SynthesisBMJ open2022
Comprehensive geriatric assessment (CGA) in perioperative care: a systematic review of a complex intervention.
Synthesis in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Comprehensive geriatric assessment (CGA) in perioperative care: a systematic review of a complex intervention.BMJ open · 2022Pooled it
- Geriatric team support in the emergency department-a randomised trial investigating the effects on hospital admission and community care in older adults (GerED-21).Age and ageing · 2026Trial
- Geriatric Models of Surgical Care: A Scoping Review.Journal of advanced nursing · 2026Article
- Determinants of 28-day perioperative mortality and postoperative length of hospital stay among geriatric patients: a two-center prospective follow-up study in Ethiopia.BMC geriatrics · 2026Article
- Implementation and Outcomes of a Perioperative Geriatrics Strategy, PRIME, for Older Adults Undergoing Gastrointestinal Cancer Surgery.Current oncology (Toronto, Ont.) · 2025Article
- Survival outcomes in patients with sigmoid volvulus.International journal of colorectal disease · 2025Article
- Core elements of the perioperative medicine for older people undergoing surgery (POPS) model of care.European geriatric medicine · 2025Article
- Status of comprehensive geriatric assessment in hospital settings: a cross-sectional survey.Frontiers in medicine · 2025Article
- Development of a minimum clinical dataset for preoperative comprehensive geriatric assessment using a modified Delphi technique.Australasian journal on ageing · 2024Article
- Risk of sarcopenia, frailty and malnutrition as predictors of postoperative delirium in surgery.BMC geriatrics · 2024Article
- Comprehensive geriatric assessment for predicting postoperative delirium in oral and maxillofacial surgery: a prospective cohort study.Scientific reports · 2024Article
- Understanding and Applying the Comprehensive Geriatric Assessment as a Frailty Index in Patients Undergoing Esophagectomy.Annals of surgical oncology · 2024Article
- Elderly Rectal Cancer: An Updated Review.Current oncology reports · 2024Review
- Diagnosis of frailty and implications on surgical process in the elderly: A narrative review.European journal of anaesthesiology and intensive care · 2023Review
- It is not "If" but "How" Preoperative Frailty Assessment Should be Provided.Annals of surgical oncology · 2023Article
- Geriatric anesthesia: Demographics, epidemiology, state of the art at international level, educational needs, and future perspectives.Saudi journal of anaesthesiaReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesComprehensive geriatric assessment (CGA) is a complex intervention applied to older people with evidence of benefit in medical populations. The aim of this systematic review was to describe how CGA is applied to surgical populations in randomised controlled trials. This will provide a basis for design of future studies focused on optimising CGA as a complex intervention.
settingA systematic review of randomised controlled trials.
participantsA systematic search was performed for studies of CGA in the perioperative period across Ovid MEDLINE, Ovid EMBASE, CINAHL and Cochrane CENTRAL, from inception to March 2021.
interventionsAny randomised controlled trials of perioperative CGA versus 'standard care' were included. OUTCOME MEASURES: Qualitative description of CGA.
results12 121 titles and abstracts were screened, 68 full-text articles were assessed for eligibility and 22 articles included, reporting on 13 trials. 10 trials focused on inpatients with hip fracture, with 7 of these delivering CGA on a geriatric medicine ward, 3 on a surgical ward. The remaining three trials were in elective general surgery all delivering CGA on a surgical ward. CGA components, duration of intervention and personnel delivering the intervention were highly variable across the different studies. Trials favoured postoperative delivery of CGA (11/13). Only four trials reported data on adherence to the CGA intervention.
conclusionsCGA as an intervention is variably described and delivered in randomised controlled trials in the perioperative setting. The reporting of both the intervention and standard care is often poor with little focus on adherence. Future research should focus on clearly defining and standardising the intervention as well as measuring adherence within trials. PROSPERO REGISTRATION NUMBER: CRD42020221797.
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What OpenQuestion holds
Registered trials
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.