Evidence map›Paper›PMID 35978162›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2022

Identifying barriers and facilitators to routine preoperative frailty assessment: a qualitative interview study.

Emily Hladkowicz, Kristin Dorrance, Gregory L Bryson, Alan Forster, Sylvain Gagne, Allen Huang, Manoj M Lalu, Luke T Lavallée, Husein Moloo, Janet Squires and 1 more

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Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2022. 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. Trial
  2. Review
  3. Review
  4. Preoperative frailty assessment: just do it!Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    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

11 authors.

Emily HladkowiczDepartment of Anesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Kristin DorranceDepartment of Anesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Gregory L BrysonDepartment of Anesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Alan ForsterOttawa Hospital Research Institute, Ottawa, ON, Canada.
Sylvain GagneDepartment of Anesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Allen HuangOttawa Hospital Research Institute, Ottawa, ON, Canada.
Manoj M LaluDepartment of Anesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Luke T LavalléeOttawa Hospital Research Institute, Ottawa, ON, Canada.
Husein MolooOttawa Hospital Research Institute, Ottawa, ON, Canada.
Janet SquiresOttawa Hospital Research Institute, Ottawa, ON, Canada.
Daniel I McIsaacDepartment of Anesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada. dmcisaac@toh.ca.ORCID http://orcid.org/0000-0002-8543-1859

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePreoperative frailty assessment is recommended by multiple practice guidelines and may improve outcomes, but it is not routinely performed. The barriers and facilitators of routine preoperative frailty assessment have not been formally assessed. Our objective was to perform a theory-guided evaluation of barriers and facilitators to preoperative frailty assessment.

methodsThis was a research ethics board-approved qualitative study involving physicians who perform preoperative assessment (consultant and resident anesthesiologists and consultant surgeons). Semistructured interviews were conducted by a trained research assistant informed by the Theoretical Domains Framework to identify barriers and facilitators to frailty assessment. Interview transcripts were independently coded by two research assistants to identify specific beliefs relevant to each theoretical domain.

resultsWe interviewed 28 clinicians (nine consultant anesthesiologists, nine consultant surgeons, and ten anesthesiology residents). Six domains (Knowledge [100%], Social Influences [96%], Social Professional Role and Identity [96%], Beliefs about Capabilities [93%], Goals [93%], and Intentions [93%]) were identified by > 90% of respondents. The most common barriers identified were prioritization of other aspects of assessment (e.g., cardio/respiratory) and a lack of awareness of evidence and guidelines supporting frailty assessment. The most common facilitators were a high degree of familiarity with frailty, recognition of the importance of frailty assessment, and strong intentions to perform frailty assessment.

conclusionBarriers and facilitators to preoperative frailty assessment are multidimensional, but generally consistent across different types of perioperative physicians. Knowledge of barriers and facilitators can guide development of evidence-based strategies to increase frailty assessment.

Indexed as

AnesthesiologyFrailtyPhysiciansAnesthesiologistsHumansQualitative Researchfrailtypreoperative assessmentqualitative researchsurgery

Identifiers

PMID35978162

What OpenQuestion holds

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Registered trials

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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.