--- title: "Advance care plans with seniors and high-risk surgery. | Sutter Health" description: "We determined the prevalence and patient characteristics associated with advance care planning documentation among seniors prior to high-risk surgery." url: "https://www.sutterhealth.org/research/publications/advance-care-plans-with-seniors-and-high-risk-surgery-1055312419" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Advance care plans with seniors and high-risk surgery. # Advance care planning in older adults with multiple chronic conditions undergoing high-risk surgery. Tang VL, Dillon EC, Yang Y, Tai-Seale M, Boscardin J, Kata A, & Sudore RL. _JAMA Surg. doi: 10.1001/jamasurg.2018.4647. \[Epub ahead of print\]_ 2018-12-05 ## Abstract More than 4 million high-risk operations (those that are associated with ≥1% in-hospital mortality) are performed annually in the United States in patients 65 years or older. While operative risk has declined over time, many older adults, especially those with multiple chronic conditions, remain at high risk for postoperative morbidity (including loss of independence and/or functional decline) and mortality. Therefore, the American College of Surgeons and American Geriatric Society jointly recommend patients engage in advance care planning (ACP), which includes documenting a patient’s personal goals and values, treatment preferences, and surrogate decision maker. In this study, we determined the prevalence and patient characteristics associated with ACP documentation among elderly adults at any time prior to high-risk surgery. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/30516794) ## Research topics - [Aging and Longevity](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Aging+and+Longevity%5C%22%22) - [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22) - [Medical Informatics](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Medical+Informatics%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Impact of home-based, patient-centered support for people with advanced illness in an open health system: a retrospective claims analysis of health expenditures, utilization, and quality of care at end of life.](https://www.sutterhealth.org/research/publications/impact-of-palliative-care-program-cost-use-qol-1055312725) Sudat SEK, Franco A, Pressman AR, Rosenfeld K, Gornet E, Stewart W. Palliat Med. 2018 Feb;32(2):485-492. doi: 10.1177/0269216317711824. Epub 2017 Jun 7. 2018 Feb 01 - Publication ### [Community-based palliative care and advance care planning documentation: evidence from a multispecialty group.](https://www.sutterhealth.org/research/publications/palliative-care-advance-care-planning-documentation-1055312325) Tai-Seale M, Yang Y, Dillon E, Tapper S, Lai S, Yu P, Allore H, Ritchie C. J Am Geriatr Soc. 2018 Feb;66(2):327-332. doi: 10.1111/jgs.15145. Epub 2017 Oct 24. 2017 Oct 24 - Publication ### [Comparative usability study of a newly created patient-centered tool and Medicare.gov plan finder to help Medicare beneficiaries choose prescription drug plans.](https://www.sutterhealth.org/research/publications/pt-centered-drug-plan-finder-vs-medicaregov-1055312687) Stults CD, Fattahi S, Meehan A, Bundorf MK, Chan AS, Pun T, Tai-Seale M. J Patient Exp. 6(1):81-86. doi: 10.1177/2374373518778343. Epub 2018 Jun 6. 2019 Mar 01 - Publication ### [Predicting need for advanced illness or palliative care in a primary care population using electronic health record data.](https://www.sutterhealth.org/research/publications/predict-need-for-palliative-care-in-primary-care-with-ehrs-1055312675) Jung K, Sudat SEK, Kwon N, Stewart WF, Shan NH. J Biomed Inform. 92:103115. 2019 Apr 01 - Publication ### [Patient experiences in selecting a Medicare Part D prescription drug plan.](https://www.sutterhealth.org/research/publications/pt-experiences-selecting-medicare-part-d-rx-drug-plan-1055312300) Stults CD, Baskin AS, Bundorf MK, Tai-Seale M. J Patient Experience. https://doi.org/10.1177/2374373517739413 2017 Nov 21 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/advance-care-plans-with-seniors-and-high-risk-surgery-1055312419#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Advance care plans with seniors and high-risk surgery."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/advance-care-plans-with-seniors-and-high-risk-surgery-1055312419#medicalscholarlyarticle","name":"Advance care planning in older adults with multiple chronic conditions undergoing high-risk surgery.","headline":"Advance care plans with seniors and high-risk surgery.","abstract":"More than 4 million high-risk operations (those that are associated with ≥1% in-hospital mortality) are performed annually in the United States in patients 65 years or older. 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