Surgery Websites
Center for Surgery in Older Adults »  Core Members »  Director »  Emily Finlayson, M.D., M.S.
Emily Finlayson, M.D., M.S., FACS

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

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
Open Popup
  • 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 69
  1. Seib CD, Chomsky-Higgins K, Gosnell JE, Shen WT, Suh I, Duh QY, Finlayson E. Patient Frailty Should Be Used to Individualize Treatment Decisions in Primary Hyperparathyroidism. World J Surg. 2018 Apr 25. View in PubMed
  2. Suskind AM, Zhao S, Walter LC, Boscardin WJ, Finlayson E. Mortality and Functional Outcomes After Minor Urological Surgery in Nursing Home Residents: A National Study. J Am Geriatr Soc. 2018 Mar 23. View in PubMed
  3. Berian JR, Baker TL, Rosenthal RA, Coleman J, Finlayson E, Katlic MR, Lagoo-Deenadayalan SA, Tang VL, Robinson TN, Ko CY, Russell MM. Application of the RAND-UCLA Appropriateness Methodology to a Large Multidisciplinary Stakeholder Group Evaluating the Validity and Feasibility of Patient-Centered Standards in Geriatric Surgery. Health Serv Res. 2018 Mar 22. View in PubMed
  4. 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. 2018 Feb; 267(2):280-290. View in PubMed
  5. Fleming F, Gaertner W, Ternent CA, Finlayson E, Herzig D, Paquette IM, Feingold DL, Steele SR. The American Society of Colon and Rectal Surgeons Clinical Practice Guideline for the Prevention of Venous Thromboembolic Disease in Colorectal Surgery. Dis Colon Rectum. 2018 Jan; 61(1):14-20. View in PubMed
  6. Colley A, Finlayson E. Treatment Intensity After Traumatic Brain Injury: More Is Not Better. JAMA Surg. 2018 Jan 01; 153(1):51. View in PubMed
  7. Min L, Hall K, Finlayson E, Englesbe M, Palazzolo W, Chan CL, Hou H, Miller A, Diehl KM. Estimating Risk of Postsurgical General and Geriatric Complications Using the VESPA Preoperative Tool. JAMA Surg. 2017 Dec 01; 152(12):1126-1133. View in PubMed
  8. Berian JR, Zhou L, Hornor MA, Russell MM, Cohen ME, Finlayson E, Ko CY, Robinson TN, Rosenthal RA. Optimizing Surgical Quality Datasets to Care for Older Adults: Lessons from the American College of Surgeons NSQIP Geriatric Surgery Pilot. J Am Coll Surg. 2017 Dec; 225(6):702-712.e1. View in PubMed
  9. Seib CD, Rochefort H, Chomsky-Higgins K, Gosnell JE, Suh I, Shen WT, Duh QY, Finlayson E. Association of Patient Frailty With Increased Morbidity After Common Ambulatory General Surgery Operations. JAMA Surg. 2017 Oct 11. View in PubMed
  10. Suskind AM, Finlayson E. Author Reply. Urology. 2017 Aug; 106:37-38. View in PubMed
  11. View All Publications
Publications provided by UCSF Profiles, powered by CTSI at UCSF. View profile of Emily Finlayson, M.D., M.S., FACS
Please note: UCSF Profiles publications are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact CTSI for help.

Site Directory
    X