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Some common surgeries for seniors should be considered “high risk” and preceded by careful conversations about the potential harms, according to a new study listing 227 operations with high mortality rates.

The risks of surgery for older adults are generally understood, but establishing a comprehensive list of the most problematic, for which the risks and benefits “should be carefully evaluated,” can be a helpful decisionmaking tool, the authors say.

Designation of a surgery as high risk presents an opportunity for patients to pause and consider the value of surgery over alternative treatments, or “prepare for the real potential of an unwanted outcome,” they write in a study published Wednesday in JAMA Surgery.

Read the full report here.