Resources

SPAQI Position Papers

SPAQI embraces the multidisciplinary nature of perioperative care and need for high-quality position papers.  We are thrilled to share this expanding series of perioperative guidelines and resources.  This page will be updated as more position papers are published.

Perioperative management of patients taking glucagon-like peptide 1 receptor agonists: Society for Perioperative Assessment and Quality Improvement (SPAQI) multidisciplinary consensus statement

Authors: Oprea AD, Ostapenko LJ, Sweitzer B, Selzer A, Irizarry-Alvarado JM, Hurtado Andrade MD, Mendez CE, Kelley KD, Stewart E, Fernandez Robles CR, Chadha RM, Camilleri M, Mathur R, Umpierrez GE, Hepner DL.

Citation: Br J Anaesth. 2025 Jul;135(1):48-78
Perioperative Management of Implantable Devices

Authors: Kalra SK, Singh S, Grawe E, Keshock M, Bentov N, Richman DC.

Citation: Int Anesthesiol Clin. 2025 Apr 1;63(2):12-24
Perioperative Assessment and Quality Improvement: a narrative review of best practices for perioperative management of patients with bleeding disorders.

Authors: Maleka Khambaty , Jean M Connors, Erin S Grawe, David L Hepner, Mandeep Kumar, Barbara Slawski

Citation: British Journal of Anaesthesia, Sept 29, 2025
Diagnosis and Treatment of Perioperative Anemia: A Society for Perioperative Assessment and Quality Improvement Collaborative Review

Authors: Kumar M, Hepner DL, Grawe ES, Keshock M, Khambaty M, Patel MS, Sweitzer B.

Citation: Anesthesiology. 2024 Nov 1;141(5):984-996.

Perioperative Management of Adult Patients with Diabetes Wearing Devices: A Society for Perioperative Assessment and Quality Improvement (SPAQI) Expert Consensus Statement

Authors: Oprea AD, Kalra SK, Duggan EW, Russell LL, Urman RD, Abdelmalak BB, Patel P, Pfeifer KJ, Grant PJ, Charitou MM, Mendez CE, Sherr JL, Umpierrez GE, Klonoff DC

Citation: J Clin Anesth. 2024 Dec;99:111627. doi: 10.1016/j.jclinane.2024.111627.
Preoperative Management of Cardiovascular Medications: A SPAQI Consensus Statement

Authors: Sahai SK, Balonov K, Bentov N, Bierle DMM, Browning LM, Cummings KC 3rd, Dougan BM, Maxwell M, Merli GJ, Oprea AD, Sweitzer B, Mauck KF, Urman RD

Citation: Mayo Clin Proc. 2022 Sep;97(9):1734-1751
Preoperative Management of Cardiovascular Medications: A SPAQI Consensus Statement

Authors: Sahai SK, Balonov K, Bentov N, Bierle DMM, Browning LM, Cummings KC 3rd, Dougan BM, Maxwell M, Merli GJ, Oprea AD, Sweitzer B, Mauck KF, Urman RD

Citation: Mayo Clin Proc. 2022 Sep;97(9):1734-1751
Preoperative Management of Medications for Rheumatologic and HIV Diseases: SPAQI Consensus Statement

Authors: Russell LA, Craig C, Flores EK, Wainaina JN, Keshock M, Kasten MJ, Hepner DL, Edwards AF, Urman RD, Mauck KF, Oprea AD

Citation: Mayo Clin Proc. 2022 Aug;97(8):1551-1571
Preoperative Management of Medications for Neurologic Diseases: SPAQI Consensus Statement

Authors: Oprea AD, Keshock MC, O'Glasser AY, Cummings KC 3rd, Edwards AF, Hunderfund AL, Urman RD, Mauck KF

Citation: Mayo Clin Proc. 2022 Feb;97(2):375-396
Preoperative Management of Medications for Psychiatric Diseases: SPAQI Consensus Statement

Authors: Oprea AD, Keshock MC, O'Glasser AY, Cummings KC 3rd, Edwards AF, Zimbrean PC, Urman RD, Mauck KF

Citation: Mayo Clin Proc. 2022 Feb;97(2):397-416
Recommendations for Preoperative Management of Frailty from SPAQI

