ArticleClinical medicine (London, England)2021
Establishing a perioperative medicine for older people undergoing surgery service for general surgical patients at a district general hospital.
Article in Clinical medicine (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 16 citations in OpenAlex.
- Geriatric Models of Surgical Care: A Scoping Review.Journal of advanced nursing · 2026Article
- Protein-based perioperative nutrition interventions for improving muscle mass and functional outcomes following orthopaedic surgery.Experimental physiology · 2025Review
- SNAP-3: characteristics of specific subgroups of older patients undergoing surgery in the UK.British journal of anaesthesia · 2025Observational
- A survey of the workload generated by older surgical patients referred to on-call medical registrars-SNAP-3.BJA open · 2025Article
- Frailty in Cardiac Surgery-Assessment Tools, Impact on Outcomes, and Optimisation Strategies: A Narrative Review.Journal of cardiovascular development and disease · 2025Review
- Development of a minimum clinical dataset for preoperative comprehensive geriatric assessment using a modified Delphi technique.Australasian journal on ageing · 2024Article
- Using Systems Engineering and Implementation Science to Design an Implementation Package for Preoperative Comprehensive Geriatric Assessment Among Older Adults Having Major Abdominal Surgery: Protocol for a 3-Phase Study.JMIR research protocols · 2024Article
- The implementation of a perioperative medicine for older people undergoing surgery service: a qualitative case study.BMC health services research · 2024Article
- Developing the workforce to deliver perioperative medicine for older people undergoing surgery: a transdisciplinary education programme.Future healthcare journal · 2023Article
- Implementing a perioperative care of older people undergoing surgery (POPS) service: findings from a multi-site qualitative implementation study.Age and ageing · 2023Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThere is growing recognition of the need for perioperative medicine services for older surgical patients. Comprehensive geriatric assessment and optimisation methodology has been successfully used to improve perioperative outcomes at tertiary centres. This paper describes translation of an established model of geriatrician-led perioperative care to a district general hospital (DGH) setting.
methodsA mixed methods quality improvement programme was used and included stakeholder co-design, identification of core components, definition of mechanisms for change, and measurement of impact through qualitative and quantitative approaches.
resultsWithin 18 months, a substantive perioperative service for older people was established at a DGH, funded by the surgical directorate. Key outcomes included reduction in length of stay and 30-day readmission and positive staff and patient experience. DISCUSSION: This study is in keeping with improvement science literature demonstrating the importance of a mixed-methods approach in translating an evidenced-based intervention into another setting, maintaining fidelity and replicating results.
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