Evidence map›Paper›PMID 35129499›Full record

ArticleAnnals of surgery2023

Public Opinions About Surgery in Older Adults: A Thematic Analysis.

Charlie Dharmasukrit, Malini Ramaiyer, Ellis C Dillon, Marcia M Russell, Meghan Dutt, Alexis Colley, Victoria L Tang

Abstract read
In one paragraph

Article in Annals of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Making a Financial Case for the Geriatric Surgery Verification Program.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
    Article
  4. Article
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

7 authors.

Charlie DharmasukritVeterans Affairs Quality Scholars Program, San Francisco Veterans Affairs Medical center, San Francisco, California.
Malini RamaiyerDivision of Geriatrics, Department of Medicine, University of california, San Francisco, California.
Ellis C Dilloncenter for Health Systems Research, Sutter Health, and Palo Alto Medical Foundation Research institute, Palo Alto, california.
Marcia M RussellDepartment of Surgery, University of California, Los Angeles, California.
Meghan DuttCollege of Medicine, California Northstate University, Elk Grove, California.
Alexis ColleyDepartment of Surgery, University of California, San Francisco, California.
Victoria L TangDivision of Geriatrics, Department of Medicine, University of california, San Francisco, California.

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KENNETH E. COVINSKY, MICHAEL A. STEINMAN · 2013 to 2026
$19.9M
Improving Outcomes of Older Adults with Psychosocial Vulnerability Undergoing Major SurgeryK76AG059931 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI TANG, VICTORIA LAI-YEN · 2019 to 2023
$1.4M
NIA NIH HHS K76 AG059931NIA NIH HHS P30 AG044281
6 · The paper itself

Abstract

objectiveTo examine public opinions of surgery in older adults.

backgroundIncreasing numbers of older adults are undergoing surgery. National healthcare organizations recognize the increased risks of postoperative complications and mortality in the older surgical population and have made efforts to improve the care of older adults undergoing surgery through hospital-level programs. However, limited research has explored the opinions and responses of the wider U.S. public regarding surgery in older adults.

methodsWe performed a qualitative, thematic analysis of reader comments posted in response to online newspaper articles relating to surgery in older adults. Articles were published in 2019-2020 and targeted for a popular press audience.

resultsNine hundred eight reader comments posted in response to 6 articles relating to surgery in older adults were identified. Articles were published in online editions of print newspapers with a digital circulation between 1.3 and 5.7 million subscribers. Three themes were identified: (1) wariness/distrust towards healthcare: including general distrust of medicine and distrust of surgery, (2) problems experienced: ineffective communication and unrealistic expectations, and (3) recommended solutions: the need for multidisciplinary teams and patient-centered communication.

conclusionsOverall, the public viewed surgery in older adults with wariness/distrust due to ineffective communication and unrealistic expectations. Specialized surgical care tailored to the unique needs of older adults is needed. The public perspective suggests that U.S. health systems should strongly consider adopting programs that provide care to meet the unique needs of older adults undergoing surgery and ultimately improve both patient outcomes and their surgical experience.

Indexed as

Group PracticeMedicineAgedCommunicationHumansPostoperative ComplicationsPublic Opinion

Identifiers

PMID35129499
PMCPMC9081294

What OpenQuestion holds

Textmetadata
LicenceTDM
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.