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https://doi.org/10.1097/JS9.0000000000001515
Title: | Perioperative management of sarcopenia in patients undergoing major surgeries in Singapore: a modified delphi consensus. | Authors: | Koh, Frederick H Chew, Lincoln My Wong, Nicky Kow, Alfred Wc Yap, Dominic Ng, Sherryl Ng, Jingyu Tan, Ming-Yuan Lee, Daniel Jk Au-Yong, Angie Ps Yan, Clement Ck Darmawirya, Priscilla Jayachandran, Balachandran Maier, Andrea El Yeong, Hazel Chew, Samuel Th Foo, Fung-Joon How, Kwang-Yeong Ng, Doris Hl |
Issue Date: | 3-May-2024 | Citation: | Koh, Frederick H, Chew, Lincoln My, Wong, Nicky, Kow, Alfred Wc, Yap, Dominic, Ng, Sherryl, Ng, Jingyu, Tan, Ming-Yuan, Lee, Daniel Jk, Au-Yong, Angie Ps, Yan, Clement Ck, Darmawirya, Priscilla, Jayachandran, Balachandran, Maier, Andrea, El Yeong, Hazel, Chew, Samuel Th, Foo, Fung-Joon, How, Kwang-Yeong, Ng, Doris Hl (2024-05-03). Perioperative management of sarcopenia in patients undergoing major surgeries in Singapore: a modified delphi consensus.. Int J Surg. ScholarBank@NUS Repository. https://doi.org/10.1097/JS9.0000000000001515 | Abstract: | BACKGROUND: Ageing population is a worldwide phenomenon with correspondingly higher proportion of older patients being treated in the hospital setting. Sarcopenia, which increases with age, has serious negative implications on health, hospitalization and overall postoperative recovery. There is no mutual consensus on perioperative management of sarcopenia in surgical patients in Singapore. The purpose of this study is to create greater clarity pertaining to the recognition of sarcopenia, the application of assessment criteria of sarcopenia and perioperative management of surgical patients in Singapore. METHODS: A modified Delphi consensus consisting of a panel of experts from Singapore forming a multidisciplinary team, including surgeons, geriatricians, anesthesiologists, physiotherapists and dieticians. Eight recommendations were proposed by the steering committee. Literature search from MEDLINE, Embase and Scopus for articles up till June 2023 were performed to support recommendation statements. The expert panel voted on agreement to recommendation statements and graded the level of evidence supporting each statement through surveys to achieve consensus, set at 85% a priori. RESULTS: The panelists underwent two rounds of anonymized, independent voting before reaching consensus for all eight statements. After the first round, seven statements reached consensus, including the corresponding grading for level of evidence. The statement which did not achieve consensus was revised with supporting literature and after the second round of survey, all eight statements and level of evidence reached consensus, completing the Delphi process. These eight statements covered themes to (1) encourage the identification of sarcopenia, (2) guide pre-operative and (3) post-operative management of sarcopenia. CONCLUSION: With the varying approaches in perioperative management, poor understanding of and identification of sarcopenia can result in suboptimal management of sarcopenia in surgical patients. Given the abundance of evidence linking beneficial impact on recovery and post-operative complications with prudent management of sarcopenia, it is imperative and urgent to achieve awareness and consensus. | Source Title: | Int J Surg | URI: | https://scholarbank.nus.edu.sg/handle/10635/248284 | ISSN: | 17439191 17439159 |
DOI: | 10.1097/JS9.0000000000001515 |
Appears in Collections: | Staff Publications Elements |
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