The Impact of the Aging Population on Surgical Diseases

Abstract

The portion of the population comprised by those aged 65 years and older is the fastest growing age group. With the aging of Americans, so goes the age of a surgeon’s patients. It is also well established that with aging, the incidence of various diseases also increases. Thus, more surgical care will be consumed by the elderly. The cost of care however will be greater for geriatric patients when compared to younger patients due to the greater incidence of comorbidities in the elderly. The surgical community will need to develop new protocols for the perioperative care of these frail patients in order to provide safe care with acceptable morbidity and mortality rates. Over the past 5 years, there have been notable changes in the surgical management of geriatric patients. Increased evidence in several surgical specialties supports that minimally invasive techniques for traditional open procedures improve outcomes. Additional knowledge regarding the effect of aging on organ function has led to improved stratification and preoperative preparation of patients prior to surgery. An example of this is the establishment of specific triage criteria for geriatric trauma patients. These changes have resulted in reduced morbidity and mortality rates. The elderly form a large portion of surgical patients, and this portion will continue to grow as life expectancy improves. Surgeons must adapt to this changing environment to provide optimal care to geriatric patients.