{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:44:08Z","timestamp":1787028248133,"version":"build-2736575974"},"reference-count":18,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics"],"abstract":"<jats:p>Background\/Objectives: As mounting numbers of older people consider surgery, the importance of aligning treatments with patient values and goals is paramount. This has led to the growth of POPS (Perioperative care of Older Patients) services internationally and across Australia. An observational pilot evaluation of the Melbourne Health POPS service was conducted throughout 2022, with the aims of describing the population, measuring patient-reported outcomes and comparing postoperative outcomes to a matched historical cohort. Methods: Data were sourced from clinical review, electronic medical records and health intelligence. Patients who pursued surgery were matched 2:1 with a 2020 control cohort on up to 10 characteristics ranked on clinical judgement. Patient-reported outcomes were collected at 3 months post-surgery or at the clinic in consenting participants. Results: There were 128 participants, of whom 64 (50%) pursued non-surgical management. Participants were older (median 79 [13] years), frail (median CFS 5 [2]), and multimorbid (median CCI 5 [2.25]). Despite increased perioperative risk amongst the POPS surgical group (ASA-4 23.4% vs. 5.5%, p &lt; 0.001), increased incidence of postoperative delirium (15% vs. 5.8%, p = 0.042) and ICU admission (21.7% vs. 7.5%, p = 0.006) compared to the control group, median length of stay was similar (4.3 [6.7] vs. 4.3 [5.1] days, p = 0.537). Patient-reported outcomes were similar between surgical and non-surgical POPS groups (90.7% vs. 88.1% would make the same surgical decision, p = 0.697). Conclusions: Patients attending POPS were multimorbid with geriatric syndromes and elevated perioperative risk. A high proportion pursued non-operative care. Patient-reported feedback was high with low decisional regret.<\/jats:p>","DOI":"10.3390\/geriatrics11030055","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:46:11Z","timestamp":1777455971000},"page":"55","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Patient-Centred Care for Older Patients Considering Surgery: An Evaluation of the Perioperative Care of Older Patients Service at an Australian Tertiary Hospital"],"prefix":"10.3390","volume":"11","author":[{"given":"Rachel","family":"Aitken","sequence":"first","affiliation":[{"name":"Department of Aged Care, Royal Melbourne Hospital, Parkville, VIC 3052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Gregorevic","sequence":"additional","affiliation":[{"name":"Department of Aged Care, Royal Melbourne Hospital, Parkville, VIC 3052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Preeo","sequence":"additional","affiliation":[{"name":"Department of Aged Care, Royal Melbourne Hospital, Parkville, VIC 3052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Bicknell","sequence":"additional","affiliation":[{"name":"Department of Aged Care, Royal Melbourne Hospital, Parkville, VIC 3052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Griffiths","sequence":"additional","affiliation":[{"name":"Department of Aged Care, Royal Melbourne Hospital, Parkville, VIC 3052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jared","family":"Tower","sequence":"additional","affiliation":[{"name":"Department of Allied Health, Royal Melbourne Hospital, Parkville, VIC 3052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ned","family":"Douglas","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, VIC 3052, Australia"},{"name":"Department of Critical Care, The University of Melbourne, Parkville, VIC 3052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8846-4621","authenticated-orcid":false,"given":"Chuan-Whei","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, VIC 3052, Australia"},{"name":"Department of Critical Care, The University of Melbourne, Parkville, VIC 3052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janette","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, VIC 3052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jai","family":"Darvall","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville, VIC 3052, Australia"},{"name":"Department of Critical Care, The University of Melbourne, Parkville, VIC 3052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen Kwang","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Allied Health, Royal Melbourne Hospital, Parkville, VIC 3052, Australia"},{"name":"Department of Medicine, The University of Melbourne, Parkville, VIC 3052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1007\/s40520-017-0879-4","article-title":"Proactive care of older people undergoing surgery","volume":"30","author":"Partridge","year":"2018","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/s40520-018-0915-z","article-title":"Decision-making about surgery in the elderly","volume":"30","author":"Bettelli","year":"2018","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"afac194","DOI":"10.1093\/ageing\/afac194","article-title":"Perioperative care for older people","volume":"51","author":"Partridge","year":"2022","journal-title":"Age Ageing"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1001\/archsurg.138.10.1068","article-title":"Physiological features of aging persons","volume":"138","author":"Aalami","year":"2003","journal-title":"Arch. