Enhanced Recovery After Surgery (ERAS) »  Surgery »  Emily Finlayson, M.D., M.S.
Emily Finlayson, M.D., M.S., FACS

Emily Finlayson, M.D., M.S., FACS

Associate Professor in Residence
Department of Surgery, Division of General Surgery
Department of Medicine, Division of Geriatrics
Phillip R. Lee Institute for Health Policy Studies
Director, Center for Surgery in Older Adults
Director, Department of Surgery Faculty Mentoring Program

Contact Information

(415) 885-3606 Patients & Clinic
(415) 885-3625 Academic Office
emily.finlayson@ucsf.edu
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  • 1985-89 Yale University, New Haven, CT- B.A., Arts
  • 1990-93 Stanford University, Stanford, CA - Pre-Med
  • 1993-97 Harvard Medical School, Boston, MA - M.D.
  • 2000-02 Dartmouth Medical School, Hanover, NH - M.S.
  • 1997-2000  University of California, San Francisco - Intern, General Surgery
  • 2002-04  University of California, San Francisco - Resident, General Surgery
  • 2000-02 V.A. Outcomes Group, V.A. Medical Center, White River Junction, VT - Fellow, Surgical Outcomes Research
  • 2004-05 Mayo Clinic, Rochester, MN - Fellow, Colon and Rectal Surgery
  • American Board of Surgery, 2005
  • American Board of Colon and Rectal Surgery, 2006
  • Anal Cancer
  • Colitis
  • Colon Cancer
  • Constipation
  • Crohn's Disease
  • Diverticulitis
  • Fecal Incontinence
  • Hemorrhoids
  • Inflammatory Bowel Disease
  • Pelvic Floor Disorders
  • Presacral Tumors
  • Rectal Cancer
  • Ulcerative Colitis
  • Surgical outcomes in frail elderly patients

Emily Finlayson, M.D., M.S., FACS  is Associate Professor of Surgery and Health Policy, and Director of the UCSF Center for Surgery in Older Adults (CSOA). Her clinical areas of expertise include colon and rectal cancer, ulcerative colitis and Crohn's disease, with a focus on minimally invasive surgical techniques.

After completing her medical degree at Harvard Medical School, Dr. Finlayson trained in general surgery at UCSF and in colon and rectal surgery at the Mayo Clinic in Rochester, Minnesota. In her post-doctorate training, she received a Master of Science from the Center for Evaluative Clinical Sciences at Dartmouth Medical School and completed a research fellowship with the VA Outcomes Group in White River Junction, Vermont.  She was on faculty at the University of Michigan Department of Surgery and the Michigan Surgical Collaborative for Outcomes Research and Evaluation until she returned to UCSF in 2009. Her current research is in population-based surgical outcomes with a focus on functional outcomes in the frail elderly.

Dr. Emily Finlayson is also Director of the Department of Surgery Faculty Mentoring Program, one that facilitates the development and implementation of robust career plans for incoming faculity. She is also  Co-Chair of the Data Registry Subcommittee for the The Coalition for Quality in Geriatric Surgery Project.

Dr. Finlayson's research focuses on using administrative data to examine ‘real world' surgical outcomes in the elderly. For example, in an analysis of operative mortality in 1.2 million Medicare beneficiaries age 65 and older undergoing elective diagnostic high-risk surgery, she found that the risk of death increased dramatically with age. Her work examining the impact of age and comorbidity on operative mortality and survival among octogenarians undergoing cancer surgery demonstrated population-based mortality rates in octogenarians that were considerably higher than those reported in published reports from case series or trials. To better understand surgical risks in elders, she has explored the role of institutional factors in surgical outcomes. As is now widely recognized, her work demonstrated that provider procedure volume is inversely related to operative mortality for many high-risk operations and that this association was greatest in elder surgical patients.

