Evidence map›Paper›PMID 38591223›Full record

ArticleAnnals of surgery2025

"There's So Much That They're Enduring": Experiences of Older Adults Undergoing Major Elective Surgery.

Anna Kata, Ellis C Dillon, R N Christina Keny, Veronica Yank, Kenneth E Covinsky, Patrick J Raue, Harleen K Sandhu, Victoria L Tang

Abstract read
In one paragraph

Article in Annals of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Recovery capital: a concept analysis.Frontiers in public health · 2026
    Review
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

8 authors.

Anna KataDivision of Colon and Rectal Surgery, Inova Fairfax Hospital, Fairfax, VA.
Ellis C DillonCenter on Aging, University of Connecticut, Farmington, CT.
R N Christina KenyDivision of Geriatrics, University of California San Francisco, San Francisco, CA.
Veronica YankDivision of General Internal Medicine, University of California San Francisco, San Francisco, CA.
Kenneth E CovinskyDivision of Geriatrics, University of California San Francisco, San Francisco, CA.
Patrick J RaueDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA.
Harleen K SandhuDepartment of Cardiothoracic and Vascular Surgery, McGovern Medical School at UTHealth, Houston, TX.
Victoria L TangDivision of Geriatrics, University of California San Francisco, San Francisco, CA.

Funding

Improving Outcomes of Older Adults with Psychosocial Vulnerability Undergoing Major SurgeryK76AG059931 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI TANG, VICTORIA LAI-YEN · 2019 to 2023
$1.4M
NIA NIH HHS K76 AG059931
6 · The paper itself

Abstract

objectiveThis qualitative study aimed to explore the psychosocial experience of older adults undergoing major elective surgery from the perspective of both the patient and family caregiver. SUMMARY BACKGROUND DATA: Older adults face unique psychological and social vulnerabilities that can increase susceptibility to poor health outcomes. How these vulnerabilities influence surgical treatment and recovery is understudied in the geriatric surgical population.

methodsAdults aged 65 and older undergoing a high-risk major elective surgery at the University of California, San Francisco and their caregivers were recruited. Semi-structured interviews were conducted at three time points: 1 to 2 weeks before surgery, and at 1- and 3-months following surgery. An inductive qualitative approach was used to identify underlying themes.

resultsTwenty-five older adult patients (age range 65-82 years, 60% male) and 11 caregivers (age range 53-78 years, 82% female) participated. Three themes were identified. First, older surgical patients experienced significant challenges to emotional well-being both before and after surgery, which had a negative impact on recovery. Second, older adults relied on a combination of personal and social resources to navigate these challenges. Lastly, both patients and caregivers desired more resources from the healthcare system to address " the emotional piece" of surgical treatment and recovery.

conclusionsOlder adults and their caregivers described multiple overlapping challenges to emotional well-being that spanned the course of the perioperative period. Our findings highlight a critical component of perioperative care with significant implications for the recovery of older surgical patients.

Indexed as

CaregiversElective Surgical ProceduresAdaptation, PsychologicalAgedAged, 80 and overFemaleHumansInterviews as TopicMaleMiddle AgedQualitative Researchcopinggeriatric surgeryolder adultpsychosocial

Identifiers

PMID38591223
PMCPMC11461694

What OpenQuestion holds

Textmetadata
LicenceTDM
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.