Frailty is a risk factor for adverse postoperative outcomes. Hospitals that perform higher volumes of surgery have better outcomes than low-volume providers. In this issue of Anesthesiology, McIsaac et al. found that frail patients have reduced survival and increased failure to rescue when they undergo operations at hospitals having a lower volume of frail surgical patients. In an accompanying Editorial View, Wang and Wunsch discuss this study as a first step toward elucidating the best care options for frail patients who require surgery.

  • McIsaac et al.: Association of the Hospital Volume of Frail Surgical Patients Cared for with Outcomes after Elective, Major Noncardiac Surgery: A Retrospective Population-based Cohort Study, p. 602

  • Wang and Wunsch: Hospital Experience Caring for the Frail: A New Concern for Surgical Patients, p. 575