Evidence map›Paper›PMID 34874493›Full record

SynthesisArchives of gynecology and obstetrics2022

Is there evidence behind pre- or perioperative cognitive training in gynaecological patients on the prevention of perioperative cognitive dysfunction? A review.

Sophia Volz, Franziska Koch, Davud Dayan, Miriam Upadhyay, Stephanie Otto, Fabienne Schochter, Wolfgang Janni, Florian Ebner

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Multimodal Prehabilitation for Gynecologic Cancer Surgery.Current oncology (Toronto, Ont.) · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Sophia Volz *Frauenklinik, Universität Ulm, Prittwitzstr, Ulm, Germany.
Franziska Koch *Helios Klinikum Schwerin, Chirurgie, Schwerin, Germany.
Davud DayanFrauenklinik, Universität Ulm, Prittwitzstr, Ulm, Germany.
Miriam UpadhyayHelios Amper Klinikum Dachau, Krankenhausstr. 15, 85221, Dachau, Germany.
Stephanie OttoUlm University Hospital, Comprehensive Cancer Center Ulm (CCCU), Ulm, Germany.
Fabienne SchochterFrauenklinik, Universität Ulm, Prittwitzstr, Ulm, Germany.
Wolfgang JanniFrauenklinik, Universität Ulm, Prittwitzstr, Ulm, Germany.
Florian EbnerFrauenklinik, Universität Ulm, Prittwitzstr, Ulm, Germany. dr.ebner@web.de.ORCID 0000-0001-6430-8942
Universität Ulm · DEHelios Amper-Klinikum Dachau · DEHelios Hospital Schwerin · DEUniversity Hospital Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePerioperative cognitive dysfunction can be observed in all age groups of patients. Sometimes, this is more stressful to the patient than the actual surgical wound. Enhanced recovery after surgery pathways screen for patients at risk and lead to early post-surgical intervention. To prevent cognitive dysfunction, a prehabilitation approach might be useful.

methodsThis systematic literature review provides an overview on the current knowledge on prehabilitation for cognitive dysfunction for gynaecological patients by searching the National Library of Medicine (PubMed) in February 2020 to identify publications regarding presurgical cognitive training with three different search terms.

results501 articles were identified and after screening for eligibility five were left for further analysis. Generally, cognitive function is split into several cognitive aspects like anxiety or memory, speed, attention, flexibility or problem-solving functions. Each of these aspects can/need to be trained to show an improvement after general anaesthesia. Training possibilities range from relaxation methods via music, one-on-one personal training sessions to electronically supported training units.

conclusionPrehabilitation of the cognitive function can be split in different cognitive domains. Each of these domains seem to be influenced by training. The training itself can be based on applications or known relaxation methods or even old-fashioned board games. The evidence is, however, still low and there is a need for further studies.

Indexed as

Cognition DisordersCognitive DysfunctionGynecologyCognitionHumansUnited StatesCognitiveERASPrehabilitationPreventionRecoverySurgery

Identifiers

PMID34874493
PMCPMC9470716
OpenAlexW4200615284

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.