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The main objective of this study is to evaluate the effectiveness of experimental management by digestive or urological "new Peri-Operative Geriatric Units", on post-operative follow-up in the 3 months following the procedure.
Medical follow-up in the 10 days following the operation up to discharge, and patient outcomes in the 3 months following the operation, will be documented.
These data will be compared with data from subjects operated on in the reference year.
This is a multicenter, non-interventional, prospective retrospective study:
This study will assess whether "Peri-Operative Geriatric Units" for digestive or urinary surgery is beneficial for :
These data will be compared with those of patients operated on in the reference year prior to pandemic Covid-19 (2019), who unlike you will not have benefited from "new Peri-Operative Geriatric Units" care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prospective group | Patients who recieved geriatric perioperative car | ||
| Retrospective group | Patients who received standard surgical care |
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| Measure | Description | Time Frame |
|---|---|---|
| Assessment of the effectiveness of experimental management by geriatric peri-operative digestive or urological units | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of commorbidity risk according Charlson Comorbidity Index (CCI) | The Charlson Comorbidity Index (CCI) assesses the level of comorbidity by considering the level of severity of 19 predefined comorbid disorders and the number of disorders present among them. | At inclusion |
| Assessment of the degree of patient dependence according Katz Index of Independence in Activities of Daily Living (ADL) |
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Inclusion Criteria:
Exclusion Criteria:
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Elderly patients scheduled to undergo one of the 4 procedures targeted by the study (colectomy, or cholecystectomy, or nephrectomy, or transurethral resection of prostate adenoma)
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Isabelle Dufour | Contact | + 33 (0) 185781010 | isabelle.dufour@gerondif.org | |
| Albatoul Zakaria, PhD | Contact | + 33 (0) 185781010 | albatoul.zakaria@gerondif.org |
| Name | Affiliation | Role |
|---|---|---|
| Olivier Hanon, PhD, MPH | Geriatric Departement, Broca Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Geriatric Department, Broca Hospital | Recruiting | Paris | IIe-de-France | 75013 | France |
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Katz Index of Independence in Activities of Daily Living is an unabbreviated scale title. This Index ranks adequacy of performance in the six functions of bathing, dressing, toileting, transferring, continence, and feeding. Patients are scored yes/no for independence in each of the six functions. A score of 6 indicates full function, 4 indicates moderate impairment, and 2 or less indicates severe functional impairment. |
| 3 months |
| Assessment of patient's level of dependence through an appreciation of instrumental activities of daily living according Lawton scale | 3 months |
| Screening for a nutritional disorder according Body Mass Index (BMI) score | 3 months |
| Assessment of a patient's pre-operative state of health according The American Society of Anaesthesiologists score (ASA) | To determine if patient is healthy enough to tolerate surgery and anesthesia | 3 months |