Editor's Note The “surgical pause”—a means of validating whether surgery is truly safe for patients deemed to be “frail” before starting a procedure—significantly reduces mortality rates and is changing practices at more than 50 Veterans Administration (VA) hospitals, the Pittsburgh Post-Gazette reported August 18. Developed by VA surgeons Daniel Hall…

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Editor's Note Research by the Center for Longevity at the University of Texas, Dallas, suggests that older adults who engage in intensive fitness practices tend to have brains that more closely resemble those of younger adults, the August 23 UTDallas News reports. The study, which compared high-fit older adults (median…

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Editor's Note This Canadian study finds a 1.5-fold increase in costs in the year after major, elective noncardiac surgery for patients with preoperative frailty. A total of 171,576 patients (23,219 with preoperative frailty) were included in the analysis. Unadjusted costs were higher for frail patients. After adjusting for confounders, an…

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Editor's Note This study by researchers from Finland finds that depressive symptoms in 75- and 80-year-olds have decreased, and they are more satisfied with their lives overall than those at the same age 30 years ago. Two independent cohorts of Finnish men and women aged 75 and 80 were analyzed…

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Editor's Note This study from Vanderbilt University Medical Center, Nashville, Tennessee, finds a consistent, widespread, and significant decline in activity following the onset of COVID-19 in the US. The analysis included 5,443 participants who wore a digital device tracking physical activity (Fitbit) for at least 10 days each month. Daily…

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Editor's Note This Canadian study finds an association between shift work and frailty among middle-aged and older workers, especially for women on rotating shifts. The researchers looked at 52 factors that can likely lower lifespan. Mildly frail individuals have at least 5 factors, and very frail individuals have at least…

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Editor's Note In this study, led by the University of Pennsylvania Perelman School of Medicine, Philadelphia, researchers developed and validated better surgical specialty-specific multimorbidity definitions based on distinct characteristics of older inpatients undergoing general, orthopedic, or vascular surgery. The researchers used 2016 to 2017 Medicare administrative claims data on patients…

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Editor's Note This study from the University of Pittsburgh finds that preoperative frailty screening was associated with significantly reduced 1-year postoperative mortality. A total of 50,463 patients (22,722 before implementation of a frailty assessment initiative and 27,741 after implementation) with at least 1-year of postoperative follow-up were included in the…

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Editor's Note In this study, researchers from Yale School of Medicine, New Haven, Connecticut, find that mortality after major surgery is elevated in older adults who are frail or who have probable dementia. A total of 1,193 major surgical procedures in 992 Medicare beneficiaries were analyzed. Among the findings: Overall,…

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