Sinai Center for Geriatric Surgery Marks New Era in Specialized Treatment of Elderly Patients

Sinai Hospital of Baltimore, a LifeBridge Health center, is proud to announce the opening of the Sinai Center for Geriatric Surgery, the nation’s first surgical center dedicated exclusively to providing specialized surgical and pre and postoperative care for elderly patients.

Dr. Mark Katlic

The center is led by Mark R. Katlic, M.D., who is also chief of Surgery at Sinai Hospital and author of several books and numerous peer-reviewed journal articles on geriatric surgery. With America’s aging population as a backdrop, the Sinai Center for Geriatric Surgery’s mission is to provide a new level of specialized care for elderly surgical patients and to improve the care of older patients across the country and around the world through research and education.

“The aging population is experiencing explosive growth and will soon be the greatest force affecting health care in the United States,” said Katlic. “In addition, the conditions that often require surgery – cancer, atherosclerosis, degenerative joint disease, cataracts, prostate disease and gallstones – increase in incidence with increasing age. Older patients will benefit from surgery to improve the length and quality of their lives. We developed the Center for Geriatric Surgery to meet their specialized needs and to help surgeons and other medical professionals improve treatment methodologies in older patients.”

Katlic has had a special interest in caring for older patients for more than three decades. His paper, “Surgery in Centenarians,” was published in the Journal of the American Medical Association in 1985, and his first textbook, “Geriatric Surgery,” was published in 1990. Katlic has published four additional textbooks on surgery in the elderly.

Here is a video of Dr. Katlic discussing the center:

Clinical Program Offers Unparalleled Resources

As part of the center’s clinical program, Katlic and his staff will provide a tailored, individualized treatment plan for each patient, consisting of a comprehensive screening and assessment prior to surgery, which will determine a course of action based on individual patient needs.

There is growing recognition in the medical community that preoperative heart and lung testing in elderly surgical patients may not be sufficient and that other “softer” tests may be valuable in determining surgical risk. The Sinai Center for Geriatric Surgery’s clinical coordinators and a full-time nurse practitioner will perform comprehensive preoperative evaluations of elderly surgical patients in the Sinai Hospital Pre-Anesthesia Screening Service clinic.

These evaluations include routine physical examinations and laboratory studies plus additional testing to evaluate:

  • Frailty
  • Cognition
  • Activities of daily living - nutrition
  • Delirium risk
  • Fall risk
  • Current medications
  • Specialized evaluation for primary caregiver

The results of this “leave no stone unturned” comprehensive evaluation will also be studied to determine what factors are most important in evaluating the risk of surgery to each individual patient.

The guiding principle of the Sinai Center for Geriatric Surgery is “just-right care” – not too little, not too much, not too limited and not too aggressive. Each patient will work with a dedicated clinical coordinator to serve as his or her advocate during the patient’s in-patient postoperative stay, helping with daily medication review, family communication and discharge planning.

Academic Program Enhances Knowledge Base

As the center’s clinical program aims to provide optimal, comprehensive care of the elderly surgical patient, the academic program will study what works well and then share that knowledge with other medical professionals on a regional, national and worldwide basis.

A primary focus of the academic program will be research efforts based on a database where all elements of the elderly patient’s comprehensive preoperative evaluation will be entered and retrospectively analyzed to help determine which are the greatest surgical risk factors.

Katlic and his team will then develop prospective trials of interventions hypothesized to lessen surgical risk in older patients. Findings will be published in peer-reviewed journals and in case studies to grow the body of knowledge related to geriatric surgery. In addition, the center will offer regular symposiums and lectures for health care professionals on the medical and surgical needs of older patients. A formalized fellowship program is also in the works.

-Written by Jill Bloom, Interim Vice President,Marketing and Community Relations, LifeBridge Health

To schedule an appointment with one of our highly trained physicians and find out why LifeBridge Health is Baltimore's premier health care organization, call 410-601-WELL.

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  • #TBT Did you know #SinaiHospital used to be located in downtown #Baltimore? It wasn’t until 1959 that Sinai moved to its current location.

    lifebridgehealth: "#TBT Did you know #SinaiHospital used to be located in downtown #Baltimore? It wasn’t until 1959 that Sinai moved to its current location."
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  • #CarrollHospital was happy to participate once again in Westminster's Main Street #Holiday Electric Parade. This year the hospital ambassador, Carroll, joined the fun too! #LifeBridgeHealth #CommunityEvent #Maryland #Lights #Westminster #Healthcare #Hospital #Festive

    lifebridgehealth: "#CarrollHospital was happy to participate once again in Westminster's Main Street #Holiday Electric Parade. This year the hospital ambassador, Carroll, joined the fun too!

