ArticleBMC anesthesiology2017
Surgical frailty assessment: a missed opportunity.
Article in BMC anesthesiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04717869 (Identifying Modifiable PAtient Centered Therapeutics Frailty), which is not on this map. Cited by 28 papers.
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.
Identifying Modifiable PAtient Centered Therapeutics Frailty: An Observational Cohort Study
Who cites it
28 citing papers in PubMed, 66 citations in OpenAlex.
- Trial
- Assessing stakeholder's perception and utilisation of frailty assessment in a vascular surgery setting - a national mixed methods study.BMC surgery · 2026Article
- Frailty assessment in perioperative geriatric patients: a narrative review.Anesthesia and pain medicine · 2026Review
- Consumers' Perspectives on the Design of a New Digital Frailty Education Course, 'Focus on Frailty': A Qualitative Co-Design Study.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Frailty and body composition predict adverse outcomes after emergency general surgery admission: a multicentre observational cohort study.Annals of the Royal College of Surgeons of England · 2025Observational
- Surgeon attitudes toward risk stratification in emergency surgery for the elderly: an ESTES cross-sectional survey.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- 'Focus on Frailty': Co-Designing Digital Frailty Education with Healthcare Students.Journal of multidisciplinary healthcare · 2025Article
- A frailty census of older adults in the emergency department and acute inpatient settings of a model 4 hospital in the Mid-West of Ireland.Irish journal of medical science · 2024Article
- A multicentre survey investigating the knowledge, behaviour, and attitudes of surgical healthcare professionals to frailty assessment in emergency surgery: DEFINE(surgery).European geriatric medicine · 2024Article
- Hospital-Based Health Professionals' Perceptions of Frailty in Older People.The Gerontologist · 2024Article
- Differences in preoperative frailty assessment of surgical candidates by sex, age, and race.Surgery open science · 2024Article
- Current frailty knowledge, awareness, and practices among physicians following the 2022 European consensus document on Frailty in Cardiology.European heart journal open · 2024Article
- Preoperative frailty assessment: just do it!Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- Interrater reliability of the Clinical Frailty Scale in the anesthesia preadmission clinic.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- The influence of frailty on outcomes for older adults admitted to hospital with benign biliary disease: a single-centre, observational cohort study.Annals of the Royal College of Surgeons of England · 2023Observational
- Identifying barriers and facilitators to routine preoperative frailty assessment: a qualitative interview study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022Article
- Comparison of Electronic Frailty Metrics for Prediction of Adverse Outcomes of Abdominal Surgery.JAMA surgery · 2022Article
- Preoperative Point-of-Care Ultrasound to Identify Frailty and Predict Postoperative Outcomes: A Diagnostic Accuracy Study.Anesthesiology · 2022Article
- Utility and reliability of the Clinical Frailty Scale in patients scheduled for major vascular surgery: a prospective, observational, multicentre observer-blinded study.Perioperative medicine (London, England) · 2022Article
- Frailty as a growing challenge for anesthesiologists - results of a Dutch national survey.BMC anesthesiology · 2021Article
Corrections and comments
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Authors and funding
8 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreoperative frailty predicts adverse postoperative outcomes. Despite the advantages of incorporating frailty assessment into surgical settings, there is limited research on surgical healthcare professionals' use of frailty assessment for perioperative care.
methodsHealthcare professionals caring for patients enrolled at a Canadian teaching hospital were surveyed to assess their perceptions of frailty, as well as attitudes towards and practices for frail patients. The survey contained open-ended and 5-point Likert scale questions. Responses were compared across professions using independent sample t-tests and correlations between survey items were analyzed.
resultsNurses and allied health professionals were more likely than surgeons to think frailty should play a role in planning a patient's care (nurses vs. surgeons p = 0.008, allied health vs. surgeons p = 0.014). Very few respondents (17.5%) reported that they 'always used' a frailty assessment tool. Results from qualitative data analysis identified four main barriers to frailty assessment: institutional, healthcare system, professional knowledge, and patient/family barriers.
conclusionAcross all disciplines, the lack of knowledge about frailty issues was a prominent barrier to the use of frailty assessments in practice, despite clinicians' understanding that frailty affects their patients' outcomes. Confidence in frailty assessment tool use through education and addressing barriers to implementation may increase use and improve patient care. Healthcare professionals agree that frailty assessments should play a role in perioperative care. However, few perform them in practice. Lack of knowledge about frailty is a key barrier in the use of frailty assessments and the majority of respondents agreed that they would benefit from further training.
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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 OpenQuestion graph.