Evidence map›Paper›PMID 41002564›Full record

ArticleCurrent oncology (Toronto, Ont.)2025

Implementation and Outcomes of a Perioperative Geriatrics Strategy, PRIME, for Older Adults Undergoing Gastrointestinal Cancer Surgery.

Gabriella Jacob, Eric K C Wong, Rachel Fuh, Tyler R Chesney, Camilla L Wong

Abstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Gabriella JacobDivision of Geriatric Medicine, Department of Medicine, University of Toronto, 6 Queen's Park Crescent West, Toronto, ON M5S 3H2, Canada.
Eric K C WongDivision of Geriatric Medicine, Department of Medicine, University of Toronto, 6 Queen's Park Crescent West, Toronto, ON M5S 3H2, Canada.ORCID 0000-0003-1759-8603
Rachel FuhFaculty of Arts and Science, Queen's University, 99 University Avenue, Kingston, ON K7L 3N6, Canada.
Tyler R ChesneyLi Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria St, Toronto, ON M5B 1X3, Canada.
Camilla L WongDivision of Geriatric Medicine, Department of Medicine, University of Toronto, 6 Queen's Park Crescent West, Toronto, ON M5S 3H2, Canada.ORCID 0000-0002-4430-2321

Funding

Keenan Research Centre Summer Student Program 0Ontario Ministry of Health SMH-21-020
6 · The paper itself

Abstract

introductionThe number of older adults living with frailty undergoing gastrointestinal cancer surgery is increasing. To address the unique needs of the population, a whole pathway perioperative geriatrics strategy-PRIME-was developed to integrate geriatric principles into surgical care. The objective of this study was to evaluate the implementation of PRIME using validated structural, process, and outcome quality indicators. MATERIALS AND

methodsThis retrospective cohort study included 106 consecutive patients aged 70 years and older who underwent gastrointestinal surgery for cancer or pre-cancerous lesions at a single institution between 1 July 2020 and 5 October 2023. The whole pathway perioperative geriatrics strategy, PRIME, includes preoperative comprehensive geriatric assessment (CGA), collaborative care between surgery, geriatrics, and anesthesia, and post-operative co-management. Implementation was evaluated using validated structural, process, and outcome quality indicators.

resultsMost structural indicators (five of eight) were implemented. In terms of process indicators, 96.2% (

conclusionsImplementation of a perioperative geriatrics strategy for older adults undergoing gastrointestinal cancer/pre-cancer lesion surgery is feasible, with high adherence to structural and process quality indicators.

Indexed as

Digestive System Surgical ProceduresGastrointestinal NeoplasmsGeriatric AssessmentGeriatricsPerioperative CareAgedAged, 80 and overFemaleHumansMaleRetrospective Studiescolorectal cancerfrailtygeriatric assessmentgeriatric oncologyolder adultsperioperative medicine

Identifiers

PMID41002564
PMCPMC12468265

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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.