Evidence map›Paper›PMID 32651902›Full record

ReviewAging clinical and experimental research2020

Perioperative Management of Elderly patients (PriME): recommendations from an Italian intersociety consensus.

Paola Aceto, Raffaele Antonelli Incalzi, Gabriella Bettelli, Michele Carron, Fernando Chiumiento, Antonio Corcione, Antonio Crucitti, Stefania Maggi, Marco Montorsi, Maria Caterina Pace and 5 more

Erratum issuedOpen access · hybridAbstract readReviewConsensus Statement
In one paragraph

Review in Aging clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 73 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 2 pooled it
8.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 2 syntheses or guidelines pooled it, 130 citations in OpenAlex.

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13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 12 institutions in 1 country.

Paola AcetoFondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Raffaele Antonelli IncalziPoliclinico Universitario Campus Biomedico, Rome, Italy.
Gabriella BettelliPast Director Geriatric Surgery Area and Anaesthesia Dpt., INRCA, Italian National Research Centre on Aging, Ancona, Italy.
Michele CarronUniversità degli Studi di Padova, Padua, Italy.
Fernando ChiumientoASL Salerno, Salerno, Italy.
Antonio CorcioneMonaldi-Ospedale Dei Colli, Naples, Italy.
Antonio CrucittiFondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Stefania MaggiCNR, Institute of Neuroscience, Aging Branch, Padua, Italy.
Marco MontorsiHumanitas University and Research Hospital IRCCS, Milan, Italy.
Maria Caterina PaceUniversità degli Studi "Luigi Vanvitelli", Naples, Italy.
Flavia PetriniUniversità degli Studi G.d'Annunzio, Chieti, Italy.
Concezione TommasinoUniversità degli Studi di Milano, Milan, Italy.
Marco TrabucchiUniversità degli Studi di Tor Vergata, Rome, Italy.
Stefano VolpatoUniversità degli Studi di Ferrara, Ferrara, Italy. vlt@unife.it.ORCID http://orcid.org/0000-0003-4335-6034
Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI), Società Italiana di Gerontologia e Geriatria (SIGG), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia Geriatrica (SICG) and Associazione Italiana di Psicogeriatria (AIP)
Università Cattolica del Sacro Cuore · ITCampus Bio Medico University Hospital · ITHumanitas University · ITIstituto Nazionale di Riposo e Cura per Anziani · ITNeuroscience Institute · ITOspedale Monaldi · ITUniversity of Chieti-Pescara · ITUniversity of Ferrara · ITUniversity of Milan · ITUniversity of Padua · ITUniversity of Rome Tor Vergata · ITUniversity of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical outcomes in geriatric patients may be complicated by factors such as multiple comorbidities, low functional performance, frailty, reduced homeostatic capacity, and cognitive impairment. An integrated multidisciplinary approach to management is, therefore, essential in this population, but at present, the use of such an approach is uncommon. The Perioperative Management of Elderly patients (PriME) project has been established to address this issue.

aimsTo develop evidence-based recommendations for the integrated care of geriatric surgical patients.

methodsA 14-member Expert Task Force of surgeons, anesthetists, and geriatricians was established to develop evidence-based recommendations for the pre-, intra-, and postoperative care of hospitalized older patients (≥ 65 years) undergoing elective surgery. A modified Delphi approach was used to achieve consensus, and the strength of recommendations and quality of evidence was rated using the U.S. Preventative Services Task Force criteria.

resultsA total of 81 recommendations were proposed, covering preoperative evaluation and care (30 items), intraoperative management (19 items), and postoperative care and discharge (32 items).

conclusionsThese recommendations should facilitate the multidisciplinary management of older surgical patients, integrating the expertise of the surgeon, the anesthetist, the geriatrician, and other specialists and health care professionals (where available) as needed. These roles may vary according to the phase and setting of care and the patient's conditions.

Indexed as

Geriatric AssessmentGeriatriciansAgedAged, 80 and overComorbidityHumansItalyAnalgesiaAnesthesiaComprehensive geriatric assessmentFrail olderOlder patientsPerioperative careSurgery

Identifiers

PMID32651902
PMCPMC7508736
OpenAlexW3041125076

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.