Responsibility cannot be abdicated: a mandate for Patient-Centred Precision Care in perioperative brain health

The authors examine the challenge of preventing postoperative delirium, which affects a significant percentage of vulnerable surgical patients, and highlight the need for a shift from reactive treatments to proactive, evidence-based preventive strategies. They argue that the current healthcare system's reliance on costly reactive measures, despite weaker evidence, creates economic inefficiencies and patient harm. The paper advocates for the implementation of Patient-Centred Precision Care to enhance perioperative brain health and ensure sustainable healthcare practices.