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The American Geriatrics Society Geriatrics For Specialists Leading Databases in Surgery Research Resources Related Links Index The John A. Hartford Foundation

Agenda items and key research questions are in boldface. Figures and tables are in italics.

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A

AAO. See American Academy of Ophthalmology
AAO–H&NS. See American Academy of Otolaryngology–Head and Neck Surgery
AAOS. See American Academy of Orthopaedic Surgeons
AAPM&R. See American Academy of Physical Medicine and Rehabilitation
Abdominal aortic aneurysm
   endovascular repair, GenSurg 35
   recent research findings
   screening for, GenSurg 34
Abdominal pain, in older emergency department patients
   EmergMed 18
   EmergMed 26
   EmergMed KQ2
Abuse
   alcohol
      preoperative assessment, Anes 7
      preoperative assessment, Anes 8
      screening for
   elder, EmergMed 5
ACAS. See Asymptomatic Carotid Atherosclerosis Study
Access to necessary care, Rehab 9
ACEP. See American College of Emergency Physicians
Achalasia
ACOG. See American College of Obstetricians and Gynecologists
Acoustic neuroma
ACOVE (Assessing Care of Vulnerable Elders)
ACS. See Acute coronary syndromes; American College of Surgeons
Activities of daily living
   after hip fracture
   range of motion necessary for, Ortho 1
   wrist range of motion and strength necessary for, Ortho 38
Activities of Daily Vision Scale (ADVS)
   in age-related macular degeneration
   after cataract extraction
Acupuncture, Urol 6
Acute care, transfers from, CCI 21
Acute coronary syndromes
   EmergMed 23
   EmergMed 24
   EmergMed 26
   interventions for, EmergMed KQ2
Acute illness, recovery from, Rehab 4
Acute pain management, postoperative
Acute surgery, cardiac, CardiacSurg 43
Adaptive techniques, for disability
Adolescence, and bone mass, Gyn 87
Adrenal malignancy
a-1-Adrenoceptor antagonists, for BPH
Adrenocortical hormones
Advance directives, CCI 34
Adverse drug events
   associated with drug withdrawal
   postoperative
      Anes 26
      Table 2.2
ADVS. See Activities of Daily Vision Scale
Aerobic (endurance) exercise, Rehab 17
AGA. See American Gastroenterological Association
Age-related macular degeneration
   interventions
      Ophth 28
      Ophth 31
   stratified results
      Ophth 29
      Ophth 30
Agency for Health Care Policy and Research (AHCPR)
   guideline for pressure ulcer prevention
   guidelines for stroke rehabilitation, compliance with
   National Emphysema Treatment Trial (NETT)
Agency for Healthcare Research and Quality (AHRQ)
   guidelines for stroke rehabilitation
   National Emphysema Treatment Trial (NETT)
Agenda items. See also specific topics
Agenda items
Aggressive resuscitation, in older trauma patients
   EmergMed 30
   EmergMed 31
Aging
   biology of
   and bone fusion or fracture healing, Ortho 26
   and cardiac response, CardiacSurg 8
   and cataract extraction, Ophth 27
   cellular and molecular changes, CCI 1
   and cellular response to wear debris, Ortho 13
   and glaucoma therapy, Ophth 35
   homeostenosis of
   and hormone effects on cardiovascular system, Gyn 64
   normal musculoskeletal
   and perioperative care
   and stress response
Aging athletes
AGS–Hartford Foundation Project
AHCPR. See Agency for Health Care Policy and Research
AHRQ. See Agency for Healthcare Research and Quality
Alcohol abuse
   preoperative assessment
      Anes 7
      Anes 8
   screening for
Alendronate, for osteoporosis
Allergic rhinitis, Otolaryn 17
Allostasis
Allostatic load, CCI 2
5-a-Reductase inhibitors, for BPH
Alternative medicine, CCI 17
Alzheimer's disease. See also Dementia
   estrogen replacement and, -247
   estrogen replacement therapy and, Gyn 71
   hearing loss and
   sexual dysfunction and
   smell sensitivity and
   visual loss and
Ambulation, early or ultra-early postoperative, CCI 6
American Academy of Ophthalmology (AAO)
   Preferred Practice Pattern (PPP) for cataract
   Preferred Practice Pattern (PPP) for Comprehensive Adult Eye Evaluation
   Preferred Practice Pattern (PPP) for glaucoma
   Preferred Practice Pattern (PPP) on low vision
American Academy of Orthopaedic Surgeons (AAOS), research priorities for falls
American Academy of Otolaryngology–Head and Neck Surgery (AAO–H&NS)
American Academy of Physical Medicine and Rehabilitation (AAPM&R)
American Cancer Society
   lung cancer estimates
   recommendations for prostate cancer screening
American College of Cardiology guidelines for preoperative cardiac evaluation
American College of Emergency Physicians (ACEP)
American College of Obstetricians and Gynecologists (ACOG), recommendations for cervical cancer screening
American College of Surgeons (ACS)
   Major Trauma Outcome Study (ACS)
   Office of Evidence-Based Surgery
   practice guidelines
   Tumor Registry, GenSurg KQ3
American Gastroenterological Association (AGA)
American Geriatrics Society (AGS)
   official relationships with specialty societies
   research priorities for falls
   Section for Surgical and Medical Specialties, ,
American Heart Association guidelines for preoperative cardiac evaluation
American Society of Anesthesiologists (ASA)
   Physical Status Score (ASA-PS)
   practice guidelines
American Urological Association (AUA), recommendations for surgery for stress incontinence
Americans with Disabilities Act
Amputation, literature review methods
Anabolism, transition to, Anes 24
Analgesia
   adverse drug events, Table 2.2
   as-needed, Anes 26
   complications, Anes 25
   and functional outcomes, Anes 41
   nonopioid adjunctive drugs, Anes 26
   oligoanalgesia
   patient-controlled
      Anes 26
      CCI 15
      intraoperative
   postoperative, Anes KQ2
   regimes for elderly patients, Anes 27
   route of administration, Anes 26
   scheduled dosing, Anes 26
   in surgical patients, Anes 27
Anatomic Injury Severity score
   and functional outcome
   and mortality
Androgen replacement
   in elderly women
      Gyn 42
      Gyn 43
   short-term, CCI 5
Anesthesia, geriatric
   chronic pain therapy and, Anes 38
   intraoperative management
   key research questions
   literature review methods
   Physiologic management
   postoperative management
   preoperative assessment for
   regional versus general, Figure 2.5
   requirements for, Figure 2.3 – To receive a copy, please contact Amy Tam-Liao at tamlio@americangeriatrics.org.
   risk assessment
   summary
Aneurysm, abdominal aortic
   endovascular repair, GenSurg 35
   screening for, GenSurg 34
Angina, Seattle Angina Questionnaire
Angiogenesis, CCI 1
Angiographic procedures, Anes 18
Angioplasty
   Bypass Angioplasty Revascularization Investigation (BARI) trial
   coronary artery bypass grafting after, CardiacSurg 15
   in octogenarians
      CardiacSurg 36
      CardiacSurg 38
   percutaneous transluminal coronary angioplasty (PTCA)
      changing pattern of patients undergoing
      in octogenarians, CardiacSurg 36
      in octogenarians, CardiacSurg 38
   risks of reintervention, CardiacSurg 15
Ankle
   arthritis of
   degenerative disease of, Ortho 28
   fractures of
   total arthroplasty
Ankle fusion
Ankle reconstruction, Ortho 28
Antagonistic pleiotropy
Antibiotic therapy
   adverse drug events, Table 2.2
   perioperative, Anes 12
   postoperative, Anes 13
   preoperative, Anes 13
   prophylactic, Anes 21
   for urinary tract infections, Urol 12
Anticholinergic drugs, Urol 5
Anticoagulation
   adverse drug events, Table 2.2
   with mechanical valvular prostheses, CardiacSurg18
   perioperative termination of, Anes 16
Antineoplastics, Table 2.2
Antiplatelet therapy
   Anes 9
   Anes 17
Antipsychotics, Table 2.2
Antithrombotic therapy, Anes 9
Aortic dissection
   nonoperative treatment of, CardiacSurg 26
   operative treatment of, CardiacSurg 27
Aortic surgery, Figure 2.4
Aortic valve replacement
   minimally invasive techniques, CardiacSurg19
   in octogenarians
   quality of life after
APDS. See Association of Program Directors in Surgery
Apoptosis, CCI 1
Arrhythmias, perioperative, CardiacSurg 29
Arterial grafts, CardiacSurg 24
Arthritis. See Osteoarthritis
Arthroplasty
   hemiarthroplasty
      for femoral neck fractures
      functional outcomes in, Ortho 21
      for hip fractures, Ortho 36
      for proximal humerus fractures
      shoulder
   total ankle
   total hip
      for femoral neck fractures
      preoperative testing, Figure 2.4
      surgical approaches, Ortho 11
   total knee
      for comminuted distal femur fracture, Ortho 19
      gait and balance benefits, Ortho 20
      hip fracture and, Ortho 20
      hylan and hyaluronate injections and, Ortho 7
      risk factors, Ortho 16
   total shoulder, functional outcomes in, Ortho 21
Arthroscopy
   of knee
      Ortho 2
      Ortho 15
   of osteoarthritic knee
   for shoulder injuries, Ortho 2
ASA. See American Society of Anesthesiologists
Aspiration
   complications of, ThoracicSurg 15
   perioperative
      Anes 18
      CCI 36
   postoperative
      Anes 19
      Anes 21
Aspirin, Gyn 66
Assessment
   of abuse, EmergMed 5
   clinical outcomes
   comprehensive
   in emergency department
   functional, in emergency department, EmergMed 9
   of home environment, EmergMed 5
   neurobehavioral, CardiacSurg 34
   preoperative
      Anes KQ1
      and anesthesia
      in lung cancer, ThoracicSurg 4
   preoperative functional
      Anes 5
      Anes 6
   of visual loss, Ophth 1
Assessment instruments
   for chronic pain in cognitive impairment, Anes 40
   in dementia, CCI 54
   for esophageal cancer, ThoracicSurg 16
   HRQOL measures
      CCI 53
      condition-specific, CCI 60
      measuring impact of visual loss on functional ability
      procedure-specific
      questions about sexuality, CCI 57
   for lung cancer
      ThoracicSurg 2
      ThoracicSurg 3
      ThoracicSurg 17
   for pain, Anes 28
   patient satisfaction surveys, CCI 22
   preoperative
      Anes 3
      Anes 4
   quality-of-life instruments after cardiac surgery, CardiacSurg 41
   quality-of-life instruments in dementia, CCI 54
   quality-of-life instruments targeting vulvovaginal conditions, Gyn 29
   for urinary incontinence, Urol 2
   visual measures, Ophth KQ3
Assistive devices
   for arthritic and musculoskeletal conditions, Rehab 21
   cardiac, CardiacSurg 7
   Rehab 19
Assistive technology, Rehab 9
Association of Program Directors in Surgery (APDS)
Asymptomatic Carotid Atherosclerosis Study (ACAS)
Atherosclerotic disease
   Asymptomatic Carotid Atherosclerosis Study (ACAS)
   of lower extremities
   vascular
Athletes, aging
Atlantic Philanthropies
Atrial arrhythmias, postoperative, CardiacSurg 29
Attitude, in rehabilitation, Rehab 9
AUA. See American Urological Association
Auditory brain-stem response (ABR) testing
Auditory rehabilitation, CCI 55
Auditory system
Axillary lymph node dissection, GenSurg 11

