Meta-Research in Geriatric Surgery: Improving the Quality of Surgical Evidence for Older Persons in a Multidimensional-Scale Research Field

dc.contributor.authorLozada Martinez, Ivan David
dc.contributor.authorHernandez Paez, David A.
dc.contributor.authorPalacios Velasco, Isabela
dc.contributor.authorMartinez Guevara, Darly
dc.contributor.authorLiscano, Yamil
dc.date.accessioned2025-07-08T20:13:53Z
dc.date.available2025-07-08T20:13:53Z
dc.date.issued2024
dc.description.abstractThe world is facing a significant demographic transition, with a substantial increase in the proportion of older persons, as well as long-lived persons (especially nonagenarians and centenarians). One of the popular beliefs is that old age is synonymous with disease and disability. However, the successful aging hypothesis suggests that those older persons with advanced chronological age who maintain their functional capacity derive from it a delay in biological aging, enhancing the quality of organic aging and regulation. Therefore, regardless of chronological age, even in cases of extreme longevity, those older adults with a successful aging phenotype and favorable functional capacity would be expected to have satisfactory post-surgical recovery with a low risk of morbidity and mortality. Currently, there is a significant gap between the availability of high-certainty surgical evidence that allows for evidence-based interventions applicable to the long-lived population—taking into account the actual conditioning factors of the health phenotype in older persons—and, above all, predictors of satisfactory post-surgical evolution. The application of meta-research to geriatric surgery emerges as a fundamental tool to address this knowledge gap and reveals opportunities and limitations that need to be resolved in the near future to establish evidence-based surgical care for older persons. The aim of this manuscript was to present a real and globally relevant scenario related to surgical care, addressing the longevity, the availability, and the quality of surgical evidence applicable to this population, and also to present variables to consider in analysis and future perspectives in research and meta-research in geriatric surgery.
dc.identifier.citationLozada-Martinez, I. D., Hernandez-Paez, D. A., Palacios Velasco, I., Martinez Guevara, D., & Liscano, Y. (2024). Meta-Research in Geriatric Surgery: Improving the Quality of Surgical Evidence for Older Persons in a Multidimensional-Scale Research Field. Journal of Clinical Medicine, 13(18), 5441. https://doi.org/10.3390/jcm13185441
dc.identifier.issn20770383
dc.identifier.urihttps://repositorio.usc.edu.co/handle/20.500.12421/7275
dc.language.isoen
dc.publisherMDPI
dc.subjectaged
dc.subjectevidence gaps
dc.subjectgeriatric assessment
dc.subjectoperative surgical procedures
dc.titleMeta-Research in Geriatric Surgery: Improving the Quality of Surgical Evidence for Older Persons in a Multidimensional-Scale Research Field
dc.typeArticle

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