In Dr. Finlayson's most recent work, she uses a national nursing home registry to evaluate outcomes after surgery in long stay nursing home residents. She found that nursing home residents experienced high operative mortality for ‘low risk' procedures. After operations to remove the gallbladder or appendix, more that 1 out of 10 nursing home residents died after surgery. She has also used this data to evaluate survival and functional status after colon cancer surgery and found that nursing home residents experience substantial and sustained functional decline after surgery. One-year survival was less than 50%.

The findings in her epidemiology research inspired the creation of the UCSF Center for Surgery in Older Adults. Under her leadership, the interdisciplinary team of stakeholders from surgery, anesthesia, rehabilitation services, geriatrics, palliative care, nursing, education, and health policy with expertise in quantitative research, qualitative research, and implementation science are working together to develop, implement, evaluate best practices in geriatric surgery through the development of a geriatric surgery registry. Our overarching goal is to discover best practices in geriatric surgery through patient-centered outcomes assessment, comparative effectiveness analyses, and interventional trials. In addition, we identify and explore barriers to delivery of optimal care with the aim to improve implementation of interdisciplinary patient-centered surgical care for older adults at UCSF and beyond.

ResidentYearsGrant or Funding Source
Jennifer Kaplan, M.D. 7/1/2014-
Jessica Cohan, M.D.
Lawrence Oresanya, M.D.
 
Most recent publications from a total of 61
  1. Wick EC, Finlayson E. Frailty-Going From Measurement to Action. JAMA Surg. 2017 Aug 01; 152(8):757-758. View in PubMed
  2. Taylor LJ, Rathouz PJ, Berlin A, Brasel KJ, Mosenthal AC, Finlayson E, Cooper Z, Steffens NM, Jacobson N, Buffington A, Tucholka JL, Zhao Q, Schwarze ML. Navigating high-risk surgery: protocol for a multisite, stepped wedge, cluster-randomised trial of a question prompt list intervention to empower older adults to ask questions that inform treatment decisions. BMJ Open. 2017 May 29; 7(5):e014002. View in PubMed
  3. Suskind AM, Quanstrom K, Zhao S, Bridge M, Walter LC, Neuhaus J, Finlayson E. Overactive Bladder Is Strongly Associated With Frailty in Older Individuals. Urology. 2017 Aug; 106:26-31. View in PubMed
  4. Pangilinan J, Quanstrom K, Bridge M, Walter LC, Finlayson E, Suskind AM. The Timed Up and Go Test as a Measure of Frailty in Urologic Practice. Urology. 2017 Aug; 106:32-38. View in PubMed
  5. Berian JR, Rosenthal RA, Baker TL, Coleman J, Finlayson E, Katlic MR, Lagoo-Deenadayalan SA, Tang VL, Robinson TN, Ko CY, Russell MM. Hospital Standards to Promote Optimal Surgical Care of the Older Adult: A Report From the Coalition for Quality in Geriatric Surgery. Ann Surg. 2017 Mar 08. View in PubMed
  6. Suskind AM, Finlayson E. A Call for Frailty Screening in the Preoperative Setting. JAMA Surg. 2017 Mar 01; 152(3):240-241. View in PubMed
  7. Suskind AM, Jin C, Walter LC, Finlayson E. Frailty and the Role of Obliterative versus Reconstructive Surgery for Pelvic Organ Prolapse: A National Study. J Urol. 2017 Jun; 197(6):1502-1506. View in PubMed
  8. Suskind AM, Walter LC, Zhao S, Finlayson E. Functional Outcomes After Transurethral Resection of the Prostate in Nursing Home Residents. J Am Geriatr Soc. 2017 Apr; 65(4):699-703. View in PubMed
  9. Kaplan JA, Brinson Z, Hofer R, O'Sullivan P, Chang A, Horvath H, Chang GJ, Finlayson E. Early learners as health coaches for older adults preparing for surgery. J Surg Res. 2017 Mar; 209:184-190. View in PubMed
  10. Velayos F, Kathpalia P, Finlayson E. Changing Paradigms in Detection of Dysplasia and Management of Patients With Inflammatory Bowel Disease: Is Colectomy Still Necessary? Gastroenterology. 2017 Feb; 152(2):440-450.e1. View in PubMed
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