GERIATRIC ANESTHESIA: Edited by Rainer KiefmannImpact of geriatric co-management programmes on outcomes in older surgical patients: update of recent evidenceVan Grootven, Bastiaana,b; Mendelson, Daniel Aric,d; Deschodt, Miekee,fAuthor Information aResearch Foundation Flanders – FWO, Brussels bDepartment of Public Health and Primary Care, KU Leuven, Leuven, Belgium cDivision of Geriatrics and Aging, Department of Medicine, University of Rochester dDepartment of Medicine, Highland Hospital, Rochester, New York, USA eDepartment of Chronic Diseases, Metabolism and Ageing, KU Leuven, Leuven, Belgium fDepartment of Public Health, Institute of Nursing Science, University of Basel, Basel, Switzerland Correspondence to Mieke Deschodt, Gerontology and Geriatrics, UZ Herestraat 49 - Box 7003 35, 3000 Leuven, Belgium. Tel: +32 16 37 76 92; e-mail: [email protected] Current Opinion in Anaesthesiology: February 2020 - Volume 33 - Issue 1 - p 114-121 doi: 10.1097/ACO.0000000000000815 Buy Metrics Abstract Purpose of review To determine the impact of geriatric co-management programmes on outcomes in older patients undergoing a surgical procedure. Recent findings Twelve programmes were identified. Time to surgery was decreased in two of four studies [pooled mean difference = −0.7 h (95% CI, −3.1 to 4.4)]. The incidence of complications was reduced in two of seven studies (pooled absolute risk reduction = −4% (95% CI −10 to 2%)). Length of stay was reduced in four of eight studies [pooled mean difference = −1.4 days (95% CI −2.7 to −0.1)]. In-hospital mortality was reduced in one of six studies [pooled absolute risk reduction = −2% (95% CI −4 to −0%)]. Unplanned hospital readmissions at 30 days follow-up was reduced in two of three studies [pooled absolute risk reduction = −3% (95% CI −5 to −0%)]. Summary There was a shorter length of stay, less mortality and a lower readmission rate. However, there was uncertainty whether the results are clinically relevant and the GRADE of evidence was low. It was uncertain whether the outcomes time to surgery and complications were improved. The evidence is limited to hip fracture patients. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.