Evidence map›Paper›PMID 37798223›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2024

A Perioperative Mental Health Intervention for Depressed and Anxious Older Surgical Patients: Results From a Feasibility Study.

Joanna Abraham, Katherine J Holzer, Emily M Lenard, Alicia Meng, Bethany R Tellor Pennington, Rachel C Wolfe, Simon Haroutounian, Ryan Calfee, Chet W Hammil, Benjamin D Kozower and 10 more

Open access · greenAbstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  5. Integrating Mental Health Into Surgical Care: A Qualitative Study of a Perioperative Mental Health Intervention.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Article
  6. Article
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  8. Designing a Culturally Adapted Perioperative Mental Health Intervention for Older Black Male Surgical Patients: A Community-Based Participatory Study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Article
  9. Observational
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  16. Review
  17. A Culturally Adapted Perioperative Mental Health Intervention for Older Black Surgical Patients.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
    Article
  18. Review
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  20. 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

20 authors at 2 institutions in 1 country.

Joanna AbrahamDepartment of Anesthesiology (JA, KJH, AM, BRTP, SH, TAC, SM, TK, MSA), Washington University School of Medicine, St. Louis, MO; Institute for Informatics (JA, TK, JPM), Data Science and Biostatistics, Washington University School of Medicine, St. Louis, MO. Electronic address: joannaa@wustl.edu.
Katherine J HolzerDepartment of Anesthesiology (JA, KJH, AM, BRTP, SH, TAC, SM, TK, MSA), Washington University School of Medicine, St. Louis, MO.
Emily M LenardDepartment of Psychiatry (EML, JS, MY, EJ), Washington University School of Medicine, St. Louis, MO.
Alicia MengDepartment of Anesthesiology (JA, KJH, AM, BRTP, SH, TAC, SM, TK, MSA), Washington University School of Medicine, St. Louis, MO.
Bethany R Tellor PenningtonDepartment of Anesthesiology (JA, KJH, AM, BRTP, SH, TAC, SM, TK, MSA), Washington University School of Medicine, St. Louis, MO.
Rachel C WolfeDepartment of Pharmacy (RCW), Barnes-Jewish Hospital, St. Louis, MO.
Simon HaroutounianDepartment of Anesthesiology (JA, KJH, AM, BRTP, SH, TAC, SM, TK, MSA), Washington University School of Medicine, St. Louis, MO.
Ryan CalfeeDepartment of Orthopaedic Surgery (RC), Washington University School of Medicine, St. Louis, MO.
Chet W HammilDepartment of Surgery (CWH, BDK, AAB, MCP), Washington University School of Medicine, St. Louis, MO.
Benjamin D KozowerDepartment of Surgery (CWH, BDK, AAB, MCP), Washington University School of Medicine, St. Louis, MO.
Theresa A CordnerDepartment of Anesthesiology (JA, KJH, AM, BRTP, SH, TAC, SM, TK, MSA), Washington University School of Medicine, St. Louis, MO.
Julia SchweigerDepartment of Psychiatry (EML, JS, MY, EJ), Washington University School of Medicine, St. Louis, MO.
Sherry McKinnonDepartment of Anesthesiology (JA, KJH, AM, BRTP, SH, TAC, SM, TK, MSA), Washington University School of Medicine, St. Louis, MO.
Michael YinglingDepartment of Psychiatry (EML, JS, MY, EJ), Washington University School of Medicine, St. Louis, MO.
Ana A BaumannDepartment of Surgery (CWH, BDK, AAB, MCP), Washington University School of Medicine, St. Louis, MO.
Mary C PolitiDepartment of Surgery (CWH, BDK, AAB, MCP), Washington University School of Medicine, St. Louis, MO.
Thomas KannampallilDepartment of Anesthesiology (JA, KJH, AM, BRTP, SH, TAC, SM, TK, MSA), Washington University School of Medicine, St. Louis, MO; Institute for Informatics (JA, TK, JPM), Data Science and Biostatistics, Washington University School of Medicine, St. Louis, MO.
J Philip MillerInstitute for Informatics (JA, TK, JPM), Data Science and Biostatistics, Washington University School of Medicine, St. Louis, MO.
Michael S AvidanDepartment of Anesthesiology (JA, KJH, AM, BRTP, SH, TAC, SM, TK, MSA), Washington University School of Medicine, St. Louis, MO.
Eric J LenzeDepartment of Psychiatry (EML, JS, MY, EJ), Washington University School of Medicine, St. Louis, MO.
Washington University in St. Louis · USBarnes-Jewish Hospital · US

Funding

PHARMacist and Community Health Support to Optimize Medications After Trauma Surgery (PHARM-C)P50MH122351 · NIMH · WASHINGTON UNIVERSITY · PI Joanna Abraham · 2021 to 2026
$10.8M
NIMH NIH HHS P50 MH122351
6 · The paper itself

Abstract

objectivesThe perioperative period is challenging and stressful for older adults. Those with depression and/or anxiety have an increased risk of adverse surgical outcomes. We assessed the feasibility of a perioperative mental health intervention composed of medication optimization and a wellness program following principles of behavioral activation and care coordination for older surgical patients.

methodsWe included orthopedic, oncologic, and cardiac surgical patients aged 60 and older. Feasibility outcomes included study reach, the number of patients who agreed to participate out of the total eligible; and intervention reach, the number of patients who completed the intervention out of patients who agreed to participate. Intervention efficacy was assessed using the Patient Health Questionnaire for Anxiety and Depression (PHQ-ADS). Implementation potential and experiences were collected using patient surveys and qualitative interviews. Complementary caregiver feedback was also collected.

resultsTwenty-three out of 28 eligible older adults participated in this study (mean age 68.0 years, 65% women), achieving study reach of 82% and intervention reach of 83%. In qualitative interviews, patients (n = 15) and caregivers (complementary data, n = 5) described overwhelmingly positive experiences with both the intervention components and the interventionist, and reported improvement in managing depression and/or anxiety. Preliminary efficacy analysis indicated improvement in PHQ-ADS scores (F = 12.13, p <0.001).

conclusionsThe study procedures were reported by participants as feasible and the perioperative mental health intervention to reduce anxiety and depression in older surgical patients showed strong implementation potential. Preliminary data suggest its efficacy for improving depression and/or anxiety symptoms. A randomized controlled trial assessing the intervention and implementation effectiveness is currently ongoing.

Indexed as

Mental HealthQuality of LifeAgedAnxietyDepressionFeasibility StudiesFemaleHumansMaleMiddle Agedanxietybehavioral activationdepressionearly Phase evaluationimplementationmedication optimizationMental healtholder patientssurgeries

Identifiers

PMID37798223
PMCPMC10852892
OpenAlexW4386588949

What OpenQuestion holds

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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.