B

Bacillus-Calmette-Guérin, for bladder cancer
Bacteruria, asymptomatic
   natural history of, Urol 11
   operational definition of, Urol 10
Bailey-Lovie logMAR
Balance. See also Falls
   foot and ankle problems and, Ortho 28
   limb shortening and, Ortho 33
   total knee arthroplasty and, Ortho 20
   treatment of age-related problems
Balance disorders, targeted treatment, Otolaryn KQ2
Balance exercise
Baltimore Longitudinal Study of Aging
   estrogen replacement therapy and Alzheimer's disease
   hearing loss
   screening for prostate cancer
BARI trial. See Bypass Angioplasty Revascularization Investigation trial
Barrett's cancer
Beaver Dam Eye Study
   scope of the problem
   visual loss and falls
   visual loss and hearing loss
Behavioral Risk Factor Surveillance System (BRFSS)
Behavioral therapy
   for postoperative depression, CCI 50
   for urinary incontinence, needed research in
Benign esophageal disease
Benign lung diseases
Benign paroxysmal positional vertigo (BPPV)
Benign prostatic hyperplasia
   early transurethral resection of the prostate for
      Urol 15
      Urol 16
   needed research in
   phytotherapy for, Urol 13
   surgery for
      minimally invasive, Urol 14
      needed research in
b-Blockers, in elderly surgical patients, Anes 9
Biliary disease
   GenSurg 26
   recent research findings
Binocular inhibition
Biobehavioral therapy for urinary incontinence, needed research in
Biology of aging
Bisphosphonates
   long-term use, Gyn 92
   for osteoporosis, Gyn 95
   for osteoporosis in frail and institutionalized elderly women, Gyn 85
   quality-of-life outcomes
      Gyn 80
      Gyn 84
Bisphosphonates
Black Americans
   and cervical cancer screening
   visual loss in
Bladder cancer
Bladder neck suspension
   for female stress incontinence
   longevity, Urol 7
Bleeding diathesis, postoperative, Anes 30
Bleeding risk, Anes 16
Blindness, legal
Blood cell counts, preoperative
Blood transfusions, perioperative
   Anes 14
   Anes 15
Blue Mountains Eye Study
Blunt trauma
   invasive monitoring and aggressive resuscitation in, EmergMed KQ3
   risk of multiple-organ failure and death after, EmergMed 29
Bone
   implant fixation in, Ortho KQ1
   medications that reduce resorption of, Gyn 93
   medications that stimulate formation of, Gyn 94
   strategies to augment healing of, Ortho 26
Bone fusion, Ortho 26
Bone insufficiency
Bone loss
Bone mass, peak, Gyn 87
Bone matrix, Gyn 87
Bone mineral density
Bone void filler
BPH. See Benign prostatic hyperplasia
Bradycardia, postoperative, Anes 30
Brain Resuscitation Clinical Trials
Breast cancer
   Collaborative Group on Hormonal Factors in Breast Cancer
   estrogen replacement therapy and
      Gyn 73
      Gyn 76
      Gyn 79
   recent research findings
   selective estrogen receptor modulators and, Gyn 77
   surgery for, GenSurg 9
   tamoxifen therapy for
      GenSurg 9
      GenSurg 10
Breast cancer screening
Breast density, mammographic, Gyn 59
Breast reconstruction
BRFSS. See Behavioral Risk Factor Surveillance System
British Geriatrics Society research priorities for falls
British Journal of Cancer
Bypass Angioplasty Revascularization Investigation (BARI) trial
Bypass surgery
   cardiopulmonary
      CABG with and without, CardiacSurg 34
      complications
      techniques for, CardiacSurg 10, CardiacSurg 11
   coronary artery
      after angioplasty, CardiacSurg 15
      with cardiopulmonary bypass, CardiacSurg 34
      changing pattern of patients undergoing
      comparison with catheter-based interventions, CardiacSurg 4
      complications
      conduit use, CardiacSurg 16
      lung function and, CardiacSurg 9
      minimally invasive techniques, CardiacSurg 17
      neurobehavioral changes after, CardiacSurg 34
      in octogenarians, CardiacSurg 36, CardiacSurg 40
      on- and off-pump, CardiacSurg 12, CardiacSurg 13, CardiacSurg 23
      quality of life after
      reoperative, CardiacSurg 21, CardiacSurg 24
      stroke after, CardiacSurg 34
      summary
   distal
   lower-extremity, GenSurg 32

C

CABG. See Coronary artery bypass grafting
Cache County Study
CAGE questionnaire
Calcium supplements
   costs and side effects, Gyn 88
   methods, Gyn 90
   optimal time in woman's life span for, Gyn 89
CAM. See Confusion Assessment Method
Cambodians
Cancer
   bladder
   breast
      estrogen replacement therapy and, Gyn 73, Gyn 76, Gyn 79
      screening for
      selective estrogen receptor modulators and, Gyn 77
      surgery for, GenSurg 9
      tamoxifen therapy for, GenSurg 9, GenSurg 10
      therapy of, 91
   cervical
      incidence, Gyn 49
      mortality rates, Gyn 50
      risk factors, Gyn 52
      screening for, Gyn 51
   colon
      estrogen and, Gyn 78
      estrogen therapy and, Gyn 76
      screening for, Gyn 74
      selective estrogen receptor modulators and, Gyn 77
   colorectal
      emerging technologies in management of, GenSurg 23
      screening, GenSurg 22
   esophageal
      chemoprevention, ThoracicSurg 12
      minimally invasive techniques for, ThoracicSurg 14
   estrogen replacement therapy and
   gastric, GenSurg 18
   head and neck
      molecular biology studies, Otolaryn 23
      present practice, Otolaryn 20, Otolaryn KQ3
      quality of life, Otolaryn KQ3
      surgical approaches, Otolaryn 22
      surgical outcomes, Otolaryn 21
   lung
      assessment instruments, ThoracicSurg 2, ThoracicSurg 3, ThoracicSurg 17
      preoperative assessment in, ThoracicSurg 4
      preoperative optimization in, ThoracicSurg 7
      risk factors for surgery, ThoracicSurg 5
      screening for, ThoracicSurg 1
   pancreatic, GenSurg 28
   pharyngeal, Otolaryn 22
   prostate
      screening for, Urol 17
      treatment of, Urol 18
   tongue, Otolaryn 22
   vaginal, risk factors, Gyn 52
   vulvar
      age-related factors, Gyn 35
      susceptibility profiles, Gyn 36
      topical immune modulators and, Gyn 37
Capnography
Capsaicin
Cardiac assist devices, CardiacSurg 7
Cardiac care patterns, CardiacSurg 1
Cardiac complications, intraoperative
   Anes 9
   Anes 10
Cardiac rehabilitation, Rehab 24
Cardiac surgery, geriatric. See also specific procedures
   acute, CardiacSurg 43
   areas of investigation, CardiacSurg 9-17
   changing pattern of patients undergoing, }
   clinical pathways, CardiacSurg 2
   complications
      CardiacSurg 31
      CardiacSurg 42
   elective, CardiacSurg 43
   exclusion criteria for, CardiacSurg 43
   functional outcomes
      CardiacSurg 1
      CardiacSurg KQ1
   key research questions
   length of hospital stay after, CardiacSurg 5
   literature review methods
   minimally invasive techniques, CardiacSurg 30
   neurobehavioral assessment tools before and after, CardiacSurg 34
   neurocognitive deficits after, CardiacSurg KQ2
   neurologic deficits and
   in octogenarians
      CardiacSurg 38
      CardiacSurg 39
   perioperative care, CardiacSurg KQ3
   physiologic management
   predictive models, CardiacSurg 6
   quality of life after
   quality-of-life instruments after, CardiacSurg 41
   reoperative, myocardial protective techniques in, CardiacSurg 22
   risk factors for stroke in, CardiacSurg 35
   risk profiles, CardiacSurg 1
   stroke and, CardiacSurg KQ2
   summary
   total costs, CardiacSurg 3
Cardiac transplantation
Cardiac treatment protocols, CardiacSurg 40
Cardiopulmonary arrest, EmergMed 25
Cardiopulmonary bypass
   CABG with and without, CardiacSurg 34
   complications
   techniques for
      CardiacSurg 10
      CardiacSurg 11
Cardiopulmonary function, preoperative
Cardiovascular drugs, Table 2.2
Cardiovascular Health Study
Cardiovascular system
   and perioperative care
   estrogen replacement and
      Gyn 60
      Gyn 61
   hormone effects on, Gyn 64
   intraoperative complications
      Anes 9
      Anes 10
   selective estrogen receptor modulators and, Gyn 63
Care delivery models
Caregivers
   identification of unfulfilled needs by, CCI 72
   outcomes and, Rehab 8
   surgical treatment and, CardiacSurg 41
Carotid disease screening, GenSurg 30
Carotid endarterectomy
   CABG preceded by, CardiacSurg 33
   GenSurg 29
   recent research findings
   regional versus general anesthesia for
Catabolism, postoperative, Anes 24
Cataract
Cataract surgery
   functional outcomes
      Ophth 26
      Ophth 27
   preoperative testing
Catecholamines
Catheter-based interventions for coronary artery disease, CardiacSurg 4
Celecoxib. See also COX-2 inhibitors
Cellular senescence, CCI 1
Cementless components, in total hip replacement, Ortho 11
Center for Medicare and Medicaid Services
   GenSurg KQ3
   National Emphysema Treatment Trial (NETT)
Centers for Disease Control and Prevention
   cervical cancer screening statistics
   definition of health-related quality of life
   discharge statistics
Central auditory testing, Otolaryn 12
Cerebral protection techniques, CardiacSurg 28
Cerebrovascular disease. See also Stroke
   incidence and prevalence of, GenSurg 30
Cerumen impaction
Cervical cancer
   incidence, Gyn 49
   mortality rates, Gyn 50
   risk factors, Gyn 52
Cervical cancer screening, Gyn 51
Cervical neoplasia, early detection of, Gyn 53
Cervical-spine decompressive surgery
Cervical spondylotic myelopathy
Cesarean section, and pelvic organ prolapse, Gyn 19
Chest pain
   Seattle Angina Questionnaire
Chest x-ray, preoperative
Childbirth delivery routes, and pelvic organ prolapse, Gyn 19
Cholecystectomy
   laparoscopic, recent research findings
   open, recent research findings
   outpatient or short-stay vs longer hospital stay, GenSurg 25
   recent research findings
Chronic disease, perioperative management of, CCI 13
Chronic obstructive pulmonary disease
   CABG in
   lung volume reduction procedures for, ThoracicSurg 9
Chronic pain
   assessment tools for, in cognitive impairment, Anes 40
   research agenda
   and sexual dysfunction
Chronic pain therapy
   Anes 36
   Anes 38
Chronic post-herpetic neuralgia, Anes 37
Clinical outcomes assessment
Clinical pathways
   for cardiac surgery, CardiacSurg 2
   perioperative
Cochlear implantation, Otolaryn 9
Cognitive impairment
   delirium and, CCI 48
   educational strategies for partners of patients with, Gyn 46
   in emergency department
      EmergMed 6
      EmergMed 7
      EmergMed 8
   estrogen-progestin replacement and, Gyn 69
   falls-prevention interventions in, Rehab 28
   and length of stay
   measures of, CCI 46
   pain assessment in
      Anes 28
      Anes 40
   pain management in
      Anes 29
      Anes 39
   postoperative
      CCI 47
      drug choice and
   preoperative assessment
      Anes 7
      Anes 8
   screening tests for
      EmergMed 6
      EmergMed 8
Cognitive status
   estrogen replacement and
      Gyn 67
      Gyn 72
   in gynecologic surgery, Gyn 3
Colectomy, elective
Collaborative Group on Hormonal Factors in Breast Cancer
Collaborative Normal-Tension Glaucoma Study Group
Colon cancer
   estrogen and, Gyn 78
   estrogen therapy and, Gyn 76
   screening for, Gyn 74
   selective estrogen receptor modulators and, Gyn 77
Colorectal cancer
   emerging technologies in management of, GenSurg 23
   screening, GenSurg 22
Colorectal disease
Colostomy
Commission on Accreditation of Rehabilitation Facilities
Communication
   among care settings, CCI 65
   of drug regimens to primary care physicians, Anes 31
   EmergMed 3
   problems, CCI 65
   strategies that foster, CCI 66
Complementary (alternative) medicine, CCI 17
Complementary therapy
   for coronary artery disease, CardiacSurg 14
   for urge or mixed urinary incontinence, Urol 6
   for urinary incontinence
Compliance with recommendations
   EmergMed 14
   lack of, CCI 65
Comprehensive eye evaluation and screening
Comprehensive geriatric assessment, EmergMed 14
Compression fractures, vertebral
Compression hip screws
Computed tomography screening, for cancer, ThoracicSurg 1
Computer-assisted decision support systems, EmergMed 13
Confusion. See also Delirium; Dementia
   chronic pain therapy and, Anes 38
   postoperative, Anes 30
Confusion Assessment Method (CAM)
   in emergency department care
   and postoperative delirium
   serial testing with, Anes 33
Congestive heart failure
   cardiac assist devices for, CardiacSurg 7
   etiology, CardiacSurg 8
   surgery for
Consent for resuscitation, CCI 34
Constipation
   chronic pain therapy and, Anes 38
   postoperative, Anes 30
Constraint therapy
Continuity of care, CCI 65
Coordination of care
   postoperative
   postoperative drug regimens, Anes 31
   strategies that foster, CCI 66
Coping strategies in rehabilitation, Rehab 9
Coronary angioplasty, percutaneous transluminal (PTCA)
   changing pattern of patients undergoing
   in octogenarians
      CardiacSurg 36
      CardiacSurg 38
Coronary artery bypass grafting
   after angioplasty, CardiacSurg 15
   benefit predictors, CardiacSurg 12
   with cardiopulmonary bypass, CardiacSurg 34
   after carotid endarterectomy, CardiacSurg 33
   changing pattern of patients undergoing
   comparison with catheter-based interventions, CardiacSurg 4
   complications
   conduit use, CardiacSurg 16
   lung function and, CardiacSurg 9
   minimally invasive techniques, CardiacSurg 17
   neurobehavioral changes after, CardiacSurg 34
   in octogenarians
      CardiacSurg 36
      CardiacSurg 37
      CardiacSurg 40
   on- and off-pump
      CardiacSurg 12
      CardiacSurg 13
      CardiacSurg 23
   operative mortality
   quality of life after
   reoperative
      CardiacSurg 21
      CardiacSurg 24
   risk factors, CardiacSurg 12
   stroke after, CardiacSurg 34
   summary
Coronary artery disease
   catheter-based interventions versus CABG for, CardiacSurg 4
   emerging therapies, CardiacSurg 14
   recurrent, CardiacSurg 22
   surgery for
      changing pattern of patients undergoing
      summary
Coronary stents
Cortisone, for degenerative joint disease
Cost-effectiveness
   of assistive technology, Rehab 9
   of cardiac surgery, CardiacSurg 3
   of cervical cancer screening
   of cochlear implantation, Otolaryn 9
   of disability treatment, Rehab 2
   emergency department–based immunization programs, EmergMed 21
   of falls-prevention strategies, Rehab 28
   of fracture treatment
   of interdisciplinary teams, CCI 70
   of medications for frail elderly women, Gyn 97
   of newer prostheses, Rehab 26
   of reducing environmental hazards, Ophth 5
   of surgical care
   of transfers from acute-care facilities, CCI 21
   of vision screening, Ophth 24
   of vision stabilization or improvement in glaucoma, Ophth 33
COX-2 inhibitors
   celecoxib
   effects on fracture healing, tissue healing, and bony ingrowth, Ortho 10
   for esophageal cancer
   for osteoarthritis
   rofecoxib
Cranberry juice, and UTIs
Cross-cutting issues
Cryoablation, liver-directed, GenSurg 4
Cumulative Illness Rating Scale

