliation":[{"name":"Brookdale Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"issue":"2","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1097\/01.SLA.0000081085.98792.3d","article-title":"The Aging Population and Its Impact on the Surgery Workforce","volume":"238","author":"Etzioni D. 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