Dermatologic surgery in geriatric patients: Psychosocial considerations and perioperative decision-making

Murad Alam*, Robert A. Norman, Leonard H. Goldberg

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

BACKGROUND. Dermatologic surgery, both for cutaneous malignancies and for management of the visible signs of photo-damage, is frequently performed on older persons. OBJECTIVE. To review common psychologic and physiologic limitations among the elderly that may affect their ability to tolerate cutaneous surgery and to outline a stepwise approach for management of these conditions during the perioperative period. METHODS. Literature review, MEDLINE (1966-2001) search, and personal experience. RESULTS. Communication with patients, their families, and their physicians, management of patients' underlying medical problems, and special sensitivity to patients' cognitive and physiologic limitations can minimize perioperative risk during cutaneous surgery in the elderly. CONCLUSION. Given appropriate physician management, elderly patients can usually safely undergo cutaneous surgery.

Original languageEnglish (US)
Pages (from-to)1043-1050
Number of pages8
JournalDermatologic Surgery
Volume28
Issue number11
DOIs
StatePublished - Nov 1 2002

ASJC Scopus subject areas

  • Surgery
  • Dermatology

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