D

Day surgery
Deconditioning
Deep-vein thrombosis. See also Thromboembolism
   in joint replacement surgery
   perioperative clinical pathways
   prophylaxis, CCI 40
   prophylaxis after total joint replacement or hip fracture, Ortho 22
Degenerative disease
   of foot and ankle, Ortho 28
   of joints, surgical treatment of
   of spine
Dehydroepiandrosterone, CCI 5
Delirium
   biochemical basis for, CCI 44
   and cognitive decline, CCI 48
   drug therapy, CCI 44
   in emergency care
      EmergMed 7
      EmergMed 8
   in hospitalized patients, Ophth 23
   and length of stay
   and perioperative aspiration, CCI 36
   postoperative
      anti-delirium strategies for, CCI 28
      with dementia, CCI 36
      diagnosis of, Anes 33
      after hip fracture treatment
      after outpatient surgery, CCI 45
      perioperative clinical pathways
      predisposing and precipitating factors, CCI 42
      risk factors, Anes 32
   prevention of
      Anes 34
      CCI 43
   undiagnosed
   vision treatments and, Ophth 23
   visual improvement or stabilization and, Ophth KQ1
   visual loss and
Delivery of care models
Delivery routes, and pelvic organ prolapse, Gyn 19
Dementia
   in emergency care
   hearing loss and
   with postmenopausal hormone use, Gyn 70
   with postoperative delirium, CCI 36
   preoperative diagnosis of, Anes 33
   quality-of-life instruments in, CCI 54
   sexual dysfunction and
   visual improvement or stabilization and, Ophth KQ1
   visual loss and
      Ophth 11
      Ophth 12
      Ophth 13
      Ophth 14
Deming, W. Edwards
Depression
   behavioral therapy for, CCI 50
   interventions, Ophth 9
   pharmacotherapy for, CCI 50
   postoperative
      CCI 49
      CCI 50
   preoperative assessment
      Anes 7
      Anes 8
   screening for
   visual improvement or stabilization and, Ophth KQ1
   visual loss and
      Ophth 8
      Ophth 9
      Ophth 10
Detrusor hyperactivity with impaired contractility
Diabetes Control and Complications Trial
Diabetes drugs, Table 2.2
Diabetic control, Ophth 40
Diabetic macular edema, Ophth 40
Diabetic retinopathy
   early treatment diabetic retinopathy study (ETDRS) chart
   functional outcomes in
      Ophth 38
      Ophth 39
      Ophth 40
   and health-related quality of life, Ophth 37
   proliferative, Ophth 40
   stratified results, Ophth 40
Diabetic Retinopathy Study
Digital rectal examination, Urol 17
Disability
   aerobic exercise and, Rehab 17
   causes of, Rehab 3
   conceptual framework for
   development in elderly persons, Rehab KQ1
   diagnostic methods, Rehab 3
   key outcomes for measurement, Rehab 20
   physiologic processes underlying, Rehab 4
   risk factors
      Rehab 7
      Rehab 20
   societal effects, Rehab 6
   timing of treatment for, Rehab 5
   treatment costs, Rehab 2
   treatment patterns, Rehab KQ2
Discharge instructions, emergency department, EmergMed 13
Distal bypass
Distal femur fractures, comminuted, Ortho 19
Diverticular disease, GenSurg 21
Diverticulitis
Diverticulosis
Dizziness
   etiology
   evaluation and treatment, Otolaryn 13
   targeted treatment, Otolaryn KQ2
Do-not-resuscitate (DNR) orders, in operating room
Domain Management Model
Donors, kidney, older adults as
Driving impairment
   vision loss and
      Ophth 19
      Ophth 20
   visual improvement or stabilization and, Ophth KQ1
Drug abuse, CCI 10
Drug-ethanol interactions, CCI 16
Drug regimens. See also Medications; Pharmacotherapy
   communicating to primary care physicians, Anes 31
   simplifying, Anes 31
Drug withdrawal, CCI 11
Duke Activity Status Index
Duke Established Populations for Epidemiologic Studies of the Elderly
   estrogen replacement therapy and Alzheimer's disease
   rates of inappropriate drug use
DVT. See Deep-vein thrombosis
Dyspareunia secondary to urogenital atrophy, Gyn 47
Dysphagia
   and age
   evaluation of, Otolaryn 18

E

Early Lung Cancer Action Project
Early treatment diabetic retinopathy study (ETDRS) chart
Education
   of elderly patients, Rehab 22
   for partners of cognitively impaired patients, Gyn 46
   preoperative
      CCI 38
      CCI 39
   to reduce inappropriate medications, EmergMed 13
Elder abuse, EmergMed 5
Elder Protection Service
Elderly drivers
   mandatory vision screening of, Ophth 17
   traffic accidents by
      Ophth 17
      Ophth 18
      Ophth 21
      Ophth KQ1
   vision loss in, Ophth 19
   visual improvement or stabilization in, Ophth KQ1
Elderly Lung Cancer Vinorelbine Italian Study (ELVIS)
Elective surgery
   for abdominal aortic aneurysm
   cardiac, CardiacSurg 43
   laparoscopic colectomy
   nutritional supplementation for, CCI 30
   survival rates
Electrical stimulation, for fracture healing, Ortho 34
Electrocardiography, preoperative, 19
Electrolytes
   adverse drug events, Table 2.2
   management of, in surgical patients, CCI 33
   preoperative
ELVIS. See Elderly Lung Cancer Vinorelbine Italian Study
Emergency department (ED) care. See also Emergency medicine
   discharge instructions, EmergMed 13
   environment of
   family caregiving and, CCI 71
   functional assessment, EmergMed 9
   micro-environment of
      EmergMed 3
      EmergMed 4
   patterns of use, EmergMed 1
   process alterations, EmergMed KQ1
Emergency medical service (EMS)
Emergency medicine, geriatric
   for abdominal aortic aneurysm
   for abdominal pain, EmergMed 18
   for acute coronary syndromes
      EmergMed 23
      EmergMed 24
   for cariopulmonary arrest
   for cognitive impairment
      EmergMed 6
      EmergMed 7
      EmergMed 8
   comprehensive assessment
   comprehensive screening of older patients, EmergMed 14
   for falls
   functional assessment, EmergMed 9
   for functional impairment
      EmergMed 10
      EmergMed 11
   general geriatric emergency care
   identification of high-risk patients, GenSurg KQ1
   immunization programs, EmergMed 21
   for infectious disease, EmergMed 21
   key research questions
   literature review methods
   medication use
   patterns of emergency department use, EmergMed 1
   for penetrating trauma
   quality of care improvement, EmergMed 2
   screening
      for asymptomatic conditions, EmergMed 17
      for specific conditions, EmergMed 16
   specific clinical syndromes
   surgery for peptic ulcer disease
      GenSurg 15
      GenSurg 16
   surgical procedures
      GenSurg 3
      GenSurg 4
      GenSurg 5
   for trauma
Emerging technologies, GenSurg 23
Emphysema
Empyema, ThoracicSurg 10
End-stage renal disease
Endocrine disease
Endocrine response
Endovascular repair, GenSurg 35
Endovascular therapy, GenSurg 31
Endurance exercise
Enoxaparin, after joint replacement
Environment
   emergency department
   micro-environment
      EmergMed 3
      EmergMed 4
   risk factors for disability, Rehab 7
Environmental hazards, Ophth 5
EORTC. See European Organization for Research and Treatment of Cancer
Epidemiology of surgical outcomes, Anes 1
Equipment, rehabilitation
Errors
   CCI 61
   CCI 62
   CCI 65
Erythropoietin therapy, perioperative, Anes 15
Esophageal cancer
   chemoprevention, ThoracicSurg 12
   minimally invasive techniques for, ThoracicSurg 14
   surgery for, ThoracicSurg 16
Esophageal disease, benign
Esophageal dysplasia, screening for, ThoracicSurg 11
Esophageal resection
Esophagectomy
   age-related operative factors, ThoracicSurg 13
   minimally invasive
   and quality of life, ThoracicSurg 15
   as surgical model, ThoracicSurg 18
Established Populations for the Epidemiologic Studies of the Elderly
Estrogen-progestin replacement therapy
   and Alzheimer's disease
   and breast cancer, Gyn 79
   and cardiovascular disease
   and cognition, Gyn 67
   cognitive detriment with, Gyn 69
   Heart and Estrogen/progestin Replacement Study (HERS)
      cervical cancer screening
      estrogen replacement and cardiovascular disease
   quality-of-life outcomes, Gyn 80
   selection of older women for initiation or continuation of, Gyn KQ3
   stratified results, Gyn 75
Estrogen receptor modulators, Gyn 23
Estrogen replacement therapy
   and Alzheimer's disease, Gyn 71
   and breast cancer
      Gyn 73
      Gyn 76
   and cancer
   and cardiovascular disease
      Gyn 60
      Gyn 61
      Gyn 64
   and cognition, Gyn 67
   and colon cancer, Gyn 76
   Heart and Estrogen/progestin Replacement Study (HERS)
      cervical cancer screening
      estrogen replacement and cardiovascular disease
   low-dose, Gyn 82
   mammographic density related to, Gyn 59
   neuroprotective effects, Gyn 69
   oral, Gyn 44
   for osteoporosis
      in frail and institutionalized elderly women, Gyn 85
      stratified results, Gyn 83
   and perioperative morbidity, Gyn 8
   postmenopausal
      and breast and colon cancer, Gyn 76
      and cognition, Gyn 72
      dementia associated with, Gyn 70
      long-term, Gyn 68
   quality-of-life outcomes, Gyn 84
   selection of older women for initiation or continuation of, Gyn KQ3
   and sexual function in older women, Gyn 44
   short-term, CCI 2
   stratified results
      Gyn 65
      Gyn 71
   synergy with fracture-prevention interventions, Gyn 81
   transdermal
      Gyn 44
      for osteoporosis
   and urogenital symptoms, Gyn 32
   vaginal
Estrogen status, Gyn 3
Estrogen therapy
   and breast cancer, Gyn 76
   after breast cancer treatment, Gyn 79
   and cardiovascular disease
   and colon cancer, Gyn 76
   and gynecologic surgery, Gyn 7
   long-term, quality-of-life outcomes, Gyn 80
   for osteoporosis
   and pelvic organ prolapse
      Gyn 21
      Gyn 23
   and pelvic organ prolapse surgery, Gyn 22
   postmenopausal, Gyn 76
   selection of older women for initiation or continuation of, Gyn KQ3
   stratified results, Gyn 75
   thrombogenic effects, Gyn 66
   and urogenital symptoms, Gyn 33
Estrogens
   and colon cancer, Gyn 78
   esterified
   modified
ETDRS chart. See Early treatment diabetic retinopathy study chart
Ethanol-drug interactions, CCI 16
Ethical issues
Etidronate, for osteoporosis, ,
European Carotid Surgery trial
European Organization for Research and Treatment of Cancer (EORTC), 129
EuroQol measure
Eustachian tube dysfunction
   Otolaryn 4
   Otolaryn 5
Evidence-based medicine
   Office of Evidence-Based Surgery (ACS)
   in perioperative care, CCI 62
Exercise
   aerobic (endurance), Rehab 17
   for arthritic and musculoskeletal conditions, Rehab 21
   balance
   benefits of
      in arthritis
      Rehab 18
   combinations of treatments, Rehab 16
   comparison of types
   flexibility
   functionally based
   habituation
   modes of delivery, Rehab 16
   for osteoarthritis, Rehab 21
   for osteoporosis
   pelvic floor muscle, Gyn 25
   for prevention of falls, Rehab 28
   resistance
   resistive
      Rehab 16
      task-specific
   types of, Rehab 18
Exercise-based cardiac rehabilitation, Rehab 24
Exercise programs
External auditory canal diseases
Extracorporeal shock-wave lithotripsy
Extremities, normal range of motion of, Ortho 1
Eye disorders
Eye evaluation, comprehensive

