Study population
Frailty
Anesthesiologists screen all patients scheduled for noncardiac surgery in the participating hospitals to identify those eligible for participation in this trial. Patients are eligible if they meet the following inclusion criteria: ≥ 18 years of ageAmerican Society of Anesthesiology (ASA) physical status score ≥ 3Clinical Frailty Scale ≥ 4 [Planned for elective or semi-elective non-cardiac surgeryAs stated by the 2010 Dutch preoperative guideline [∘ Doubt by the surgeon, anesthesiologist or patient regarding the harm-benefit ratio of the surgical procedure∘ Doubt if the correct measures were taken to limit the perioperative risk as much as possible∘ Doubt if the patient agrees with the surgical and anesthetic plan and the expected risksThe exclusion criteria are:No informed consentEmergency surgeryThe impossibility to communicate with the patient directly or through a third party, such as a relative or an interpreterProposed surgical procedure for which a preoperative MDT meeting, similar to the current study intervention, already exists in that hospital at the start of the study