The impact of frailty in older women undergoing pelvic floor reconstructive surgery.

Document Type

Article

Publication Date

11-9-2020

Institution/Department

Obstetrics & Gynecology

Journal Title

Menopause (New York, N.Y.)

MeSH Headings

Humans, Female, Aged, Frailty, Pelvic Floor, Reconstructive Surgical Procedures, Pelvic Organ Prolapse

Abstract

IMPORTANCE AND OBJECTIVE: Women ≥ 65 years old commonly undergo pelvic surgery but are often not screened for coexisting frailty, the presence of which increases the risk of postoperative complications. In the absence of a current consensus, the objective of this review is to discuss the incorporation of a frailty assessment into the work-up of women undergoing pelvic floor reconstructive surgery.

METHODS: This is a review of the literature, focusing on measurements of frailty including the Edmonton Frail Scale, FRAIL scale, Groningen Frailty Indicator, frailty phenotype, Tilburg Frailty Indicator, a 70-item frailty index, Mini-Cog score, Charlson comorbidity index, timed up and go test, and life-space assessment. Their use in the perioperative management of older women undergoing pelvic floor reconstructive surgery will be discussed.

DISCUSSION AND CONCLUSION: Understanding the concept of frailty and how it may affect surgical decisions and outcomes is essential. The timed up and go test, life space assessment and Mini-Cog assessment at a minimum should be considered preoperatively in patients over the age of 65 years old planning pelvic floor or elective surgery. : Video Summary:http://links.lww.com/MENO/A676.

ISSN

1530-0374

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