F

FACT-L. See Functional Assessment of Cancer Therapy-Lung
Faculty Development and Residency Training Outreach Program
Falls. See also Balance
   assessment of home environment and, EmergMed 5
   bone insufficiency and
   chronic pain therapy and, Anes 38
   emergency department management of
   hip or knee osteoarthritis and, Ortho 8
   joint replacement surgery and, Ortho 9
   low-vision rehabilitation and, Ophth 2
   ocular disorders and, Ophth 3
   polypharmacy and, Anes 30
   postoperative, CCI 51
   research priorities
   risk factors
      CCI 51
      Ortho 9
   visual improvement or stabilization and, Ophth KQ1
   visual loss and
      Ophth 2
      Ophth 4
Falls prevention
   CCI 51
   programs, EmergMed 20
   rehabilitation interventions, Rehab 28
   strategies, Ortho 30
Family caregiving
   CCI 65
   CCI 71
Feeding, postoperative
   Anes 21
   Anes 23
Female sexual dysfunction
   estrogen replacement and, Gyn 44
   Gyn 39
   medications and, Gyn 40
   needed research in
   Urol 22
Female stress incontinence
Femoral fractures, Ortho 19
Fever, in older emergency department patients
   EmergMed 21
   EmergMed 26
Fibrinolytic therapy, intrapleural
FIM. See Functional Independence Measure
FIT. See Fracture Intervention Trial
Flexibility exercise
Fluid management
   preoperative, Anes 18
   in surgical patients, CCI 33
Follow-up, EmergMed 14
Folstein Mini–Mental Status Examination (MMSE)
   and delirium
   in emergency department care
   and hearing loss
Food and Drug Administration (FDA)
Foot deformity, Ortho 28
Foot disease
   degenerative
   fungal, Ortho 29
Foot reconstruction, Ortho 28
Fracture healing
   aging and, Ortho 26
   COX-2 inhibitors and, Ortho 10
   electrical stimulation and, Ortho 34
   risk factors, Ortho KQ2
   strategies to augment, Ortho 26
   ultrasound and, Ortho 34
Fracture Intervention Trial (FIT)
Fractures
   of ankle
   bone insufficiency and
   comminuted distal femur, Ortho 19
   falls-revention strategies and, Ortho 30
   of hip
      bone insufficiency and
      clinical management strategies, Ortho 35
      deep-vein thrombosis prophylaxis after, Ortho 22
      long-term outcomes, Ortho 37
      outcomes after surgery, Table 2.1
      total knee arthroplasty and, Ortho 20
   literature review methods
   low-dose estrogen replacement therapy and, Gyn 82
   optimization of outcomes, Ortho KQ3
   periprosthetic
      Ortho 14
      protective factors, Ortho 23
      risk factors, Ortho 23
      risk factors, Ortho 24
   postoperative mortality
   prevention interventions, Gyn 81
   of proximal humerus
      Ortho 43
      Ortho 44
      Ortho 45
   SERMs after age 75 and, Gyn 86
   of spine, bone insufficiency and
   total joint replacement treatment of, Ortho 31
   vertebral compression
   of wrist
      bone insufficiency and
      fixation methods, Ortho 40
      graft material to supplement, Ortho 41
      management, Ortho 38
Frailty
   hormonal therapies for osteoporosis in, Gyn 85
   medications vs physical and occupational therapy for, Gyn 97
   rehabilitation treatment of
   untreated vulvovaginal symptoms in, Gyn 38
Framingham study
   hearing loss
   hearing loss and dementia
   inheritance of presbycusis
Function overall. See also Functional outcomes
   low-vision rehabilitation and, Ophth 16
   visual loss and
Functional assessment
   in emergency department care, EmergMed 9
   preoperative
      Anes 5
      Anes 6
Functional Assessment of Cancer Therapy-Lung (FACT-L)
Functional decline
   assessment of home environment in, EmergMed 5
   cataract surgery and
   vision loss and, Ophth 15
Functional impairment
   in older emergency department patients
      EmergMed 10
      EmergMed 11
   visual improvement or stabilization and, Ophth KQ1
Functional Independence Measure (FIM)
   and length of stay for stroke survivors
   and length of stay with spinal cord injury
Functional outcomes. See also Function overall; Independence
   analgesia and, Anes 41
   in cardiac surgery
      CardiacSurg 1
      CardiacSurg KQ1
   in cardiac surgery in octogenarians, CardiacSurg 39
   in cataract surgery
      Ophth 26
      Ophth 27
   CCI 22
   chronic pain therapies and, Anes 36
   in diabetic retinopathy
      Ophth 38
      Ophth 39
      Ophth 40
   early identification and treatment of risk factors and, CCI 19
   in glaucoma
      Ophth 32
      Ophth 34
      Ophth 35
      Ophth 36
   in gynecologic surgery
      Gyn 5
      Gyn KQ1
   in hemiarthroplasty, Ortho 21
   in hospitalization
   low-vision therapy and, Ophth 41
   measures of
   multisensory loss and, Ophth 6
   ocular disorders and, Ophth 6
   pain intervention and, Anes 35
   postoperative cognitive decline and, CCI 47
   preoperative interventions to enhance, CCI 29
   preoperative predictors, CCI 18
   in rotator cuff surgery, Ortho 21
   in shoulder disease, Ortho 21
   in total shoulder replacement, Ortho 21
   in trauma
   in vision-related depression, Ophth 10
   visual loss and, Ophth 1
   in visual loss and dementia, Ophth 14
Functional problems
Functional reserve
   Figure 2.1 – To receive a copy, please contact Amy Tam-Liao at tamlio@americangeriatrics.org.
Functional urinary incontinence
Functional visual impairment, risk factors, Ophth KQ3
Fungal disease, of foot, Ortho 29

G

Gait
   foot and ankle problems and, Ortho 28
   limb shortening and, Ortho 33
   total knee arthroplasty and, Ortho 20
Gamma nails, in hip fracture treatment
Gastrectomy
Gastric cancer, GenSurg 18
Gastric disease
Gastric resection
Gastroesophageal reflux disease
   criteria for intervention in, ThoracicSurg 19
   recent research findings
   surgery for
Gastrointestinal procedures, emergency
Gellhorn pessaries
Gene therapy, for inoperable coronary artery disease
General surgery, geriatric. See also specific disorders, procedures
   challenges in
   key research questions
   literature review methods
Genitourinary disorders, Urol KQ1
Genitourinary malignancies
Geriatric Depression Scale
Geriatric Emergency Medicine Task Force
Geriatric teams. See also Interdisciplinary teams
   referral to, EmergMed 14
Geriatric trauma survival score
Geriatrics Education for Specialty Residents (GESR) program
Geriatrics for Specialists project. See Increasing Geriatrics Expertise in Surgical and Related Medical Specialties
Geriatrics Syllabus for Specialists
GESR program. See Geriatrics Education for Specialty Residents program
"Get Up and Go" test
Glasgow Coma Scale
   in emergency department care
   and functional outcome
   risk factor for death
Glaucoma
   functional outcomes
      Ophth 32
      Ophth 34
      Ophth 35
      Ophth 36
   screening for, Ophth 34
   stratified results, Ophth 36
   treatments
      Ophth 32
      Ophth 35
      Ophth 36
   vision stabilization or improvement in, Ophth 33
Glenohumeral joint change, degenerative
Goldman Cardiac Risk Index
Gonadal steroids, and surgical stress
Graft materials, Ortho 41
Grafts. See also Coronary artery bypass grafting
   arterial, CardiacSurg 24
   saphenous vein, CardiacSurg 16
Growth hormone
   pituitary
   short-term replacement, CCI 5
Gustatory rhinitis
Gynecologic surgery
   cognitive status, Gyn 3
   comorbidities, Gyn 3
   epidemiology
   estrogen replacement therapy and, Gyn 8
   estrogen status, Gyn 3
   estrogen therapy and, Gyn 7
   functional outcomes
      Gyn 5
      Gyn KQ1
   guidelines for selecting candidates, Gyn 11
   interventions for reducing risks in, Gyn 6
   morbidity and mortality
   perioperative complications, Gyn 1
   perioperative management
   quality of data
   quality-of-life outcomes
      Gyn 5
      Gyn 9
      Gyn 10
   results
   risk factors for perioperative complications, Gyn 2
   risks, Gyn 12
   stratified outcomes, Gyn 4
   summary
Gynecology, geriatric. See also specific disorders, procedures
   key research questions
   literature review methods
   nonsurgical management, Gyn 5

H

H2 blockers
Habituation exercises
Hallux valgus
John A. Hartford Foundation
   Geriatric Emergency Medicine Task Force
   Jahnigen Career Development Award program
   official relationships with specialty societies
Head and neck cancer
   molecular biology studies, Otolaryn 23
   present practice, Otolaryn 20, Otolaryn KQ3
   surgical approaches, Otolaryn 22
   surgical outcomes, Otolaryn 21
Health Care Financing Administration (HCFA)
Health Care Utilization Project
Health-related quality of life
   definition of
   diabetic retinopathy and, Ophth 37
   incontinence and, CCI 59
   postoperative sleep disturbances and, CCI 56
   targeted interventions for
      CCI 68
      CCI 73
   visual impairment and depression and
      Ophth 8
      Ophth 10
   visual loss and dementia and, Ophth 14
Health-related quality-of-life (HRQOL) measures
   barriers to application of results
   CCI 53
   condition-specific instruments, CCI 60
   and functional outcomes
   measuring impact of visual loss on functional ability
   procedure-specific assessments
   questions about sexuality, CCI 57
Hearing aids
   bilateral vs. unilateral
      Otolaryn 7
      Otolaryn 8
   in-the-canal
Hearing loss
   and dementia
   epidemiology
   eustachian tube dysfunction and
      Otolaryn 4
      Otolaryn 5
   high-frequency
   ocular disorders associated with, Ophth 6
   patient-based outcomes measures of, Otolaryn 11
   and quality of life
   sensorineural, Otolaryn 9
   unilateral versus bilateral, Otolaryn 2
   visual loss and
Hearing measures, in elderly surgical patients, CCI 55
Hearing-related quality of life, Otolaryn KQ1
Hearing tests
   Otolaryn 6
   Otolaryn 12
Heart and Estrogen/progestin Replacement Study (HERS)
   cervical cancer screening
   estrogen replacement and cardiovascular disease
Heart failure, congestive
   cardiac assist devices for, CardiacSurg 7
   etiology, CardiacSurg 8
   surgery for
Heart valve surgery, CardiacSurg 25
HELP. See Hospitalized Elderly Longitudinal Project
Hematocrit, intraoperative
   Anes 9
   Anes 10
Hemiarthroplasty
   for femoral neck fractures
   functional outcomes in, Ortho 21
   for hip fracture, Ortho 36
   for proximal humerus fractures
   shoulder
Hepatic artery infusion, GenSurg 4
Herpes zoster, acute, Anes 37
HERS. See Heart and Estrogen/progestin Replacement Study
Hip disease, degenerative
Hip fracture rehabilitation, Rehab 25
Hip fracture surgery
   hemiarthroplasty, Ortho 36
   length of stay for
   outcomes, Table 2.1
   physical therapy after, Rehab 25
   postoperative restrictions on ambulation, Rehab 25
   risk factors, Ortho 35
Hip fractures
   bone insufficiency and
   clinical management strategies, Ortho 35
   deep-vein thrombosis prophylaxis after, Ortho 22
   factors that influence postoperative outcome
   functional outcomes, Ortho 37
   intertrochanteric, Ortho 36
   literature review methods
   long-term outcomes, Ortho 37
   malnutrition and, Ortho 4
   risk factors, Ortho 4
   total knee arthroplasty and, Ortho 20
   UTIs in
Hip osteoarthritis, Ortho 8
Hip protectors
Hip replacement
   hemiarthroplasty
      for femoral neck fractures
      for hip fractures, Ortho 36
   total arthroplasty
      for femoral neck fractures
      preoperative testing, Figure 2.4
      surgical approaches, Ortho 11
Hip surgery. See also Hip fractures; Hip replacement
   nutritional deficiencies and, Ortho 5
   nutritional supplementation for, Ortho 5
   regional versus general anesthesia for
   revision, Ortho 12
History, in older emergency department patients, EmergMed 19
Home safety
   assessment of, EmergMed 5
   improvements, Ophth 5
   interventions for prevention of falls, Rehab 28
Homeostenosis, and surgical stress
Hormone replacement therapy. See also Estrogen replacement therapy
   androgen replacement
      in elderly women, Gyn 42, Gyn 43
      short-term, CCI 2
Hormone therapy
   for osteoporosis, Gyn 96
   for prostate cancer
   for wound healing
      CCI 8
      CCI 9
Hospital-acquired infections, CardiacSurg 32
Hospital care
   delirium in hospitalized patients, Ophth 23
   falls-prevention interventions, Rehab 28
   functional outcomes in
   inpatient rehabilitation
   length-of-stay issues
   patient satisfaction with
   process issues
   simplifying drug regimens, Anes 31
   visual improvement or stabilization and, Ophth KQ1
   visual loss and, Ophth 23
Hospital Elder Life Program
Hospital length of stay
   cardiac surgery, CardiacSurg 5
   cholecystectomy, GenSurg 25
   early identification and treatment of risk factors and, CCI 19
   laparoscopic antireflux surgery, GenSurg 2
   vision treatments and, Ophth 23
   visual loss and, Ophth 22
Hospitalized Elderly Longitudinal Project (HELP)
Hyaluronate, and degenerative knee disease
   Ortho 6
   Ortho 7
Hydronephrosis, Gyn 27
Hylan, and degenerative knee disease
   Ortho 6
   Ortho 7
Hyperparathyroidism
   GenSurg 6
   GenSurg 7
Hyperplasia, CCI 8
Hypoestrinism, Gyn 30
Hypotension
   perioperative, Anes 18
   postoperative, Anes 30
   postural, Anes 38
Hypovolemia, preoperative, Anes 18
Hypoxia
   postoperative
   ventilatory response to, Figure 2.2
Hysterectomy

