Managing Stereotype Threat To Improve Perioperative Outcomes Among Elderly Surgical Patients
Bladder cancer (BC) is the 4th most common cancer in men. The median age at diagnosis is 72 years. Radical cystectomy (RC) is standard surgical treatment for high risk BC. The operation is morbid with complication rates of 40-60% and mortality rates of 3-7% within 90 days after surgery. Reduced mobility in elderly patients increases the risk of perioperative complications, length of hospital stay, and readmission rates in patients treated with RC. Clinicians seek methods to predict perioperative impairment and interventions that will mitigate this impairment. Stereotype threat is a situational predicament in which individuals feel they are at risk of confirming negative stereotypes about their social group, e.g. elderly people are less active. Studies have demonstrated the influence of priming to reduce stereotype threat and improve desired behaviors. We hypothesize that priming can improve health outcomes by increasing the mobility of elderly bladder cancer patients who require RC.