Trends in elective and emergent major abdominal surgical pro
A new study found that the frequency of abdominal surgery in older adults is decreasing, especially among adults over the age of 85. The study, which examined data from 2002 to 2014, was published in the Journal of the American Geriatric Society.

The U.S. population is aging and projected to undergo an increasing number of general surgical procedures. However, recent trends in the frequency of major abdominal procedures in older adults are currently unknown as improvements in non-operative interventions may obviate the need for major surgery. Thus, investigators evaluated the trends of major abdominal surgical procedures in older adults in the US.

Researchers performed a retrospective cohort study using the National Inpatient Sample from 2002 to 2014 with trend analysis. They identified the average annual percent change (AAPC) in the yearly frequency of major abdominal surgical procedures in older adults. The cohort included a total of 3,951,947 survey-weighted discharges that included major abdominal surgery in adults ≥ 50 years of age. Of these discharges, 2,529,507 were for elective abdominal surgeries, 2,062,835 were for female patients, and the mean age was 61.4 years.

--The frequency of major abdominal procedures decreased for adults aged 65–74, 75–84, and ≥85.

--The AAPC for elective procedures decreased for older adults aged 75–84 and >85.

--All age groups showed decreases in emergent procedures in 50–64, 65–74, 75–84, ≥85 age groups.

In this cohort of older adults, the frequency of emergent and elective major abdominal procedures in adults ≥65 years of age decreased with significant variation among individual procedure types.