I

Identification of Seniors at Risk (ISAR) tool
   best subset of questions, Table 3.1
   EmergMed 15
ILG. See Interdisciplinary Leadership Group
Imaging studies
   in older emergency department patients, EmergMed 19
   in urinary incontinence
      Urol 3
      Urol 4
Immune modulators, topical, Gyn 37
Immunization, emergency department–based, EmergMed 21
Immunologic response
Immunosuppression, perioperative, Anes 14
Impact of Vision Impairment questionnaire
Implant fixation in osteoporotic bone, Ortho KQ1
Implantable hearing aids, Otolaryn 8
Implantation, cochlear, Otolaryn 9
In-the-canal (ITC) hearing aids
Incontinence. See Urinary incontinence
Increasing Geriatrics Expertise in Surgical and Related Medical Specialties
   Statement of Principles
Increasing Geriatrics Expertise in the Non-Primary Care Specialties
Independence. See also Function overall; Functional outcomes
   cochlear implantation and, Otolaryn 9
   low-vision rehabilitation and, Ophth 16
   return to independent living, CCI 22
Infectious disease
   hospital-acquired, CardiacSurg 32
   in joint replacement surgery
   in older emergency department patients, EmergMed 21
   perioperative
      Anes 13
      Anes 14
   periprosthetic, Ortho 25
   urinary tract infections
      literature review methods
      natural history of, Urol 11, Urol KQ1
      operational definition of, Urol 10
   wound, Anes 12
Infectious disease
Information for patients. See also Patient education
   patient preferences, CCI 38
   preoperative
      CCI 38
      CCI 39
Informed consent, outcomes of surgical management and
Infrainguinal vascular reconstruction
Injection therapy
   for erectile dysfunction, Urol 24
   for stress incontinence
   for total knee arthroplasty, Ortho 7
Injuries, sports-related, Ortho 2
Injury Severity Score (ISS)
Institutionalized populations
   falls among
   frail
      hormonal therapies for osteoporosis in, Gyn 85
      untreated vulvovaginal symptoms in, Gyn 38
   guidelines for selecting candidates for gynecologic surgery from among, Gyn 11
   Hospitalized Elderly Longitudinal Project (HELP)
Instrumental activities of daily living
   in age-related macular degeneration
   range of motion necessary for, Ortho 1
Intensive care unit length of stay, CCI 21
Interdisciplinary Leadership Group (ILG)
Interdisciplinary teams
   composition and structure of, CCI 70
   function of
      CCI 69
      CCI 70
   and process of care
   referral to geriatric teams, EmergMed 14
   team approach to rehabilitation
      Rehab 14
      Rehab 15
International Continence Society
Intertrochanteric hip fracture repair, Ortho 36
Intracavernosal injections, Urol 24
Intraoperative management, research agenda
Invasive monitoring
   in blunt multiple trauma, EmergMed KQ3
   for older trauma patients
      EmergMed 30
      EmergMed 31
Iowa Women's Health Study
ISAR tool. See Identification of Seniors at Risk tool
ISS. See Injury Severity Score
Isshiki technique for presbylarynges
Italian Longitudinal Study on Aging
Ivor Lewis esophagectomy

J

Jahnigen Career Development Awards
Joint replacement
   complications of
   COX-2 inhibitors and, Ortho 10
   deep-vein thrombosis prophylaxis after, Ortho 22
   factors that influence outcome
   and falls risk, Ortho 9
   for fractures close to joints, Ortho 31
   hemiarthroplasty
      for femoral neck fractures
      functional outcomes in, Ortho 21
      for hip fractures, Ortho 36
      for proximal humerus fractures
      shoulder
   thromboembolism in, preventive regimens, Ortho 22
   total ankle arthroplasty
   total hip arthroplasty
      for femoral neck fractures
      preoperative testing, Figure 2.4
      surgical approaches, Ortho 11
   total knee arthroplasty
      for comminuted distal femur fracture, Ortho 19
      gait and balance benefits, Ortho 20
      hip fracture and, Ortho 20
      hylan and hyaluronate injections and, Ortho 7
      risk factors, Ortho 16
   total shoulder arthroplasty, Ortho 21

K

Kidney. See Renal transplantation
Knee
   arthroscopy for injuries of, Ortho 2
   degenerative disease of
Knee osteoarthritis
   exercise for
   and falls, Ortho 8
   hylan and hyaluronate for, Ortho 6
   surgical treatment of
Knee replacement
   regional versus general anesthesia for
   total arthroplasty
      for comminuted distal femur fracture, Ortho 19
      gait and balance benefits, Ortho 20
      hip fracture and , Ortho 20
      hylan and hyaluronate injections and, Ortho 7
      risk factors, Ortho 16
Koenig Scale

L

Laboratory examination, in older EM patients, EmergMed 19
Laparoscopic antireflux surgery
   short hospital stay, GenSurg 2
   ThoracicSurg 20
Laparoscopic cholecystectomy
Laparoscopic colectomy, elective
Laryngeal malignancy
Larynx
Laser therapy
   for proliferative diabetic retinopathy and diabetic macular edema, Ophth 40
   transmyocardial revascularization
Le Fort colpocleisis
Legal blindness
Leisure World Cohort
   estrogen replacement therapy and Alzheimer's disease
   estrogen replacement therapy and colon cancer
Leisure World Cohort
Lichen sclerosus, Gyn 34
Limb ischemia, critical
Limb salvage
   GenSurg 33
   recent research findings
Limb shortening, Ortho 33
Lingonberry juice, and UTIs
Literature reviews for RASP. See also specific topics
Lithotripsy, extracorporeal shock-wave
Liver-directed therapies, GenSurg 4
Liver resection
Liver tests, preoperative
Lobectomy, video-assisted techniques for, ThoracicSurg 8
Logarithm of MAR (logMAR)
Longitudinal Study on Aging
Low-output syndrome, CardiacSurg 8
Low vision
   definition of
   therapy for, Ophth 41
Low-vision rehabilitation
   Ophth 2
   Ophth 16
   Ophth KQ1
Lower extremity atherosclerotic disease
Lower-extremity bypass, GenSurg 32
Lumbar spinal stenosis
Lumpectomy
Lung cancer
   assessment instruments
      ThoracicSurg 2
      ThoracicSurg 3
      ThoracicSurg 17
   Early Lung Cancer Action Project
   Elderly Lung Cancer Vinorelbine Italian Study (ELVIS)
   guidelines to indicate inoperability
   preoperative assessment in, ThoracicSurg 4
   preoperative optimization in, ThoracicSurg 7
   risk factors for surgery, ThoracicSurg 5
   screening for, ThoracicSurg 1
   surgery for
Lung disease, benign
Lung function
   Coronary artery diseaseand coronary artery bypass grafting, CardiacSurg 9
   and perioperative care
Lung Health Study
Lung resection, ThoracicSurg 6
Lung volume reduction procedures, ThoracicSurg 9
Lymph node dissection, axillary, GenSurg 11

M

Macular degeneration, age-related
   interventions
      Ophth 28
      Ophth 31
   stratified results
      Ophth 29
      Ophth 30
Macular edema, diabetic, Ophth 40
Major Trauma Outcome Study (ACS)
Male menopause
Male sexual dysfunction
   Urol 23
   Urol 24
Malignancy. See also Cancer
   genitourinary
   laryngeal
   urologic, Urol KQ1
Malnutrition
   in hip fracture, Ortho 4
   screening methods, CCI 30
   after surgery, Anes 23
Mammary artery, coronary artery bypass through, CardiacSurg 16
Mammographic density, Gyn 59
Mammography screening, ,
   clinical guidelines for, Gyn 74
   functional impairment and comorbid condition measures, Gyn 55
   guidelines for discontinuation of, Gyn 56
   and quality of life, Gyn 57
   screening rates
   strategies to improve, Gyn 58
   stratified results, Gyn 54
   variability of interpretations, Gyn 60
Massachusetts Health Care Panel Study
Massachusetts Male Aging Study
Massed activity, in stroke rehabilitation
Mastectomy
Masters and Johnson
Mechanical valvular prostheses, CardiacSurg18
Meclizine, for vestibular disease, Otolaryn 13
Medical errors
   CCI 61
   CCI 62
   CCI 65
Medical Outcomes Study Short Form–36 (SF-36)
   functional assessment
   and functional outcomes
   measuring impact of visual loss on functional ability
Medicare reimbursements
   for Pap smears, Gyn 48
   for rehabilitation care, Rehab 13
Medications
   adverse drug events
      associated with drug withdrawal
      postoperative, Table 2.2, Anes 26
   age-related physiologic changes and
   alternatives to nonsteroidal anti-inflammatory drugs, GenSurg 17
   for benign prostatic hyperplasia
   communicating regimens to primary care physicians, Anes 31
   ethanol interactions, CCI 16
   and female sexual dysfunction, Gyn 40
   for frail elderly women, Gyn 97
   guidelines for prescribing, CCI 14
   inappropriate use of
      CCI 10
      outcomes of, EmergMed 12
      reduction of, EmergMed 13
   misuse, overuse, and underuse of, CCI 10
   optimization of use, CCI 12
   perioperative
   polypharmacy
      Anes 30
      perioperative, CCI 13
   for postoperative depression, CCI 50
   simplifying drug regimens, Anes 31
   that reduce bone resorption, Gyn 93
   that stimulate bone formation, Gyn 94
   for urinary incontinence, needed research in
   and vestibular disease, Otolaryn 13
   withdrawal, CCI 11
Melbourne (Australia) Visual Impairment Project
Memory Study (Women's Health Initiative)
Ménière's disease
Meniscectomy, Ortho 15
Menopause
   male
   postmenopausal estrogen therapy
      and cognition, Gyn 72
      dementia associated with, Gyn 70
      Gyn 76
      long-term, Gyn 68
Mental status tests
   Confusion Assessment Method (CAM)
      in emergency department care
      and postoperative delirium
      serial testing with, Anes 33
   Folstein Mini–Mental Status Examination (MMSE)
      and delirium
      in emergency department care
      and hearing loss
   short, Anes 33
   Short Portable Mental Status Questionnaire
Metabolic response to stress
Metal-backed or all-polyethylene tibial components, Ortho 18
Methylsalicylate cream, for degenerative joint disease
Metoclopramide, for postoperative nausea
Mexican-Americans, and cervical cancer screening
Middle ear diseases
Minimum angle of resolution (MAR)
Mitral valve repair
Mitral valve replacement
   minimally invasive techniques, CardiacSurg20
   in octogenarians
Mixed urinary incontinence, Urol 6
MMSE. See Folstein Mini–Mental Status Examination
Mobility, postoperative
Mobility aids, Rehab 28
Models of care delivery
Molecular biology studies of head and neck cancer, Otolaryn 23
MORE. See Multiple Outcomes of Raloxifene Evaluation
Multicenter Chest Pain Study
Multiple blunt trauma, EmergMed KQ3
Multiple ocular disorders, Ophth 3
Multiple-organ failure, EmergMed 29
Multiple Outcomes of Raloxifene Evaluation (MORE)
   estrogen replacement therapy and breast cancer
   for osteoporosis
Multisensory loss
   and functional outcomes, Ophth 6
   interventions, Ophth 7
Muscle wasting, after major surgery, Anes 23
Musculoskeletal problems
   exercise, assistive devices, and orthotics for, Rehab 21
   normal aging
   rehabilitation for, Rehab 22
Myocardial infarction
Myocardial protective techniques
   CardiacSurg 12
   CardiacSurg 13
   in reoperative heart surgery, CardiacSurg 22
Myocardial revascularization

N

Nasal discharge
NASCET. See North American Symptomatic Carotid Endarterectomy Trial
National Cancer Institute
   estrogen replacement therapy and breast cancer
   lung cancer study
National Cardiovascular Network
National Emphysema Treatment Trial (NETT)
National Eye Institute Visual Functioning Questionnaire (NEI-VFQ), in glaucoma
National Heart, Lung, and Blood Institute (NHLBI)
National Hospital Ambulatory Medical Care Survey (NHAMCS)
   EmergMed 1
   patterns of emergency department use
National Hospital Discharge Survey
National Institutes of Health (NIH)
   consensus statement on rehabilitation with traumatic brain injury
   treatment recommendations for breast cancer
National Medicare claim database
National Registry of Myocardial Infarction 2
National VA Surgical Quality Improvement Program, GenSurg KQ3
Nausea and vomiting, postoperative
NEI-VFQ. See National Eye Institute Visual Functioning Questionnaire
Nerve cell loss, CCI 1
NETT. See National Emphysema Treatment Trial
Neurobehavioral assessment tools, CardiacSurg 34
Neurobehavioral changes after CABG, CardiacSurg 34
Neurologic changes
   deficits after cardiac surgery, CardiacSurg KQ2
   perioperative
   and sexual dysfunction
Neurotology
New York Heart Association
NHLBI. See National Heart, Lung, and Blood Institute
NHS. See Nurses' Health Study
Nocturia, Urol 1
Nonagenarians
   as cardiac surgical patients
   estrogen replacement therapy for, Gyn 72
Noncompliance, CCI 65
Nonsteroidal anti-inflammatory drugs
   alternatives, GenSurg 17
   for osteoarthritis
   safer, GenSurg 18
   and ulcers
North American Symptomatic Carotid Endarterectomy Trial (NASCET)
   follow-up report
   regional versus general anesthesia
North Carolina Trauma Registry
Northeastern Ohio Trauma Study
Northern New England Cardiovascular Disease Study Group
Nothing-by-mouth orders, Anes 18
Nottingham Health Profile, and functional outcomes
Nottingham Health Survey
Nurses' Health Study (NHS)
   estrogen replacement and cardiovascular disease
   estrogen replacement therapy and breast cancer
Nursing-home residents. See also Institutionalized populations
   falls among
Nutritional assessment, preoperative, and anesthesia
Nutritional deficiencies, Ortho 5
Nutritional supplementation
   for elective surgery, CCI 30
   for hip surgery, Ortho 5
Nutritional support
   postoperative
      Anes 22
      Anes 23
   preventive, CCI 31

