McDonald et al¹ described a coordinated approach to elective perioperative care for older adults. The Perioperative Optimization of Senior Health (POSH) initiative is a collaborative quality improvement program to avert avoidable complications in older adults. While I admire their work, I question the substantiveness of their evidence supporting the association of POSH with quality improvement.

中文翻译：

---

老年人的个性化手术护理

McDonald等[ ^1]描述了一种针对老年人的选择性围手术期护理的协调方法。围手术期优化高级保健（POSH）计划是一项协作质量改进计划，可避免老年人中可避免的并发症。当我欣赏他们的工作时，我质疑他们支持POSH与质量改进相关的证据的实质性。