Authors: Alvarez-Nebreda ML, Bentov N, Urman RD, Setia S, Huang JC, Pfeifer K, Bennett K, Ong TD, Richman D, Gollapudi D, Alec Rooke G, Javedan H

Citation: J Clin Anesth. 2018 Jun;47:33-42
Preoperative Management of Endocrine, Hormonal, and Urologic Medications: SPAQI Consensus Statement

Authors: Pfeifer KJ, Selzer A, Mendez CE, Whinney CM, Rogers B, Simha V, Regan D, Urman RD, Mauck K

Citation: Mayo Clin Proc. 2021 Jun;96(6):1655-1669
Launching a Geriatric Surgery Center: SPAQI Recommendations

Authors: Cooper L, Abbett SK, Feng A, Bernacki RE, Cooper Z, Urman RD, Frain LN, Edwards AF, Blitz JD, Javedan H, Bader AM

Citation: J Am Geriatr Soc. 2020 Sep;68(9):1941-1946
Preoperative Management of Gastrointestinal and Pulmonary Medications: SPAQI Consensus Statement

Authors: Pfeifer KJ, Selzer A, Whinney CM, Rogers B, Naik AS, Regan D, Mendez CE, Urman RD, Mauck K

Citation: Mayo Clin Proc. 2021 Dec;96(12):3158-3177
Preoperative Management of Opioid and Nonopioid Analgesics: SPAQI Consensus Statement

Authors: O'Rourke MJ, Keshock MC, Boxhorn CE, Correll DJ, O'Glasser AY, Gazelka HM, Urman RD, Mauck K

Citation: Mayo Clin Proc. 2021 May;96(5):1325-1341
Evidence-Based, Patient-Centered Guidance: The Impetus Behind SPAQI Medication Management Consensus Statements

Authors: O'Glasser AY, Pfeifer KJ, Edwards AF, Blitz JD, Urman RD

Citation: Mayo Clin Proc. 2021 May;96(5):1117-1119
Preoperative Management of Surgical Patients Using Dietary Supplements: SPAQI Consensus Statement

Authors: Cummings KC 3rd, Keshock M, Ganesh R, Sigmund A, Kashiwagi D, Devarajan J, Grant PJ, Urman RD, Mauck KF

Citation: Mayo Clin Proc. 2021 May;96(5):1342-1355
Rapid In-Person Cognitive Screening in the Preoperative Setting: SPAQI Recommendations

Authors: Arias F, Wiggins M, Urman RD, Armstrong R, Pfeifer K, Bader AM, Libon DJ, Chopra A, Price CC

Citation: J Clin Anesth. 2020 Jun;62:109724
Using Time-Driven Activity-Based Costing to Demonstrate Value in Perioperative Care: SPAQI Review

Authors: Allin O, Urman RD, Edwards AF, Blitz JD, Pfeifer KJ, Feeley TW, Bader AM

Citation: J Med Syst. 2019 Dec 11;44(1):25
Preoperative Assessment and Optimization of Cognitive Dysfunction and Frailty in Ambulatory Surgical Patients

Authors: Charipova K, Urits I, Viswanath O, Urman RD

Citation: Curr Opin Anaesthesiol. 2020 Dec;33(6):732-739
SPAQI Consensus Statement on Perioperative Smoking Cessation

Authors: Wong J, An D, Urman RD, Warner DO, Tønnesen H, Raveendran R, Abdullah HR, Pfeifer K, Maa J, Finegan B, Li E, Webb A, Edwards AF, Preston P, Bentov N, Richman DC, Chung F

Citation: Anesth Analg. 2020 Sep;131(3):955-968
Common Neurodegenerative Disorders in the Perioperative Setting: SPAQI Recommendations for Screening

Authors: Wiggins M, Arias F, Urman RD, Richman DC, Sweitzer BJ, Edwards AF, Armstrong MJ, Chopra A, Libon DJ, Price C

Citation: Perioper Care Oper Room Manag. 2020 Sep;20:100092
Rapid In-Person Cognitive Screening in the Preoperative Setting: SPAQI Recommendations

Authors: Arias F, Wiggins M, Urman RD, Armstrong R, Pfeifer K, Bader AM, Libon DJ, Chopra A, Price CC

Citation: Perioper Care Oper Room Manag. 2020 Jun;19:100089

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