O

Occupational therapy, in frail elderly women, Gyn 97
Octogenarians
   cardiac treatment protocols aimed at, CardiacSurg 40
   as cardiac surgical patients
      CardiacSurg 36
      CardiacSurg 37
      CardiacSurg 38
      CardiacSurg 39
   estrogen replacement therapy for, Gyn 72
Ocular disorders
   associated with hearing loss, Ophth 6
   and falls, Ophth 3
   and functional outcome, Ophth 6
   multiple, Ophth 3
Older-old, surgical outcomes in, CCI 20
Oldest-old, surgical outcomes in, CCI 20
Olfactory sensitivity
Oligoanalgesia
Onychomycosis
Open cholecystectomy, recent research findings
Open colectomy, elective
Ophthalmology, geriatric
   age-related risk factors
   key research questions
   literature review methods
   prognostic indicators
   recommended research strategies
   risk factors
Oral estrogen replacement, Gyn 44
Organizational characteristics, CCI 69
Orientation Memory Concentration Test
Orthopedic surgery
   factors that influence postoperative outcome, Ortho 3
   postoperative mortality
   postoperative respiratory insufficiency
Orthopedics, geriatric. See also specific disorders, procedures
   key research questions
   literature review methods
Orthotic devices
   for arthritic and musculoskeletal conditions, Rehab 21
   indications for
Osteoarthritis
   of ankle
   assistive devices for, Rehab 21
   exercise for, Rehab 21
   of hip, Ortho 8
   of knee
      exercise for
      and falls, Ortho 8
      hylan and hyaluronate for, Ortho 6
      surgical treatment of
   orthotics for, Rehab 21
   rehabilitation for
Osteoporosis. See also Fractures
   bisphosphonates for, Gyn 95
   calcium for
   cementless components in, Ortho 11
   definition of
   estrogen replacement therapy for, stratified results, Gyn 83
   exercise for
   in frail and institutionalized elderly women, Gyn 85
   hormonal therapies, Gyn 96
   implant fixation in, Ortho KQ1
   long-term bisphosphonate use for, Gyn 92
   spinal fusion with instrumentation in
   vitamin D for
Otitis media, serous
Otolaryngology, geriatric. See also specific disorders, procedures
   key research questions
   literature review methods
Otologic surgery, Otolaryn 3
Otosclerosis
   Otolaryn 1
   Otolaryn 3
Outcomes assessment
   measures for surgery, CCI 35
   patient-based measures of hearing loss, Otolaryn 11
Outpatient surgery
   cholecystectomy, GenSurg 25
   delirium after, CCI 45
   GenSurg 2
Overflow incontinence
Oxygen therapy
   guidelines for
   postoperative, Anes 20
   for wound healing

P

Pain
   abdominal
      EmergMed 18
      EmergMed 26
      EmergMed KQ2
   acute postoperative
   chest
   chronic
      research agenda
      and sexual dysfunction
   perioperative with dementia, CCI 36
Pain assessment, in cognitive impairment
   Anes 28
   Anes 40
Pain management
   chronic pain therapy
      Anes 36
      Anes 38
   in cognitive impairment
      Anes 29
      Anes 39
   and functional outcomes, Anes 35
   postoperative
Pain syndromes, Rehab 29
Pancreatic cancer, GenSurg 28
Pancreatic disease
Pancreatic resection, selection criteria for, GenSurg 27
Papanicolaou (Pap) smears, Gyn 48
Paraprofessionals, Rehab 14
Patient-based outcomes measures. See also Outcomes assessment
   of hearing loss, Otolaryn 11
Patient care process
Patient-controlled analgesia (PCA)
   Anes 26
   CCI 15
   intraoperative
Patient education. See also Information for patients
   for partners of cognitively impaired patients, Gyn 46
   preoperative
      CCI 38
      CCI 39
   to reduce inappropriate medications, EmergMed 13
   in rehabilitation, Rehab 22
Patient satisfaction, CCI 65
Patient satisfaction surveys, CCI 22
Pelvic floor muscle exercises, Gyn 25
Pelvic organ prolapse
   early, Gyn 24
   estrogen receptor modulators and, Gyn 23
   estrogen therapy and, Gyn 21
   hydronephrosis in, Gyn 27
   natural history of, Gyn 26
   needed research in
   nonsurgical management, Gyn 13
   pathophysiology of, Gyn 17
   pelvic floor muscle exercises and, Gyn 25
   risk factors, Gyn 28
   surgical management
      estrogen therapy and, Gyn 22
      quality-of-life outcomes, Gyn 14
Penetrating trauma, in emergency department
Penile prostheses, Urol 24
Peptic ulcer disease
   complications of, GenSurg 12
   emergency surgery for
      GenSurg 15
      GenSurg 16
   presentation and pathophysiology of, GenSurg 12
   risk factors for, GenSurg 12
Percutaneous transluminal coronary angioplasty (PTCA)
   changing pattern of patients undergoing
   in octogenarians
      CardiacSurg 36
      CardiacSurg 38
Perioperative care
   age-related physiologic changes and
   in cardiac surgery, CardiacSurg KQ3
   in chronic disease and comorbid conditions, CCI 13
   clinical pathways for
   evidence-based medicine to improve, CCI 62
   in gynecologic surgery
      complications, Gyn 1
      estrogen replacement therapy and, Gyn 8
      risk factors for complications, Gyn 2
   temperature management, Anes 11
   in thoracic surgery, ThoracicSurg KQ2
Peripheral occlusive disease
   limb salvage rates, GenSurg 33
   recent research findings
Peripheral vestibular system disorders, Otolaryn KQ2
Periprosthetic fractures
   Ortho 14
   protective factors, Ortho 23
   risk factors
      Ortho 23
      Ortho 24
Periprosthetic infections, Ortho 25
Pessaries
   Gyn 16
   long-term use, Gyn 15
   use in early pelvic organ prolapse, Gyn 24
Pharmacology, geriatric
Pharmacotherapy
   age-related physiologic changes and
   for benign prostatic hyperplasia
   communicating regimens to primary care physicians, Anes 31
   and female sexual dysfunction, Gyn 40
   for frail elderly women, Gyn 97
   guidelines for prescribing medications, CCI 14
   inappropriate use of medications
      CCI 10
      outcomes of, EmergMed 12
      reduction of, EmergMed 13
   medications that reduce bone resorption, Gyn 93
   medications that stimulate bone formation, Gyn 94
   misuse, overuse, and underuse of medications, CCI 10
   perioperative
   for postoperative depression, CCI 50
   simplifying drug regimens, Anes 31
   for urinary incontinence, needed research in
   and vestibular disease, Otolaryn 13
Pharyngeal cancer, Otolaryn 22
Pharyngeal instrumentation, Anes 21
Phenylpropanolamine, for stress incontinence
Phonosurgery
Photodynamic therapy, GenSurg 20
Physical examination, in older emergency department patients, EmergMed 19
Physical therapists, types of
Physical therapy. See also Rehabilitation
   for frail elderly women, Gyn 97
   after hip fracture surgery, Rehab 25
   for musculoskeletal conditions, Rehab 22
   referral for vestibular disease, Otolaryn 13
   synergy with hormone replacement therapy and selective estrogen receptor modulators, Gyn 81
Physician training
Phytotherapy
   for benign prostatic hyperplasia, Urol 13
   for prostate disease
Picker Institute Consumer Satisfaction Survey
Pinna, diseases of
Pituitary growth hormone
Planning, postoperative
Pleiotropy, antagonistic
Pneumonectomy, ThoracicSurg 6
Pneumonia, postoperative
   Anes 12
   Anes 19
   Anes 21
Polyethylene tibial components, Ortho 18
Polypharmacy
   Anes 30
   perioperative, CCI 13
Post-herpetic neuralgia, chronic, Anes 37
Post-hospital care
   CCI 63
   CCI 64
Post-nasal drip
Posterior tibial tendon insufficiency
Postoperative management
   ethical issues
   factors that influence outcome
   planning and coordination
   research agenda
Postoperative mortality, CCI 21
Postural hypotension, Anes 38
Prehospital care, EmergMed 5
Preoperative assessment
   Anes 2
   and anesthesia
   functional
      Anes 5
      Anes 6
   in general surgery, Anes KQ1
   instruments for
      Anes 3
      Anes 4
   in lung cancer, ThoracicSurg 4
   testing, Figure 2.4
Preoperative education
   CCI 38
   CCI 39
Preoperative interventions, CCI 29
Preoperative optimization
   in lung cancer, ThoracicSurg 7
   for pneumonectomy, ThoracicSurg 6
Preoperative preparation, ThoracicSurg KQ1
Presbycusis
   eustachian tube function and, Otolaryn 5
   inheritance of
   and quality of life
   treatment of
Presbylarynges, Otolaryn 19
Pressure ulcers
   postoperative, CCI 52
   prevention
   prevention and treatment strategies, GenSurg 36
Preventive nutrition, CCI 31
Primary care physicians, communicating drug regimens to, Anes 31
Profile of Mood States
Promethazine, for postoperative nausea
Prostate cancer
   screening for
      needed research in
      Urol 17
   treatment of, Urol 18
Prostate diseases
   literature review methods
   pathophysiology and natural history of, Urol KQ1
Prostate-specific antigen, Urol 17
Prostatectomy, radical
Prostatic hyperplasia, benign
Prosthetics
   cellular response to wear debris, Ortho 13
   costs and benefits, Rehab 26
   mechanical valvular, CardiacSurg18
   metal-backed or all-polyethylene tibial components, Ortho 18
   penile, Urol 24
   periprosthetic fractures
      Ortho 14
      protective factors, Ortho 23
      risk factors, Ortho 23, Ortho 24
Proximal humerus fractures
   literature review methods
   Ortho 43
   Ortho 44
   Ortho 45
Psychological Well-Being Schedule
Pubovaginal sling procedures, Urol 7
Pulmonary embolism, CCI 41
Pulmonary Embolism Prevention (PEP) trial
Pulmonary function
   and coronary artery bypass grafting, CardiacSurg 9
   and perioperative care
   postoperative complications, Anes KQ3
Pulmonary resection, ThoracicSurg 6
Pulse oximetry

Q

Quality improvement
   interventions for, EmergMed 2
   methodologies
   systems interventions for
   in thoracic surgery
Quality of care, barriers to and disparities in, CCI 68
Quality of life
   early detection of cervical neoplasia and, Gyn 53
   early identification and treatment of risk factors and, CCI 19
   esophagectomy and, ThoracicSurg 15
   in gynecologic surgery
      Gyn 5
      Gyn 9
      Gyn 10
   head and neck cancer management and, Otolaryn KQ3
   health-related
      diabetic retinopathy and, Ophth 37
      targeted interventions for, CCI 68
      visual impairment and depression and, Ophth 8
      visual impairment and depression and, Ophth 10
      visual loss and dementia and, Ophth 14
   hearing-related, Otolaryn KQ1
   mammography and, Gyn 57
   presbycusis and
   in prostate cancer
   visual improvement or stabilization and, Ophth KQ1
   vulvovaginal disorders and, Gyn 31
Quality-of-life instruments
   after cardiac surgery, CardiacSurg 41
   in dementia, CCI 54
   health-related (HRQOL)
      CCI 53
      condition-specific, CCI 60
      and functional outcomes
      measuring impact of visual loss on functional ability
      procedure-specific assessments
   patient satisfaction surveys, CCI 22
   targeting vulvovaginal symptoms, Gyn 29
Quality-of-life outcomes
   with bisphosphonates
      Gyn 80
      Gyn 84
   in cardiac surgery
   with estrogen-progestin, Gyn 80
   with estrogen replacement therapy, Gyn 84
   in gynecologic surgery, Gyn 9
   with long-term estrogen, Gyn 80
   in nonoperative management of pelvic organ prolapse, Gyn 13
   in operative management of pelvic organ prolapse, Gyn 14
   with selective estrogen receptor modulators
      Gyn 80
      Gyn 84
   in thoracic surgery, ThoracicSurg KQ3
Quality of Well-being Scale

