Evidence map›Paper›PMID 36197179›Full record

Trial reportMedicine2022

Preoperative walking intervention did not appear to improve patient-reported postoperative recovery in older adults with frailty traits: Randomized trial.

Hammad Sadiq, Sanjeev Rampam, Jay Patel, Sybil Crawford, Matthias Walz, Alok Kapoor

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 2 institutions in 3 countries.

Hammad SadiqUMass Chan Medical School, Worcester, MA, USA.
Sanjeev RampamUMass Chan Medical School, Worcester, MA, USA.
Jay PatelUMass Chan Medical School, Worcester, MA, USA.
Sybil CrawfordUMass Chan Medical School, Worcester, MA, USA.
Matthias WalzUMass Chan Medical School, Worcester, MA, USA.
Alok KapoorUMass Chan Medical School, Worcester, MA, USA.ORCID 0000-0003-1300-7124
University of Massachusetts Chan Medical School · USUMass Memorial Health Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the impact of a preoperative walking intervention on improving postoperative recovery in at-risk frail older adult patients. STUDY TYPE: Unblinded, randomized controlled trial which assigned patients to intervention versus control. POPULATION: Patients aged 60+ scheduled for surgery 3-8 weeks from randomization scoring 4+ on the Edmonton Frail Scale.

interventionPreoperative walking enhanced by goal setting with an activity monitor and telephonic coaching. MAIN OUTCOMES: Quality of Recovery 9-item instrument total score and a modified version of the Abdominal Surgery Impact Scale total score.

resultsA total of 83 patients were analyzed. Postoperative recovery scores were similar in intervention vs control - Quality of Recovery-9 item instrument total score 14.1 vs. 14.1 (P = .94) and modified Abdominal and Surgery Impact Scale total score 82.8 vs. 79.2 (P = .93). Few intervention patients met their daily step count goals. Despite this, intervention patients improved average daily step counts significantly.

conclusionsPreoperative walking bolstered with activity monitor and remote coaching did not appear to lead to improved postoperative recovery in older adults with frailty traits. Further research is necessary to see if a similar intervention in specific surgery types or a more intense version of the intervention can improve recovery.

Indexed as

FrailtyAgedHumansPatient Reported Outcome MeasuresPostoperative ComplicationsPreoperative CareWalking

Identifiers

PMID36197179
PMCPMC9509049
OpenAlexW4297019180

What OpenQuestion holds

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LicenceCC BY-NC
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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.