Evidence map›Paper›PMID 37342818›Full record

ArticleTrauma surgery & acute care open2023

In their own words: recovery after emergency general surgery in the older patient.

Vanessa P Ho, Mary Joan Roach, Kristen A Berg, Divya L Deverakonda, Peter Kanuika, Brianna Arko, Adam T Perzynski

Open access · goldAbstract read
In one paragraph

Article in Trauma surgery & acute care open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Long-term impact of emergency laparotomy on health-related quality of life.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  4. Review
  5. 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 at 2 institutions in 1 country.

Vanessa P HoSurgery, MetroHealth Medical Center, Cleveland, Ohio, USA.ORCID 0000-0002-6113-2555
Mary Joan RoachPhysical Medicine and Rehabilitation, MetroHealth Medical Center, Cleveland, Ohio, USA.
Kristen A BergPopulation Health Research Institute, MetroHealth Medical Center, Cleveland, Ohio, USA.
Divya L DeverakondaSurgery, MetroHealth Medical Center, Cleveland, Ohio, USA.
Peter KanuikaSurgery, MetroHealth Medical Center, Cleveland, Ohio, USA.
Brianna ArkoRespiratory Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Adam T PerzynskiPopulation Health Research Institute, MetroHealth Medical Center, Cleveland, Ohio, USA.
MetroHealth · USCleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Emergency general surgery (EGS) conditions, such as perforated intestines or complicated hernias, can lead to significant postoperative morbidity and mortality. We sought to understand the recovery experience of older patients at least 1 year after EGS to identify key factors for a successful long-term recovery. Methods: We conducted semi-structured interviews to explore recovery experiences of patients and their caregivers after admission for an EGS procedure. We screened patients who were aged 65 years or older at the time of an EGS operation, admitted at least 7 days, and still alive and able to consent at least 1 year postoperatively. We interviewed the patients, their primary caregiver, or both. Interview guides were developed to explore medical decision making, patient goals and expectations surrounding recovery after EGS, and to identify barriers and facilitators of recovery. Interviews were recorded and transcribed, and we used an inductive thematic approach to analysis. Results: We performed 15 interviews (11 patients and 4 caregivers). Patients wanted to return to their prior quality of life, or 'get back to normal.' Family was key in providing both instrumental support (eg, for daily tasks such as cooking, driving, wound care) and emotional support. Provision of temporary support was key to the recovery of many patients. Although most patients returned to their prior lifestyle, some also experienced depression, persistent abdominal effects, pain, or decreased stamina. When asked about medical decision making, patients expressed viewing the decision for having an operation not as a choice but, rather, the only rational option to treat a severe symptom or life-threating illness. Conclusions: There is an opportunity in healthcare to provide better education for older patients and their caregivers around instrumental and emotional support to bolster successful recovery after emergency surgery. Level of evidence: Qualitative study, level II.

Indexed as

emergency general surgeryrecovery

Identifiers

PMID37342818
PMCPMC10277530
OpenAlexW4380627546

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.