Warwick, E;
Moonesinghe, SR;
(2023)
Chronic Disease Management and Optimization of Functional Status Before Surgery: Does This Improve Long-Term Postoperative Outcomes?
Current Anesthesiology Reports
10.1007/s40140-023-00587-9.
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Abstract
Purpose of the Review: Perioperative care is facing many challenges; these include long surgical wait times, an increasing demand for surgery, a more complex perioperative population, and increased health inequalities. As perioperative care providers, we have an opportunity to shape the future of perioperative care and address these challenges by working to improve the health of those presenting for surgery. Recent Findings: There is equipoise in the literature on the impact of chronic disease management and functional status optimization, but we feel that it is now time to embed these concepts into perioperative care and up-to-date guidance and policy support this. Summary: Clinicians have the opportunity to improve the care of complex patients in the perioperative period, and they can contribute to the development of robust, equitable, and streamlined perioperative pathways. However, perioperative care also affords the opportunity to engage, educate, and empower patients in their health looking beyond purely surgical outcomes, aiming for improved long-term health management and behavioural modification.
| Type: | Article |
|---|---|
| Title: | Chronic Disease Management and Optimization of Functional Status Before Surgery: Does This Improve Long-Term Postoperative Outcomes? |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1007/s40140-023-00587-9 |
| Publisher version: | https://doi.org/10.1007/s40140-023-00587-9 |
| Language: | English |
| Additional information: | This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
| Keywords: | Perioperative medicine · Postoperative outcomes · Functional status · Functional capacity · Comorbidities · Chronic disease · Long-term conditions · Optimization · Health inequalities |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Targeted Intervention |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10182475 |
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