R

Radial artery, coronary artery bypass through, CardiacSurg 16
Radiofrequency ablation, liver-directed, GenSurg 4
Radiotherapy for breast cancer
Raloxifene
   and breast cancer
   for osteoporosis
Rancho Bernardo cohort
RASP. See Research Agenda–Setting Project
Reactive oxygen species
Recovery from acute illness, Rehab 4
Rectal examination, Urol 17
Referral to geriatric teams, EmergMed 14
Reflux
   gastroesophageal reflux disease
      criteria for intervention in, ThoracicSurg 19
      recent research findings
      surgery for
   laparoscopic antireflux surgery
      short hospital stay, GenSurg 2
      ThoracicSurg 20
Rehabilitation, geriatric
   auditory, CCI 55
   cardiac, Rehab 24
   combinations of treatments, Rehab 16
   components of, Rehab 11
   equipment
   family caregiving and, CCI 71
   hip fracture, Rehab 25
   inpatient
   interventions
   key research questions
   literature review methods
   low-vision
      Ophth 2
      Ophth 16
      Ophth KQ1
   Medicare reimbursements, Rehab 13
   outcome measures, Rehab KQ3
   outcomes of care
   patient satisfaction with
   post-stroke
   process of care
   providers
   relative merits of treatments, Rehab KQ3
   response to, Rehab 4
   after rotator cuff surgery
   settings, Rehab 12
   single providers, Rehab 15
   for specific conditions
   structure, process, outcome rehabilitation model, Figure 12.1
   structure of care
   team approach
      Rehab 14
      Rehab 15
   terminology
      Rehab 1
      Rehab KQ3
   theoretical underpinnings
   theory or model of treatment for, Rehab 10
   visual, CCI 55
Renal cell carcinoma
Renal changes, perioperative
Renal disease, end-stage
Renal failure
   guidelines for prescribing with, CCI 14
   pathophysiology and natural history of, Urol KQ1
Renal insufficiency, perioperative, Anes 18
Renal malignancy
Renal transplantation
   literature review methods
   needed research in
   older adult donors
   older adult recipients
   Urol 26
   Urol KQ1
Research Agenda–Setting Project (RASP)
   mission
   online version
Resistance exercise
   Rehab 16
   task-specific
Resistance training
Respiratory failure, postoperative
   Anes 19
   Anes 20
Respiratory insufficiency, postoperative
Respiratory monitoring, postoperative, Anes 20
Respiratory response to hypoxia, Figure 2.2
Resuscitation
   aggressive
      in blunt multiple trauma, EmergMed KQ3
      in older trauma patients, EmergMed 30, EmergMed 31
   Brain Resuscitation Clinical Trials
   consent for, CCI 34
   do-not-resuscitate (DNR) orders, in operating room
   in operating room, CCI 37
   for out-of-hospital arrest, EmergMed 25
   preoperative discussion of, CCI 37
   of trauma patients
Return to independent living, CCI 22
Revascularization, repeat, CardiacSurg 23
Rhinitis
   allergic, Otolaryn 17
   gustatory
Risedronate, for osteoporosis
Rofecoxib. See also COX-2 inhibitors
Ross procedure
Rotator cuff disease
Rotator cuff surgery, Ortho 21

S

SAEM. See Society for Academic Emergency Medicine
Safety
   home safety assessment, EmergMed 5
   home safety improvements, Ophth 5
   interventions for prevention of falls, Rehab 28
SAGA. See Society for the Advancement of Geriatric Anesthesia
SAGES. See Society of American Gastrointestinal Endoscopic Surgeons
Salisbury Eye Evaluation (SEE) project
   prevalence of visual acuity
   visual loss and overall function
Saphenous vein graft, coronary artery bypass through, CardiacSurg 16
Sarcopenia
   Rehab 4
   Rehab 27
   rehabilitation treatment of
Scopolamine, for postoperative nausea
Screening
   abdominal aortic aneurysm, GenSurg 34
   alcohol abuse
   breast cancer
   carotid disease, GenSurg 30
   central auditory processing impairment, Otolaryn 12
   cervical cancer, Gyn 51
   cognitive dysfunction, EmergMed 6
   cognitive impairment, EmergMed 8
   colon cancer, Gyn 74
   colorectal cancer, GenSurg 22
   comprehensive, EmergMed 14
   depression
   in emergency department
      for asymptomatic conditions, EmergMed 17
      for specific conditions, EmergMed 16
   esophageal dysplasia, ThoracicSurg 11
   glaucoma, Ophth 34
   Identification of Seniors at Risk (ISAR) tool
      best subset of questions, Table 3.1
      EmergMed 15
   lung cancer, ThoracicSurg 1
   mammography
      clinical guidelines for, Gyn 74
      functional impairment and comorbid condition measures, Gyn 55
      GenSurg 8
      guidelines for discontinuation of, Gyn 56
      and quality of life, Gyn 57
      rates
      strategies to improve, Gyn 58
      stratified results, Gyn 54
      variability of interpretations, Gyn 60
   prostate cancer
      needed research in
      Urol 17
   specific conditions, EmergMed 16
   vision
      efficacy of, Ophth 25
      in emergency department patients
      mandatory, Ophth 17
      Ophth KQ3
      recommendations for, Ophth 24
Seattle Angina Questionnaire
Sedative-hypnotics
   adverse drug events, Table 2.2
   and length of stay
Sedimentation rate, preoperative
SEE project. See Salisbury Eye Evaluation project
SEER program. See Surveillance, Epidemiology, and End Results Program
Selective estrogen receptor modulators
   and breast cancer, Gyn 77
   and cardiovascular disease
   cardiovascular effects, Gyn 63
   and colon cancer, Gyn 77
   fracture benefits after age 75, Gyn 86
   long-term, Gyn 77
   for osteoporosis, Gyn 85
   quality-of-life outcomes
      Gyn 80
      Gyn 84
   selection of older women for initiation or continuation of, Gyn KQ3
   stratified results, Gyn 75
   synergy with fracture-prevention interventions, Gyn 81
Sensorineural hearing loss, Otolaryn 9
Sensory disorders, postoperative
Sexual dysfunction
   androgen replacement and, Gyn 43
   comorbid disease, Urol 21
   female
      estrogen replacement and, Gyn 44
      Gyn 39
      medications and, Gyn 40
      needed research in
      Urol 22
   literature review methods
   male
      Urol 23
      Urol 24
   needed research in
   pathophysiology and natural history of, Urol KQ1
Sexual response
   age-related changes
   in older women, Gyn 45
Sexuality
   educational strategies for partners of cognitively impaired patients, Gyn 46
   HRQOL measures, CCI 57
   older women's
      Gyn 41
      Gyn 45
   operative procedures and, CCI 58
Shoe wear
Short Portable Mental Status Questionnaire
Shoulder disease. See also Rotator cuff disease
   degenerative
   functional outcomes in, Ortho 21
Shoulder injuries
   arthroscopy for, Ortho 2
   fractures of proximal humerus
Shoulder replacement
   hemiarthroplasty, for proximal humerus fractures
   total shoulder arthroplasty, Ortho 21
Sickness Impact Profile (SIP)
   cataract surgery and functional decline
   and functional outcomes
   quality of life after cardiac surgery
Sildenafil citrate
   Urol 22
   Urol 23
Sinuses
Sinusitis
   age-related differences, Otolaryn 16
   risk factors, Otolaryn 17
SIP. See Sickness Impact Profile
Sjögren's syndrome
Sleep apnea
Sleep problems, postoperative, CCI 56
Smell
Snellen testing
Social participation
   disabling impact of disease on, Rehab 6
   risk factors for disability, Rehab 7
Society for Academic Emergency Medicine (SAEM)
   Geriatric Emergency Medicine Task Force
Society for the Advancement of Geriatric Anesthesia (SAGA)
Society of American Gastrointestinal Endoscopic Surgeons (SAGES)
Society of Thoracic Surgeons (STS)
   ThoracicSurg 5
   ThoracicSurg 13
Society of University Urologists (SUU)
Specialty databases
Speech therapy
Spinal decompression, Ortho 27
Spinal fusion
   with instrumentation
   strategies to augment bone healing after, Ortho 26
Spinal stenosis
Spine, degenerative disease of
Spine fractures
   bone insufficiency and
   literature review methods
Spondylolisthesis
Spondylosis
Sports-related injuries, Ortho 2
Staff work, duplication of, CCI 65
Stents
   coronary
   in octogenarians, CardiacSurg 36
Steroids, gonadal, and surgical stress
Stomach disorders, GenSurg 20
Stone disease, urinary tract
   literature review methods
   pathophysiology and natural history of, Urol KQ1
   surgery for, Urol 25
Stress incontinence
   injection therapy for
   surgery for
Stress response
   acute, CCI 3
   age-specific, CardiacSurg 8
   CCI 2
   CCI 4
   CCI 7
   postoperative, CCI 5
Stroke
   and cardiac surgery
      CardiacSurg KQ2
      risk factors, CardiacSurg 35
   perioperative
   post-CABG, CardiacSurg 34
   recent research findings
Stroke rehabilitation
   guidelines for, compliance with
   key components, Rehab 23
   massed activity or constraint therapy
   settings for, Rehab 23
STS. See Society of Thoracic Surgeons
Study of Osteoporotic Fractures
Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment (SUPPORT)
SUPPORT. See Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment
Surgery, geriatric. See also specific procedures
   for abdominal aortic aneurysm, GenSurg 35
   acute stress of, CCI 3
   age-related physiologic changes and
   age-specific risks, CCI 24
   ambulation early or ultra-early after, CCI 6
   anesthesia for, Figure 2.5
   anti-delirium strategies for, CCI 28
   for aortic dissection, CardiacSurg 27
   for benign diseases of lung
   for benign prostatic hyperplasia, needed research in
   for breast cancer, GenSurg 9
   candidate preventive and therapeutic methods, CCI 26
   cardiac
      clinical pathways, CardiacSurg 2
      complications, CardiacSurg 31, CardiacSurg 43
      functional outcomes, CardiacSurg 1, CardiacSurg KQ1
      length of hospital stay after, CardiacSurg 5
      neurocognitive deficits after, CardiacSurg KQ2
      in octogenarians, CardiacSurg 38, CardiacSurg 39
      perioperative care, CardiacSurg KQ3
      quality-of-life instruments after, CardiacSurg 41
      reoperative, myocardial protective techniques in, CardiacSurg 22
      risk factors for stroke in, CardiacSurg 35
      risk profiles, CardiacSurg 1
      stroke and, CardiacSurg KQ2
      total costs, CardiacSurg 3
   and caregivers, CardiacSurg 41
   cataract, Ophth 26, Ophth 27
   for cerebrovascular disease
   cervical-spine decompressive
   challenges in
   cognitive decline after, CCI 47
   for colorectal cancer
   for colorectal disease
   comorbidities, CCI 23
   complementary or alternative medicine and, CCI 17
   complications
      CCI 20
      perioperative
      postoperative, CCI 23
      standard procedures for, CCI 27
   conduct of operation
   costs of
   day surgery
   for degenerative joint disease
   with dementia, CCI 36
   for diabetic retinopathy, Ophth 40
   for diverticular disease
   early
      for urinary incontinence, Urol 8, Urol 9
      for urologic disorders, Urol KQ2
   elective
      for abdominal aortic aneurysm
      cardiac, CardiacSurg 43
      colectomy
      nutritional supplementation for, CCI 30
      survival rates
   emergency procedures
      for colorectal disease
      for gastric disease
      GenSurg 3
      GenSurg 4
      GenSurg 5
      identification of high-risk patients, GenSurg KQ1
      for peptic ulcer disease, GenSurg 15, GenSurg 16
   emergency procedures
   for endocrine disease
   for esophageal cancer, ThoracicSurg 16
   esophagectomy model, ThoracicSurg 18
   family caregiving and, CCI 71
   for female stress incontinence
   foot, Ortho 28
   for gastric cancer
   for gastroesophageal reflux
   general
      key research questions
      literature review methods
   gynecologic
      cognitive status, Gyn 3
      comorbidities, Gyn 3
      estrogen replacement therapy and, Gyn 8
      estrogen status, Gyn 3
      estrogen therapy and, Gyn 7
      functional outcomes, Gyn 5, Gyn KQ1
      guidelines for selecting candidates, Gyn 11
      interventions for reducing risks in, Gyn 6
      perioperative complications, Gyn 1
      quality-of-life outcomes, Gyn 5, Gyn 9, Gyn 10
      risk factors for perioperative complications, Gyn 2
      risks, Gyn 12
      stratified outcomes, Gyn 4
   for head and neck cancer
      Otolaryn 21
      Otolaryn 22
   heart valve, CardiacSurg 25
   hip
      nutritional deficiencies and, Ortho 5
      nutritional supplementation for, Ortho 5
      regional versus general anesthesia for
      revision, Ortho 12
   hip fracture
      length of stay for
      Ortho 36
      outcomes, Table 2.1
      physical therapy after, Rehab 25
      postoperative restrictions on ambulation, Rehab 25
      risk factors, Ortho 35
   for hyperparathyroidism, GenSurg 7
   for incontinence, functional impact in elderly women, Gyn 20
   interdisciplinary teams and, CCI 70
   intraoperative management,research agenda
   joint replacement
      complications of
      COX-2 inhibitors and, Ortho 10
      deep-vein thrombosis prophylaxis after, Ortho 22
      factors that influence postoperative outcome
      and falls risk, Ortho 9
      for fractures close to joints
      thromboembolism in, preventive regimens, Ortho 22
   key research questions
   laparoscopic antireflux
      short hospital stay, GenSurg 2
      ThoracicSurg 20
   for lumbar spinal stenosis
   for lung cancer
      assessment instruments, ThoracicSurg 17
      risk factors, ThoracicSurg 5
      screening for, ThoracicSurg 1
   minimally invasive techniques
      for aortic valve replacement, CardiacSurg19
      for bladder and renal malignancy
      for BPH, Urol 14
      for CABG, CardiacSurg 17
      for cardiac surgery, CardiacSurg 30
      for empyema, ThoracicSurg 10
      for esophageal cancer, ThoracicSurg 14
      for mitral valve replacement, CardiacSurg20
      for stone disease, Urol 25
      for valvular procedures
   neurotologic, 209
   operative mortality
   organizational characteristics and, CCI 69
   orthopedic, Ortho 3
   for osteoarthritis of hip
   otologic, Otolaryn 3
   outcome measures, CCI 35
   outcomes of, Anes 1
   outpatient
      cholecystectomy, GenSurg 25
      delirium after, CCI 45
      outcomes in, GenSurg 2
   pain and adverse outcomes
   for pancreatic disease
   patient management plans for, Anes KQ1
   patient preferences for, CCI 34
   for pelvic organ prolapse
      estrogen therapy and, Gyn 22
      quality-of-life outcomes, Gyn 14
   perioperative care
   perioperative clinical pathways
   perioperative problems and complications
   for peripheral occlusive disease
   for pharyngeal cancer, Otolaryn 22
   phonosurgery
   physiologic management
   postoperative analgesia, Anes KQ2
   postoperative complications
      CCI 23
      pulmonary, Anes KQ3
   postoperative depression
      CCI 49
      CCI 50
   postoperative falls, prevention of, CCI 51
   postoperative function, scoring system for, CCI 25
   postoperative management
   postoperative mortality, CCI 21
   postoperative outcome, factors that influence
   postoperative planning and coordination
   postoperative research agenda
   postoperative sleep disturbances, CCI 56
   postoperative stress response, CCI 5
   preoperative assessment
      Anes KQ1
      and anesthesia
   preoperative interventions, CCI 29
   preoperative optimization
   preoperative predictors of functional outcomes, CCI 18
   preoperative preparation
      CCI 24
      CCI 38
      CCI 39
   preoperative research agenda
   preoperative risk assessment
   preoperative risk factors for falls, CCI 51
   preventive nutrition for high-risk patients, CCI 31
   procedures and outcomes
   for prostate cancer
   for proximal humerus fractures
      Ortho 44
      Ortho 45
   recent research findings, -87
   resuscitation during, CCI 37
   risk assessment
      Anes 2
      CCI 20
   risk-benefit projections, GenSurg KQ3
   risk factors
      CCI 21
      CCI 24
      GenSurg 1
      stratified, CCI 24
   risk factors for fluid and electrolyte problems, CCI 32
   rotator cuff, Ortho 21
   scoring system for, CCI 25
   and sexuality, CCI 58
   short hospital stay, GenSurg 2
   spinal decompression, Ortho 27
   for stomach disorders
   stress of
      CCI 2
      CCI 4
   team function and
      CCI 69
      CCI 70
   thoracic
      perioperative care, ThoracicSurg KQ2
      preoperative preparation, ThoracicSurg KQ1
      quality-of-life outcomes, ThoracicSurg KQ3
      video-assisted, for empyema
      video-assisted, for lobectomy, ThoracicSurg 8
   for thyroid diseases
   timing of
      Anes 4
      Anes 6
   for tongue cancer, Otolaryn 22
   for ulcers
   for urinary incontinence, needed research in
   wrist fracture
Surgical emergency, pathophysiology of, GenSurg KQ2
Surgical specialty societies, CCI 39
Surveillance, Epidemiology, and End Results (SEER) Program
   cervical cancer screening
   lung cancer screening
   operative mortality for esophagectomy
   survival rates for breast cancer
SUU. See Society of University Urologists
Swallowing
Swallowing evaluation, Otolaryn 18
Sympathetic nervous system
Systems interventions