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1017\/S095925981300018X","article-title":"Peri-Operative management of older people undergoing surgery","volume":"24","author":"Shipway","year":"2014","journal-title":"Rev. Clin. Gerontol."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Lin, H., Watts, J.N., Peel, N.M., and Hubbard, R.E. (2016). Frailty and post-operative outcomes in older surgical patients: A systematic review. BMC Geriatr., 16.","DOI":"10.1186\/s12877-016-0329-8"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1111\/j.1532-5415.2005.53159.x","article-title":"Surgical outcomes for patients aged 80 and older: Morbidity and mortality from major noncardiac surgery","volume":"53","author":"Hamel","year":"2005","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_8","unstructured":"Centre for Perioperative Care and British Geriatrics Society (2021, October 05). Guideline for Perioperative Care for People Living with Frailty Undergoing Elective and Emergency Surgery, September 2021, London. Available online: https:\/\/www.bgs.org.uk\/sites\/default\/files\/content\/attachment\/2021-09-28\/Guideline%20for%20Perioperative%20Care%20for%20People%20Living%20with%20Frailty%20Undergoing%20Elective%20and%20Emergency%20Surgery.pdf."},{"key":"ref_9","unstructured":"Australian and New Zealand College of Anaesthetists (ANZCA) (2026, February 20). A Framework for Perioperative Care in Australia and New Zealand. November 2023. Available online: https:\/\/www.anzca.edu.au\/getContentAsset\/6959c2b4-64dc-4e7f-8341-8f74b72f1a14\/80feb437-d24d-46b8-a858-4a2a28b9b970\/The-Perioperative-Care-Framework.pdf?language=en."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"258","DOI":"10.12968\/hmed.2019.80.5.258","article-title":"Perioperative Comprehensive Geriatric Assessment: What do we need to know?","volume":"80","author":"Trundle","year":"2019","journal-title":"Br. J. Hosp. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1016\/j.mpmed.2024.08.014","article-title":"Perioperative care of older adults","volume":"52","author":"Ibitoye","year":"2024","journal-title":"Medicine"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1002\/bjs.10459","article-title":"Randomised clinical trial of comprehensive geriatric assessment and optimisation in vascular surgery","volume":"104","author":"Partridge","year":"2017","journal-title":"Br. J. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1770","DOI":"10.1093\/ageing\/afab094","article-title":"Preoperative comprehensive geriatric assessment and optimisation prior to elective arterial vascular surgery: A health economic analysis","volume":"50","author":"Partridge","year":"2021","journal-title":"Age Ageing"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1111\/anae.12494","article-title":"The impact of preoperative comprehensive geriatric assessment on postoperative outcomes in older patients undergoing scheduled surgery: A systematic review","volume":"69","author":"Partridge","year":"2014","journal-title":"Anaesthesia"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Eamer, G., Taheri, A., Chen, S.S., Daviduck, Q., Chambers, T., Shi, X., and Khadaroo, R.G. (2018). Comprehensive geriatric assessment for older people admitted to a surgical service (Review). Cochrane Database Syst. Rev., CDO12485.","DOI":"10.1002\/14651858.CD012485.pub2"},{"key":"ref_16","unstructured":"Anthropic (2026, April 09). Claude Sonnet 4.6 [Large Language Model]. (San Francisco, CA, USA). Available online: https:\/\/www.anthropic.com\/news\/claude-sonnet-4-6."},{"key":"ref_17","unstructured":"JASP Team (2026, February 02). JASP (Version 0.95.3) [Computer Software]. Available online: https:\/\/jasp-stats.org\/previous-versions\/."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1948","DOI":"10.1016\/j.jamda.2022.08.009","article-title":"A Description of Interventions Prompted by Preoperative Comprehensive Geriatric Assessment and Optimization in Older Elective Noncardiac Surgical Patients","volume":"23","author":"Shahab","year":"2022","journal-title":"J. Am. Med. Dir. Assoc."}],"container-title":["Geriatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2308-3417\/11\/3\/55\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T16:39:02Z","timestamp":1779208742000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2308-3417\/11\/3\/55"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,28]]},"references-count":18,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,6]]}},"alternative-id":["geriatrics11030055"],"URL":"https:\/\/doi.org\/10.3390\/geriatrics11030055","relation":{},"ISSN":["2308-3417"],"issn-type":[{"value":"2308-3417","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,28]]}}}