Evidence map›Paper›PMID 38637467›Full record

ArticleEuropean geriatric medicine2024

A multicentre survey investigating the knowledge, behaviour, and attitudes of surgical healthcare professionals to frailty assessment in emergency surgery: DEFINE(surgery).

P Braude, F Parry, K Warren, E Mitchell, K McCarthy, R G Khadaroo, B Carter, CLARITY (collaborative ageing research) group

Open access · hybridAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in European geriatric medicine, 2024. 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
0.7field-weighted citation impact, top 33% 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. 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 at 3 institutions in 2 countries.

P BraudeCLARITY (Collaborative Ageing Research) group, North Bristol NHS Trust, Bristol, UK. philip2.braude@live.uwe.ac.uk.ORCID 0000-0003-2936-8805
F ParryCLARITY (Collaborative Ageing Research) group, North Bristol NHS Trust, Bristol, UK.
K WarrenDepartment of Urology, North Bristol NHS Trust, Bristol, UK.
E MitchellCLARITY (Collaborative Ageing Research) group, North Bristol NHS Trust, Bristol, UK.
K McCarthyColorectal Cancer and Surgery, North Bristol NHS Trust, Bristol, UK.
R G KhadarooDepartment of Surgery and Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada.
B CarterDepartment of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, UK.
CLARITY (collaborative ageing research) group
North Bristol NHS Trust · GBKing's College London · GBUniversity of Alberta · CA

Funding

British Geriatrics Society SPR/02/2021
6 · The paper itself

Abstract

purposeScreening for frailty in people admitted with emergency surgical pathology can initiate timely referrals to enhanced perioperative services such as intensive care and geriatric medicine. However, there has been little research exploring surgical healthcare professionals' opinions to frailty assessment, or accuracy in identification. This study aimed to assess the knowledge, behaviour, and attitudes of healthcare professionals to frailty assessment in emergency surgical admissions.

methodsWe designed a cross-sectional multicentre study developed by a multiprofessional team of surgeons, geriatricians, and supported by patients. A semi-structured survey examined attitudes and behaviours. Knowledge was assessed by comparing respondents' accuracy in scoring twenty-two surgical case vignettes using the Clinical Frailty Scale.

resultsEleven hospitals across England, Wales, and Scotland participated. Two hundred and eleven clinicians responded-20.4% junior doctors, 43.6% middle grade doctors, 24.2% senior doctors, 11.4% nurses and physician associates. Respondents strongly supported perioperative frailty assessment. Most were already assessing for frailty, although frequently not using a standardised tool. There was a strong call for more frailty education. Participants scored 2175 vignettes with 55.4% accurately meeting the gold standard; accuracy improved to 87.3% when categorised into "not frail/mildly frail/severely frail" and 94% when dichotomised to "not frail/frail".

conclusionFrailty assessment is well supported by healthcare professionals working in surgery. However, standardised tools are not routinely being used, and only half of respondents could accurately identify frailty. Better education around frailty assessment is needed for healthcare professionals working in surgery to improve perioperative pathway for people living with frailty.

Indexed as

Attitude of Health PersonnelFrailtyGeriatric AssessmentHealth Knowledge, Attitudes, PracticeAdultAgedCross-Sectional StudiesEnglandFemaleFrail ElderlyHumansMaleMiddle AgedScotlandSurgeonsSurgical Procedures, OperativeAttitudesFrailtyNational surveyPerioperative medicineSurgery

Identifiers

PMID38637467
PMCPMC11377612
OpenAlexW4394945349

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.