T

T cells, CCI 1
Tai Chi
Tamoxifen therapy
   for breast cancer
      GenSurg 9
      GenSurg 10
      recent research findings
      results
   for osteoporosis
   plus surgery, GenSurg 9
Tandem Gait test
Task-specific resistive exercise
Team approach
   and process of care
   and outcomes, CCI 69
   referral to geriatric teams, EmergMed 14
   to rehabilitation
      Rehab 14
      Rehab 15
Temperature management, perioperative, Anes 11
Temporal bone pathology, Otolaryn 10
Temporal bone studies, Otolaryn 15
Tension-free vaginal tape
Terminology, rehabilitation
   Rehab 1
   Rehab KQ3
Testing. See also Assessment; Screening
   preoperative, Figure 2.4
Thoracic surgery, general geriatric. See also specific disorders, procedures
   key research questions
   literature review methods
   perioperative care, ThoracicSurg KQ2
   preoperative preparation, ThoracicSurg KQ1
   preoperative testing, Figure 2.4
   quality-of-life outcomes, ThoracicSurg KQ3
   video-assisted
      for empyema
      for lobectomy, ThoracicSurg 8
Thoracic Surgery Directors Associations (TSDA)
Thoracoscopy
Thromboembolism. See also Deep-vein thrombosis
   intraoperative
      Anes 9
      Anes 10
   in joint replacement surgery
   preventive regimens, Ortho 22
   Pulmonary Embolism Prevention (PEP) trial
   risk of, Anes 16
Thrombolytic therapy, GenSurg 31
Thyroid diseases
Thyroid tests, preoperative
Tibia components, metal-backed or all-polyethylene, Ortho 18
Timed Get Up and Go test
Tissue healing, Ortho 10
Tongue cancer, Otolaryn 22
Topical immune modulators, Gyn 37
Toremifene, and cardiovascular disease
Total joint replacement
   in ankle
   deep-vein thrombosis prophylaxis after, Ortho 22
   for fractures close to joints, Ortho 31
   in hip
      for femoral neck fractures
      preoperative testing, Figure 2.4
      surgical approaches, Ortho 11
   in knee
      for comminuted distal femur fracture, Ortho 19
      gait and balance benefits, Ortho 20
      hip fracture and, Ortho 20
      hylan and hyaluronate injections and, Ortho 7
      risk factors, Ortho 16
   in shoulder, Ortho 21
Traffic accidents
   among elderly drivers
      Ophth 18
      Ophth 21
   mandatory vision screening and, Ophth 17
   visual improvement or stabilization and, Ophth KQ1
Transdermal estrogen replacement, Gyn 44
Transitional cell carcinoma
   of upper urinary tract
   of urinary bladder
Transmyocardial laser revascularization
Transplantation
   cardiac
   renal
      literature review methods
      needed research in
      Urol 26
      Urol KQ1
Transurethral resection of the prostate
   early
      Urol 15
      Urol 16
   needed research in
Trauma
   blunt
      invasive monitoring and aggressive resuscitation in, EmergMed KQ3
      risk of multiple-organ failure and death after, EmergMed 29
   drug and ethanol interactions, CCI 16
   geriatric trauma survival score
   Major Trauma Outcome Study (ACS)
   North Carolina Trauma Registry
   Northeastern Ohio Trauma Study
   penetrating, in emergency department
   prediction of outcomes, EmergMed 28
   standardization of outcomes, EmergMed 27
Trauma Score (TS)
TSDA. See Thoracic Surgery Directors Associations
Tympanic membrane, diseases of

U

Ulcers
   peptic
      complications of, GenSurg 12
      emergency surgery for, GenSurg 15
      emergency surgery for, GenSurg 16
      presentation and pathophysiology of, GenSurg 12
      risk factors for, GenSurg 12
   pressure
      postoperative, CCI 52
      prevention
      prevention and treatment strategies, GenSurg 36
Ultrasound, for fracture healing, Ortho 34
Uniform Data System
United Kingdom General Practice Research Database
Upper abdominal surgery
Urge incontinence, Urol 6
Urinalysis, preoperative
Urinary incontinence
   assessment of, Urol 2
   biobehavioral therapies for, needed research in
   complementary therapy for, Urol 6
   diagnostic evaluation
   early surgery for
      Urol 8
      Urol 9
   epidemiology of
   functional
   and health-related quality of life, CCI 59
   imaging techniques
      Urol 3
      Urol 4
   literature review methods
   natural history of, Urol KQ1
   needed research in
   pharmacotherapy for, needed research in
   postoperative
   surgery for, Gyn 20
   survey instruments, Urol 2
   treatment
   types of
   urodynamic studies
      Urol 3
      Urol 4
Urinary retention
   chronic pain therapy and, Anes 38
   postoperative, Anes 30
Urinary tract infections
   literature review methodsl
   natural history of
      Urol 11
      Urol KQ1
   operational definition of, Urol 10
Urinary tract stone disease
   pathophysiology and natural history of, Urol KQ1
   surgery for, Urol 25
Urodynamic studies
   Urol 3
   Urol 4
Urogenital atrophy, dyspareunia secondary to, Gyn 47
Urogenital health
   estrogen replacement therapy and, Gyn 32
   estrogen therapy and, Gyn 33
   maintenance of, Gyn KQ2
Urologic disorders, early surgery for, Urol KQ2
Urologic malignancy, Urol KQ1
Urology, geriatric. See also specific disorders, procedures
   key research questions
   literature review methods
   longitudinal outcomes, Urol KQ3
U.S. Department of Health and Human Services
U.S. Preventive Services Task Force, recommendations for screening for visual impairment
UTIs. See Urinary tract infections

V

Vacuum erection devices, Urol 24
Vaginal cancer, risk factors, Gyn 52
Vaginal delivery, and pelvic organ prolapse, Gyn 19
Vaginal estrogen replacement
Vaginal tape, tension-free
Valve surgery, cardiac, CardiacSurg 25
Valvular prostheses, mechanical, CardiacSurg18
Vascular disease, atherosclerotic
Vascular radiology, interventional, GenSurg 31
Vascular reconstruction, infrainguinal
Vascular repair, CCI 1
Vena cava filters, CCI 41
Venous thromboembolism
Ventilatory response (VI) to hypoxia, Figure 2.2
VERT trial. See Vertebral Efficacy with Risedronate Therapy trial
Vertebral compression fractures
Vertebral Efficacy with Risedronate Therapy (VERT) trial
Vertebroplasty, Ortho 42
Vertigo
Vestibular system
   Otolaryn 15
   peripheral, Otolaryn KQ2
Vestibular testing, Otolaryn 14
Veterans Affairs
Veterans Affairs Medical Center
Veterans Health Administration guidelines for stroke rehabilitation
Video-assisted thoracic surgery (VATS)
   for empyema
   for lobectomy, ThoracicSurg 8
Video imaging studies
Vinorelbine, for lung cancer
Vision
   distance testing
   low
      definition of
      rehabilitation of, Ophth 2, Ophth 16, Ophth KQ1
      therapy for, Ophth 41
   and outcomes
   stabilization or improvement of
      and delirium in hospitalized elderly patients, Ophth 23
      in glaucoma, Ophth 33
      and length of hospital stay, Ophth 23
      Ophth KQ1
Vision measures, in elderly surgical patients, CCI 55
Vision screening
   efficacy of, Ophth 25
   in emergency department patients
   mandatory, Ophth 17
   Ophth KQ3
   recommendations for, Ophth 24
Visual acuity testing
Visual Function Index
Visual-functioning index (VF-7)
Visual Functioning Scale (VF-14)
   after cataract surgery
   in glaucoma
   measuring impact of visual loss on functional ability
Visual loss
   assessment of, Ophth 1
   definition of
   and delirium
   and dementia
      Ophth 11
      Ophth 12
      Ophth 13
      Ophth 14
   and depression
      Ophth 8
      Ophth 9
      Ophth 10
   and driving performance
      Ophth 19
      Ophth 20
   and falls
      Ophth 2
      Ophth 4
   functional, risk factors, Ophth KQ3
   functional outcomes in, Ophth 1
   and hearing loss
   intervention methods, Ophth KQ2
   and length of hospital stay, Ophth 22
   and loss of independence or decreases in overall function, Ophth 15
   measures and levels of
   measuring impact on functional ability
   measuring impact on visual function
   moderate
   outcome measures, Ophth KQ2
   and overall function
   scope of the problem
   and specific geriatric conditions
   timing for intervention, Ophth KQ2
   types associated with depression, Ophth 8
Visual measures, Ophth KQ3
Visual rehabilitation
   CCI 55
   low-vision rehabilitation
      Ophth 2
      Ophth 16
      Ophth KQ1
Vitamin D supplements
   best form of supplementation, Gyn 91
   costs and side effects, Gyn 88
Voice changes with aging
Voice disorders, age-related, Otolaryn 19
Vulnerable elderly subgroups, CCI 67
Vulvar cancer
   age-related factors, Gyn 35
   susceptibility profiles, Gyn 36
   topical immune modulators and, Gyn 37
Vulvovaginal conditions
   Gyn 31
   Gyn 38

W

Warfarin, for DVT prophylaxis
WHI. See Women's Health Initiative
Women's health
   androgen replacement
      Gyn 42
      Gyn 43
   estrogen replacement therapy
      and Alzheimer's disease, Gyn 71
      and breast cancer, Gyn 73, Gyn 76
      and cancer
   gynecology
   Iowa Women's Health Study
   optimal time for calcium supplements, Gyn 89
   osteoporosis
   routine care of well elderly women
   sexuality
      Gyn 41
      Gyn 45
   urogenital health
      estrogen replacement therapy and, Gyn 32
      estrogen therapy and, Gyn 33
Women's Health Initiative (WHI)
   estrogen replacement and cardiovascular disease
   Memory Study
World Health Organization
   conceptual framework for disability
   recommendations for evaluation before anti-incontinence surgery
   recommendations for surgery for stress incontinence
Wound complications
   CardiacSurg 30
   CardiacSurg 32
Wound healing
   CCI 8
   CCI 9
Wound infection, postoperative, Anes 12
Wrist fractures
   bone insufficiency and
   fixation methods, Ortho 40
   graft material to supplement, Ortho 41
   literature review methods
   management, Ortho 38
Wrist range of motion and strength necessary for ADLs, Ortho 38

X

Xerostomia

Z

Zoster, acute, Anes 37