Trial reportBMC geriatrics2025
Experiences of participating in a preoperative comprehensive geriatric assessment and care intervention among frail older adults before colorectal cancer resection surgery.
Trial report in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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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.
The trial behind it
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Who cites it
4 citing papers in PubMed.
- Care Coordination and Optimization in Geriatric Surgery (COGS): A Pilot Program to Improve Surgical Outcomes in Older Adults.Journal of the American Geriatrics Society · 2026Article
- Preoperative geriatric assessment and postoperative outcomes in older adults at risk for frailty-related complications following major surgery: a retrospective comparative cohort study.BMC geriatrics · 2026Article
- Latent profiles of frailty in patients with head and neck cancer undergoing radiotherapy: a cross-sectional study.BMJ open · 2026Article
- Information and Counseling Gaps on Perioperative Neurocognitive Disorders Among Older Adults.Journal of the American Geriatrics Society · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComprehensive geriatric assessment (CGA) and care has shown benefits for frail older adults across various care settings. However, its integration into routine care within a surgical context remains limited. An ongoing randomised controlled multicentre study will evaluate the effects of a period of preoperative optimisation (up to eight weeks), involving interprofessional CGA and care, in addition to routine care before colorectal cancer resection surgery. If this approach proves favourable, it could potentially be incorporated into routine surgical care. To facilitate implementation, it is crucial to explore and understand participants' perceptions of taking part in a preoperative CGA and care intervention.
aimTo describe how frail older adults with colorectal cancer experience participation in a preoperative CGA and care intervention.
methodsThis qualitative, descriptive study was part of a randomised controlled multi-centre study. In total, 20 semi-structured interviews were conducted with frail older adults undergoing a CGA and care intervention before colorectal cancer surgery. The data were analysed using inductive qualitative content analysis.
resultsFrail older adults with colorectal cancer experienced participation in preoperative CGA and care as an integral part of an intervention. They adopted an opportunity mindset when deciding to participate. Throughout the intervention, they observed the team working collaboratively and actively involving them in the optimisation process, enhancing their readiness for surgery by the end of the period.
conclusionsThe findings indicated that frail older adults with colorectal cancer viewed the preoperative CGA and care intervention as a meaningful opportunity for improvement and a chance to extend life. Their active involvement and the collaborative efforts of the care team during the intervention were crucial in enhancing their understanding, manageability, and readiness for surgery. They valued the opportunity to make active choices when appropriate and appreciated having the right to delegate decisions to healthcare professionals. From a frail older adult's perspective, team-based approaches in preoperative care, such as CGA and care, offer benefits in terms of involvement and satisfaction. However, the thorough evaluation of postoperative outcomes remains necessary.
trial registrationOSF registry: https://osf.io/ch49n , registered on Sep 04, 2023.
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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.