Implementation of a Dedicated Oncogeriatric Clinic for Colorectal and Hepatobiliary patients in a large UK NHS trust
Introduction As the incidence of cancer in adults aged ≥65 years continues to rise, so does the complexity of management. Comprehensive Geriatric Assessment (CGA)-led interventions have demonstrated a reduction in treatment-related complications and unplanned hospital admissions, support appropriate treatment decision-making and improve quality of life. We evaluated the implementation of CGA through a new Oncogeriatric clinic in optimising older adults undergoing assessment for surgery and/or chemotherapy with colorectal or hepatobiliary malignancy. Methods We conducted a retrospective audit
Boosting Advance Care Planning for Elderly Surgical Patients: Filtering out errors
Boosting Advance Care Planning for Elderly Surgical Patients: Filtering out errors Introduction: The ReSPECT form documents a patient’s preferences regarding care, religious wishes, preferred place of care/death and the ceiling of care within hospital settings. Although clinical recommendations often align with patient preferences, only around half of ReSPECT plans accurately record these personal wishes. Our goal was to improve compliance and quality in documenting ReSPECT forms for elderly patients admitted to general surgery at Bradford Royal Infirmary, which would lead to better patient