Evidence map›Paper›PMID 33468061›Full record

ArticleBMC geriatrics2021

Geriatrician perspectives on perioperative care: a qualitative study.

Janani Thillainadesan, Jesse Jansen, Jacqui Close, Sarah Hilmer, Vasi Naganathan

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Geriatric Models of Surgical Care: A Scoping Review.Journal of advanced nursing · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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  9. Review
  10. Challenges in Geriatric Oncology-A Surgeon's Perspective.Current oncology (Toronto, Ont.) · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Janani ThillainadesanDepartment of Geriatric Medicine, Concord Hospital, Sydney, Australia. Janani.Thillainadesan@health.nsw.gov.au.ORCID 0000-0002-5287-7483
Jesse JansenCentre Wiser Healthcare, and Sydney Health Literacy Lab, School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Jacqui CloseFalls, Balance and Injury Research Centre, Neuroscience Research Australia, University of New South Wales, and Prince of Wales Clinical School, University of New South Wales, Sydney, Australia.
Sarah HilmerKolling Institute of Medical Research, Sydney Medical School, University of Sydney and Royal North Shore Hospital, Sydney, Australia.
Vasi NaganathanDepartment of Geriatric Medicine, Concord Hospital, Sydney, Australia.
The University of Sydney · AUUNSW Sydney · AU

Funding

Medical Insurance Group of Australia Doctors in Training Grants ProgramNational Health and Medical Research Council Medical Research Postgraduate Scholarship
6 · The paper itself

Abstract

backgroundPerioperative medicine services for older surgical patients are being developed across several countries. This qualitative study aims to explore geriatricians' perspectives on challenges and opportunities for developing and delivering integrated geriatrics perioperative medicine services.

methodsA qualitative phenomenological semi-structured interview design. All geriatric medicine departments in acute public hospitals across Australia and New Zealand (n = 81) were approached. Interviews were conducted with 38 geriatricians. Data were analysed thematically using a framework approach.

resultsGeriatricians identified several system level barriers to developing geriatrics perioperative medicine services. These included lack of funding for staffing, encroaching on existing consultative services, and competing clinical priorities. The key barrier at the healthcare professional level was the current lack of clarity of roles within the perioperative care team. Key facilitators were perceived unmet patient needs, existing support for geriatrician involvement from surgical and anaesthetic colleagues, and the unique skills geriatricians can bring to perioperative care. Despite reporting barriers, geriatricians are contemplating and implementing integrated proactive perioperative medicine services. Geriatricians identified a need to support other specialties gain clinical experience in geriatric medicine and called for pragmatic research to inform service development.

conclusionsGeriatricians perceive several challenges at the system and healthcare professional levels that are impacting current development of geriatrics perioperative medicine services. Yet their strong belief that patient needs can be met with their specialty skills and their high regard for team-based care, has created opportunities to implement innovative multidisciplinary models of care for older surgical patients. The barriers and evidence gaps highlighted in this study may be addressed by qualitative and implementation science research. Future work in this area may include application of patient-reported measures and qualitative research with patients to inform patient-centred perioperative care.

Indexed as

GeriatriciansPerioperative CareAgedAustraliaHumansNew ZealandQualitative ResearchGeriatriciansHealth services for the agedPerioperative careQualitative research

Identifiers

PMID33468061
PMCPMC7816344
OpenAlexW3121596508

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.