#LifeBridgeHealth #CommunityEvent #Maryland #Lights #Westminster #Healthcare #Hospital #Festive"
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  • In this week's #TeamLifeBridge spotlight, meet the eight providers and 20 support staff members of the Carroll Medical Group. This large team is big enough that our patients can easily find a provider whose personality fits well with theirs, but small enough to have a warm, family-oriented atmosphere. #Maryland #LifeBridgeHealth #Employee #EmployeeSpotlight #EmployeeAppreciation #Healthcare

    lifebridgehealth: "In this week's #TeamLifeBridge spotlight, meet the eight providers and 20 support staff members of the Carroll Medical Group. This large team is big enough that our patients can easily find a provider whose personality fits well with theirs, but small enough to have a warm, family-oriented atmosphere. #Maryland #LifeBridgeHealth #Employee #EmployeeSpotlight #EmployeeAppreciation #Healthcare"
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  • #TBT Did you know there’s a mini-museum inside #SinaiHospital? Located behind the cafeteria near the tray return, “Sinai Pride” provides a look back in time, displaying notable medical instruments, historic photos and more. Stop in and check it out!

    lifebridgehealth: "#TBT Did you know there’s a mini-museum inside #SinaiHospital? Located behind the cafeteria near the tray return, “Sinai Pride” provides a look back in time, displaying notable medical instruments, historic photos and more. Stop in and check it out!"
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  • Lavish #holiday feasts can interfere with important daily routines for people with diabetes. This holiday season, manage your blood sugars by balancing your choices. Desserts with sugar can still be part of special occasions when you have diabetes. But remember that they count toward your total carbohydrates. You shouldn’t just add holiday desserts to what you would usually eat. Instead, cut carbohydrates elsewhere in your meal so that you can have dessert without adding to your total carbohydrates. #WednesdayWisdom #NDAM

    lifebridgehealth: "Lavish #holiday feasts can interfere with important daily routines for people with diabetes. This holiday season, manage your blood sugars by balancing your choices. Desserts with sugar can still be part of special occasions when you have diabetes. But remember that they count toward your total carbohydrates. You shouldn’t just add holiday desserts to what you would usually eat. Instead, cut carbohydrates elsewhere in your meal so that you can have dessert without adding to your total carbohydrates. #WednesdayWisdom #NDAM"
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  • Ready for some #Thanksgiving leftovers? Here are some pictures from the #TurkeyTrot, which supported The Y in Central Maryland. #LifeBridgeHealth was a proud sponsor of this year's event, and our CEO Neil Meltzer was one of the starters for the race in Towson along with the Y CEO John Hoey. Thanks to everyone who participated, including many of our LifeBridge Health employees and their families. #Maryland #community #supportlocal #communityevent #run #exercise

    lifebridgehealth: "Ready for some #Thanksgiving leftovers? Here are some pictures from the #TurkeyTrot, which supported The Y in Central Maryland. #LifeBridgeHealth was a proud sponsor of this year's event, and our CEO Neil Meltzer was one of the starters for the race in Towson along with the Y CEO John Hoey. Thanks to everyone who participated, including many of our LifeBridge Health employees and their families. #Maryland #community #supportlocal #communityevent #run #exercise"
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  • Patients, families and staff enjoyed meeting #Maryland's First Lady, Yumi Hogan, who stopped by to help out at the annual #Thanksgiving lunch at the Herman & Walter Samuelson Children's Hospital at Sinai. #SinaiHospital #LifeBridgeHealth #Healthcare

    lifebridgehealth: "Patients, families and staff enjoyed meeting #Maryland's First Lady, Yumi Hogan, who stopped by to help out at the annual #Thanksgiving lunch at the Herman & Walter Samuelson Children's Hospital at Sinai.
#SinaiHospital #LifeBridgeHealth #Healthcare"
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  • In this week's #TeamLifeBridge spotlight, meet the dedicated team members of Total Women's Health of #Baltimore. This team, led by Dionne D. Oliver, M.D., works hard to communicate and collaborate with each other, not only to do their jobs effectively but to provide superb patient care. We thank you for all that you do!

    lifebridgehealth: "In this week's #TeamLifeBridge spotlight, meet the dedicated team members of Total Women's Health of #Baltimore. This team, led by Dionne D. Oliver, M.D., works hard to communicate and collaborate with each other, not only to do their jobs effectively but to provide superb patient care. We thank you for all that you do!"
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  • #NorthwestHospital is proud to partner with Baltimore County Public Schools (BCPS) on a health care magnet school, the Northwest Academy of Health Sciences. We look forward to working with these amazing students who are truly the future of health care!

    lifebridgehealth: "#NorthwestHospital is proud to partner with Baltimore County Public Schools (BCPS) on a health care magnet school, the Northwest Academy of Health Sciences. We look forward to working with these amazing students who are truly the future of health care!"
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  • Thanks to the #AmericanHeartAssociation for sending us this photo of #TeamLifeBridge who participated in this fall's #HeartWalk. Thanks to everyone who came out to #supportthefight against #heartdisease and #stroke. #MDHeartWalk

    lifebridgehealth: "Thanks to the #AmericanHeartAssociation for sending us this photo of #TeamLifeBridge who participated in this fall's #HeartWalk. Thanks to everyone who came out to #supportthefight against #heartdisease and #stroke. #MDHeartWalk"
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