Evidence map›Paper›PMID 40075708›Full record

ArticleCancers2025

An Online Preoperative Screening Tool to Optimize Care for Patients Undergoing Cancer Surgery: A Mixed-Method Study Protocol.

Alexandria Paige Petridis, Cherry Koh, Michael Solomon, Sascha Karunaratne, Kate Alexander, Nicholas Hirst, Neil Pillinger, Linda Denehy, Bernhard Riedel, Chelsia Gillis and 8 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

18 authors.

Alexandria Paige PetridisSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney 2050, Australia.ORCID 0009-0003-4696-7567
Cherry KohSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney 2050, Australia.
Michael SolomonSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney 2050, Australia.ORCID 0000-0002-5602-6045
Sascha KarunaratneSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney 2050, Australia.ORCID 0000-0001-7518-0307
Kate AlexanderSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney 2050, Australia.ORCID 0000-0002-7163-097X
Nicholas HirstSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney 2050, Australia.
Neil PillingerFaculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney 2050, Australia.
Linda DenehyDepartment of Health Services Research, Allied Health, Peter MacCallum Cancer Centre, Melbourne 3000, Australia.ORCID 0000-0002-2926-8436
Bernhard RiedelDepartment of Anaesthesia, Perioperative Medicine, and Pain Medicine, Peter MacCallum Cancer Centre, Melbourne 3000, Australia.ORCID 0000-0003-2577-3918
Chelsia GillisSchool of Human Nutrition, McGill University, Montreal, QC H9X 3V9, Canada.
Sharon CareySurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney 2050, Australia.ORCID 0000-0003-4155-5240
Kate McBrideSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney 2050, Australia.
Kate WhiteSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney 2050, Australia.
Haryana DhillonFaculty of Science, School of Psychology, Centre for Medical Psychology & Evidence-Based Decision-Making, The University of Sydney, Sydney 2050, Australia.ORCID 0000-0003-4039-5169
Patrick CampbellSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney 2050, Australia.
Jack ReevesGraduate School of Health, Faculty of Health, University of Technology Sydney, Sydney 2007, Australia.ORCID 0009-0009-2851-5501
Raaj Kishore BiswasSchool of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney 2050, Australia.ORCID 0000-0003-4294-6323
Daniel SteffensSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney 2050, Australia.ORCID 0000-0002-9715-860X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveDespite surgery being the primary curative treatment for cancer, patients with compromised preoperative physical, nutritional, and psychological status are often at a higher risk for complications. While various screening tools exist to assess physical, nutritional, and psychological status, there is currently no standardised self-reporting tool, or established cut-off points for comprehensive risk assessment. This study aims to develop, validate, and implement an online self-reporting preoperative screening tool that identifies modifiable risk factors in cancer surgery patients.

methodsThis mixed-methods study consists of three distinct stages: (1) Development-(i) a scoping review to identify available physical, nutritional, and psychological screening tools; (ii) a Delphi study to gain consensus on the use of available screening tools; and (iii) a development of the online screening tool to determine patients at high risk of postoperative complications. (2) Testing-a prospective cohort study determining the correlation between at-risk patients and postoperative complications. (3) Implementation-the formulation of an implementation policy document considering feasibility.

conclusionsThe timely identification of high-risk patients, based on their preoperative physical, nutritional, and psychological statuses, would enable referral to targeted interventions. The implementation of a preoperative online screening tool would streamline this identification process while minimising unwarranted variation in preoperative treatment optimisation. This systematic approach would not only support high-risk patients but also allow for more efficient provision of surgery to low-risk patients through effective risk stratification.

Indexed as

gastrointestinal cancernutritionalphysicalpsychologicalscreening toolsurgery

Identifiers

PMID40075708
PMCPMC11899389

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.