Observational studyJournal of the American Geriatrics Society2019
What Matters? The Valued Life Activities of Older Adults Undergoing Elective Surgery.
Observational study in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Evaluation of Internal Medicine Physician or Multidisciplinary Team Comanagement of Surgical Patients and Clinical Outcomes: A Systematic Review and Meta-analysis.JAMA network open · 2020Pooled it
- Implementing PST in older adults facing major surgery: a randomised controlled pilot study.BMJ open · 2025Trial
- "There's So Much That They're Enduring": Experiences of Older Adults Undergoing Major Elective Surgery.Annals of surgery · 2025Article
- Operating on the Oldest-Old: Vaginal Prolapse Surgery Outcomes in Women Over 90.Urogynecology (Philadelphia, Pa.) · 2025Article
- "I value it, but someone should do it": fitness staff's perspectives on task-oriented resistance exercise in retirement communities.Frontiers in public health · 2025Article
- Trajectories of Postoperative Depressive Symptoms in Older Patients Undergoing Major Surgery.JAMA network open · 2024Article
- "I can't imagine having to do it on your own": a qualitative study on postoperative transitions in care from the perspectives of older adults with frailty.BMC geriatrics · 2023Article
- Self-perceived functioning and (instrumental) activities of daily living questionnaires after a hip fracture: Do they tell the same story?Age and ageing · 2022Article
- The association of bowel function, participation in life activities, and quality of life in rectal cancer survivors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- Automated Frailty Screening At-Scale for Pre-Operative Risk Stratification Using the Electronic Frailty Index.Journal of the American Geriatrics Society · 2021Article
- Improving quality in colon and rectal surgery through palliative care.Seminars in colon & rectal surgery · 2020Article
- Implications of postoperative cognitive decline for satisfaction with anaesthesia care.British journal of anaesthesia · 2020Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesValued life activities are those activities an individual deems particularly important or meaningful. Surgery in older adults can affect their ability to perform valued activities, but data are lacking. We characterized these activities and assessed performance of them following surgery.
designRetrospective observational study.
settingPreoperative program for older adults undergoing elective surgery at an academic hospital.
participantsOlder adults (N = 194) in the program from February 2015 to February 2018. MEASUREMENTS: A preoperative written questionnaire asked, "What are the activities that are most important to you to be able to do when you return home from surgery?" Participants could list up to three activities. Content analysis was used to develop domains of valued life activities and categorize responses. Postoperative questionnaires and medical records were used to determine ability to perform activities 6 months after surgery.
resultsOf 194 participants (mean age = 74.9 ± 9.1 y), 57.7% were female; 33.5% had more than two comorbid conditions. We elicited 510 valued activities, with a mean of 2.6 (± .7) activities per participant. Content analysis revealed five categories: (1) recreational activities (28.9%); (2) mobility (24.9%); (3) activities of daily living (ADLs; 17.5%); (4) instrumental activities of daily living (IADLs; 16.9%); and (5) social activities (12.0%). Ultimately, 154 participants had surgery, of which 27.3% were unable to perform one of their valued activities at 6 months. Performance varied between activity categories; 91.9% of mobility activities, 90.8% of ADLs, 80.3% of IADLs, 77.3% of social activities, and 65.5% of recreational activities were able to be performed after surgery.
conclusionOlder adults expressed a wide range of valued life activities. More than one-quarter were unable to engage in at least one valued life activity after surgery, with recreation the most commonly affected. Assessment of valued life activities should be incorporated into the perioperative management of older adults. J Am Geriatr Soc 67:2305-2310, 2019.
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