Perioperative medicine & outcomes
A systematic review of perioperative clinical practice guidelines for care of older adults living with frailty
Authors' conclusion
Despite increasing numbers of patients living with frailty, few guidelines exist that address frailty-specific perioperative care.
Study context
- Population
- Perioperative clinical practice guidelines (CPGs) with at least one frailty-specific recommendation for older adults living with frailtyguidelines from 4707 citations
- Participants
- 13 participants
- Outcome
- Frailty-specific perioperative CPG recommendations: number, themes and strength of evidence
Methodological detailsprotocol registered, Appraisal of Guidelines for Research and Evaluation (AGREE) II quality appraisal, MEDLINE, Embase, CINAHL and 14 grey literature databases searched, January 1, 2000 to December 22, 2021
- Protocol registered
- AGREE II quality appraisal
- MEDLINE, Embase, CINAHL and 14 grey literature databases searched, January 1, 2000 to December 22, 2021
Pooled result
As reported in the abstract
- Guidelines included (from 4707 citations)
- 13
- Guidelines focused on perioperative care of older surgical patients in general
- 8/13
- Recommendations extracted
- 110
- Themes generated, majority pertaining to preoperative care
- 37
- Themes supported by strong evidence: preoperative frailty assessment, multidimensional frailty instruments, reducing urinary catheter use, multidisciplinary care and communication throughout the perioperative period
- 4
- Guidelines recommended for use with modifications (AGREE II)
- 8/13; 62%
Original publication
A systematic review of perioperative clinical practice guidelines for care of older adults living with frailty. Br J Anaesth. Published 25 January 2023. doi:10.
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