Evidence map›Paper›PMID 41044779›Full record

ReviewPerioperative medicine (London, England)2025

The older adult surgical patient: a review of optimization and gaps in clinical practice.

Cecilia Canales, Leslie Wann, Jeanna Blitz, Robert Whittington

Abstract readReview
In one paragraph

Review in Perioperative medicine (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

4 authors.

Cecilia CanalesDepartment of Anesthesiology and Perioperative Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, USA. ceciliacanales@mednet.ucla.edu.
Leslie WannDepartment of Anesthesiology and Perioperative Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.
Jeanna BlitzDepartment of Anesthesiology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Robert WhittingtonDepartment of Anesthesiology and Perioperative Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.

Funding

The Effect of Nanoparticle Encapsulated Resveratrol on Treatment of PeriodontitisKL2TR001882 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Elizabeta Nemeth · 2016 to 2026
$13.1M
Improving Postsurgical Cognitive Outcomes in Limited English Proficient Older Adults with a Perioperative Care Partner Program: A Pilot Pragmatic Randomized Controlled TrialK76AG088558 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Cecilia Canales · 2025 to 2026
$486k
NCATS NIH HHS KL2 TR001882NIA NIH HHS K76 AG088558NIMHD NIH HHS L32 MD017730
6 · The paper itself

Abstract

As the number of older adults undergoing surgery increases, the perioperative community must address the unique challenges of this vulnerable population. Age alone is not a sufficient indicator of risk and other factors like functional status, nutrition, and cognition also play a crucial role in determining a patient's vulnerability. Identifying high-risk patients requires targeted assessment to identify those who can most benefit from optimization. With an already strained perioperative workforce, integrating comprehensive geriatric programs, which rely on multidisciplinary teams to conduct frailty and geriatric assessments and to target prehabilitation and optimization, is a strategy to improve outcomes. By utilizing comprehensive geriatric programs that combine preoperative, intraoperative, and postoperative strategies to optimize care for older adults, the perioperative community can address the unique needs of high-risk older adults to reduce complications, mortality, and healthcare costs while improving the quality of life of these patients. In this review, we highlight strategies to optimize older adults undergoing surgery and identify significant gaps in practice that must also be addressed to improve the perioperative care of this often vulnerable patient population.

Identifiers

PMID41044779
PMCPMC12495825

What OpenQuestion holds

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Registered trials

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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.