Christy E. Cauley

Clinical and Decisional Trajectories Preceding Early Postprocedural Death Among Patients with Preexisting Code-Status Limitations

Matthew B. Allen, Jocelyn Streid, Elizabeth J. Lilley, Christine S Ritchie et autres

ABSTRACT Objective To develop a typology of recurrent clinical and decisional trajectories preceding early postprocedural death among patients with preexisting code-status limitations. Background Patients with do-not-resuscitate orders experience higher postoperative mortality, but the clinical and decisional processes underlying early deaths are poorly …

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The dominant role of geriatrics vulnerabilities and comorbidities in readmissions after colorectal surgery: Shifting from “nonmodifiable” to “actionable” risk

Sevdenur Çizginer, Ferhat Yildiz, Christy E. Cauley, Stephen J. Bartels et autres

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Addressing Biopsychosocial Needs of Older Adults Using a Geriatric Assessment Strategy for Ostomy Management and Adaptation: Protocol for Open Pilot Testing (Preprint)

Christy E. Cauley, Jana Zeineddine, Ezra S. Brooks, David Chang et autres

BACKGROUND Older adults have higher rates of ostomy permanency and complications during recovery after surgery. Surgical teams are not trained to address the psychosocial needs that often arise in the aging population recovering from ostomy surgery. OBJECTIVE This study aims to refine …

Optimization of care and recovery in older colorectal cancer surgery patients: a hybrid effectiveness-implementation pilot study protocol

Ferhat Yildiz, Stephen J. Bartels, Christy E. Cauley, Matthew Vrees et autres

BACKGROUND: The exponential rise in colorectal cancer surgeries among older adults combined with 30-day readmission rates as high as 25% highlights the crucial need to optimize post-discharge care. While geriatrics surgery programs such as the Optimization of Senior Care and Recovery (OSCAR) …

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Adaptation and Recovery Challenges After Ostomy Surgery: Qualitative Study of Clinician Perspectives

Stefanie J Soelling, Atziri Rubio-Chavez, Laura Baird, Mary E. Brindle et autres

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What Matters Most: A Content Analysis of Documented Goals of Care of Older Adults Before Elective Colorectal Surgery

Rebecca Tang, Sarah Rudasill, Emily E. Witt, Grace C. Lee et autres

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Challenges of Care Transition From Hospital to Home for Older Colorectal Surgery Patients: Surgeons’ Perspectives

Sevdenur Çizginer, Ferhat Yildiz, Christy E. Cauley, Stephen J. Bartels et autres

Objective: Postdischarge transitions from the hospital to home in older (≥65 years) colorectal surgery patients have a high risk of medication errors, complications, and worsening of existing conditions. Up to 14% are readmitted within 30 days, costing ~$180 million annually. The anticipated …

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Perioperative Optimization of Frail Older Adults Undergoing Elective Colorectal Surgery

Rebecca Tang, Masaya Higuchi, Sarah Rudasill, Praachi Raje et autres

BACKGROUND: The Perioperative Optimization of Senior Health (POSH) clinic was established to address vulnerabilities and improve outcomes in frail older patients. This study describes the results of comprehensive perioperative optimization by the POSH interdisciplinary team (IDT) in patients who underwent colorectal surgery. …

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Splenic flexure mobilization is associated with a lower risk of anastomotic leak in elective sigmoid colectomy for diverticular disease

Sarah Rudasill, Rebecca Tang, Sami Alahmadi, Christy E. Cauley et autres

AIM: Splenic flexure mobilization (SFM) is a technique hypothesized to decrease the risk of anastomotic leak by reducing anastomotic tension. Despite biological plausibility, prior studies have not demonstrated a consistent benefit. We evaluated the association between SFM and anastomotic leak rates in …

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Robotic right colectomy is associated with reduced conversion to open surgery in patients with obesity

Rebecca Tang, Sarah Rudasill, Sami Alahmadi, Christy E. Cauley et autres

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Robotic abdominoperineal resection for rectal cancer is associated with reduced conversion risk compared with a laparoscopic approach without compromising radial margins

Sarah Rudasill, Rebecca Tang, Sami Alahmadi, Christy E. Cauley et autres

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Acceptability of mobile health technology in elective surgery: A study of postoperative patients

Robert D. Sinyard, Roi Anteby, Judy Margo, George Molina et autres

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