Evidence map›Paper›PMID 37770257›Full record

ArticleBMJ open2023

Peri-Operative Wearables in Elder Recover after Surgery (POWERS) study: a protocol for a multicentre, prospective cohort study to evaluate perioperative activity with postoperative disability in older adults after non-cardiac surgery.

Karim S Ladha, Justin Lu, Daniel I McIsaac, Janet M van Vlymen, Gerald Lebovic, Sahar Ehtesham, Janneth Pazmino-Canizares, Hance Clarke, Matteo Parotto, Gianni R Lorello and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Observational
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

12 authors at 5 institutions in 1 country.

Karim S LadhaDepartment of Anesthesia, St Michael's Hospital, Toronto, Ontario, Canada karim.ladha@mail.utoronto.ca.
Justin LuTemerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0009-0001-4945-5554
Daniel I McIsaacDepartment of Anesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada.ORCID 0000-0002-8543-1859
Janet M van VlymenDepartment of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, Ontario, Canada.
Gerald LebovicApplied Health Research Centre, St Michael's Hospital, Toronto, Ontario, Canada.
Sahar EhteshamApplied Health Research Centre, St Michael's Hospital, Toronto, Ontario, Canada.
Janneth Pazmino-CanizaresDepartment of Anesthesia, St Michael's Hospital, Toronto, Ontario, Canada.
Hance ClarkeDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-4975-3823
Matteo ParottoDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.
Gianni R LorelloDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.
Duminda Nalaka WijeysunderaDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-5897-8605
POWERS Investigators
St. Michael's Hospital · CAUniversity Health Network · CAUniversity of Toronto · CAOttawa Hospital · CAQueen's University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe ageing population has led to an increasing proportion of surgical patients with greater frailty and comorbidity. Complications and mortality within 30 days of a surgical procedure are often used to evaluate success in the perioperative period however these measures can potentially underestimate a substantial level of morbidity associated with surgery. Personal wearable technologies are now readily available and can offer detailed information on activity intensity, sedentary behaviour and sleeping patterns. These devices may provide important information perioperatively by acting as a non-invasive, and cost-efficient means to risk stratify patients. METHODS AND ANALYSIS: The Peri-Operative Wearables in Elder Recover After Surgery (POWERS) study is a multicentre observational study of 200 older adults (≥65 years) having major elective non-cardiac surgery. The objectives are to characterise the association between preoperative and postoperative activity monitor measurements with postoperative disability and recovery, as well as characterise trajectories of activity and sleep in the perioperative period. Activity will be monitored with the ActiGraph GT3X device and measured for 7-day increments, preoperatively, and at 1 week, 1 month and 3 months postoperatively. Disability will be assessed using the WHO Disability Assessment Schedule 2.0 assessed at 1 week, 1 month and 3 months postoperatively. ETHICS AND DISSEMINATION: The POWERS study received research ethics board approval at all participating sites on 1 August 2019 (REB # 19-121 (CTO 1849)). Renewal was granted on 19 May 2022.

Indexed as

Postoperative ComplicationsWearable Electronic DevicesAgedElective Surgical ProceduresHumansMulticenter Studies as TopicObservational Studies as TopicPerioperative PeriodProspective Studiesgeriatric medicinequalitative researchsurgery

Identifiers

PMID37770257
PMCPMC10546154
OpenAlexW4387143126

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.