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Published in: Current Urology Reports 7/2017

Open Access 01-07-2017 | Urosurgery (P Sooriakumaran, Section Editor)

The Preoperative Assessment and Optimization of Patients Undergoing Major Urological Surgery

Authors: Helen W. Cui, Benjamin W. Turney, John Griffiths

Published in: Current Urology Reports | Issue 7/2017

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Abstract

Purpose of Review

Improving patient outcomes from major urological surgery requires not only advancement in surgical technique and technology, but also the practice of patient-centered, multidisciplinary, and integrated medical care of these patients from the moment of contemplation of surgery until full recovery. This review examines the evidence for recent developments in preoperative assessment and optimization that is of relevance to major urological surgery.

Recent Findings

Current perioperative medicine recommendations aim to improve the short-term safety and long-term effectiveness of surgical treatments by the delivery of multidisciplinary integrated medical care. New strategies to deliver this aim include preoperative risk stratification using a frailty index and cardiopulmonary exercise testing for patients undergoing intra-abdominal surgery (including radical cystectomy), preoperative management of iron deficiency and anemia, and preoperative exercise intervention.

Summary

Proof of the utility and validity for improving surgical outcomes through advances in preoperative care is still evolving. Evidence-based developments in this field are likely to benefit patients undergoing major urological surgery, but further research targeted at high-risk patients undergoing specific urological operations is required.
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Metadata
Title
The Preoperative Assessment and Optimization of Patients Undergoing Major Urological Surgery
Authors
Helen W. Cui
Benjamin W. Turney
John Griffiths
Publication date
01-07-2017
Publisher
Springer US
Published in
Current Urology Reports / Issue 7/2017
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-017-0701-z

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