ArticleJournal of the American Geriatrics Society2018
Increasing Advance Care Planning Using a Surgical Optimization Program for Older Adults.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06174701 (Building Resilience for Surgical Recovery), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Building Resilience for Surgical Recovery: Feasibility and Acceptability Pilot Study
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Shared decision making and advance care planning: a systematic literature review and novel decision-making model.BMC medical ethics · 2023Pooled it
- Implementing PST in older adults facing major surgery: a randomised controlled pilot study.BMJ open · 2025Trial
- Expressions of conflict following postoperative complications in older adults having major surgery.American journal of surgery · 2021Trial
- Evaluating a digital prehabilitation tool in patients with colorectal surgery: protocol for a multisite randomised controlled trial.BMJ open · 2025Article
- "It Gives Me Peace of Mind So I Can Focus on Healing": Views on Advance Care Planning for Older Surgical Patients.Journal of palliative medicine · 2024Article
- Views of health care professionals on the implementation of preoperative advance care planning in older patients with head and neck cancer: Q methodology.International journal of nursing sciences · 2024Article
- Enhanced recovery after surgery, current, and future considerations in head and neck cancer.Laryngoscope investigative otolaryngology · 2023Review
- Sex-Related Differences in Acuity and Postoperative Complications, Mortality and Failure to Rescue.The Journal of surgical research · 2023Article
- Thoracic surgery with geriatric assessment and collaboration can prepare frail older adults for lung cancer surgery.Journal of surgical oncology · 2022Article
- Preoperative Advance Care Planning for Older Adults Undergoing Major Abdominal Surgery.The American journal of hospice & palliative care · 2022Article
- Mortality After Elective Surgery: The Potential Role for Preoperative Palliative Care.The Journal of surgical research · 2021Article
- Systematic Approach to Selecting and Preparing a Medical Power of Attorney in the Gynecologic Oncology Center.Journal of oncology practice · 2019Article
- What Matters? The Valued Life Activities of Older Adults Undergoing Elective Surgery.Journal of the American Geriatrics Society · 2019Observational
- Impact of an Interprofessional Health Student Education Program on Older Adult Participants.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesTo describe an innovative model of care, the Surgery Wellness Program (SWP), that uses a multidisciplinary team to develop and implement preoperative care plans for older adults, and its effect on engagement in advance care planning (ACP).
designRetrospective analysis of clinical demonstration project.
settingPreoperative optimization program for older adults undergoing surgery at a 796-bed academic tertiary hospital.
participantsOlder adults (N=131) who participated in the SWP from February 2015 to August 2017.
interventionAll SWP participants met with a geriatrician who engaged them in a semistructured ACP discussion. Trained medical and nurse practitioner students were used as health coaches who contacted participants regularly to address and document ACP. MEASUREMENTS: Self-report of ACP engagement before and after participation in the SWP was determined using SWP geriatrician and health coach progress notes. Medical records were examined for scanned documentation. Feasibility data on number of health coach calls were collected.
resultsAfter completion of the program, the proportion of participants with a designated surrogate increased from 67% to 78% (p<.001), completed advance directive (AD) from 51% to 72% (p<.001), and an AD scanned into the medical record from 14% to 60% (p<.001). Participants who underwent surgery received a median of 4 health coaching calls over a median of 27 days between their clinic visit and surgery. Case examples are presented to highlight how the SWP attends to the many components of the ACP process.
conclusionPreoperative optimization programs provide a unique opportunity to engage older adults in ACP.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.