Evidence map›Paper›PMID 41196467›Full record

ArticleAging clinical and experimental research2025

Multicomponent prehabilitation and perioperative care in older persons with frailty referred to planned orthopaedic surgery: A feasibility study.

Camilla Blach Rossen, Anne Mette Schmidt, Maria Stokholm Hansen, Anne-Louise Degn Wivelsted, Peter Vedsted, Merete Gregersen

Abstract read
In one paragraph

Article in Aging clinical and experimental research, 2025. 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
–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

1 citing paper in PubMed.

  1. 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

6 authors.

Camilla Blach Rossen *Elective Surgery Center Silkeborg Regional Hospital, University Clinic for Interdisciplinary Orthopaedic Pathways (UCOP), Regional Hospital Central Jutland, Silkeborg, Denmark. caross@rm.dk.ORCID http://orcid.org/0000-0002-2841-8367
Anne Mette Schmidt *Medical Diagnostic Centre, University Clinic for Innovative Patient Pathways, Regional Hospital Central Jutland, Silkeborg, Denmark.ORCID http://orcid.org/0000-0002-3077-4985
Maria Stokholm HansenMedical Diagnostic Centre, University Clinic for Innovative Patient Pathways, Regional Hospital Central Jutland, Silkeborg, Denmark.ORCID http://orcid.org/0009-0004-7942-1891
Anne-Louise Degn WivelstedElective Surgery Center Silkeborg Regional Hospital, University Clinic for Interdisciplinary Orthopaedic Pathways (UCOP), Regional Hospital Central Jutland, Silkeborg, Denmark.ORCID http://orcid.org/0000-0001-8015-1316
Peter VedstedDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID http://orcid.org/0000-0003-2113-5599
Merete GregersenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID http://orcid.org/0000-0002-5365-7335

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the feasibility and acceptability of a multicomponent prehabilitation and perioperative care intervention for older persons with frailty scheduled for elective orthopaedic surgery prior to conducting an RCT.

methodsA mixed-methods feasibility study assessed reach, dose, data collection procedure, acceptability and adaptation. Data was collected through patient reported outcomes, electronic medical record, and interviews with patients and healthcare professionals. No pre-defined feasibility criteria were applied.

resultsOf those referred for surgery, 30% were screened for frailty, among those eligible, 78% consented to participate. Participants received six of the eight planned phone calls, adherence to nutrition advice and exercise was high, and medication review resulted in at least one drug change for 50% of participants. Qualitative analysis identified key themes including the importance of tailoring care to individual patient needs, strong support from healthcare professionals and family members, and effective interdisciplinary collaboration. The intervention appeared feasible and acceptable to both patients and healthcare professionals. Several adaptations were implemented immediately (refined recruitment procedures, reduced number of health coaching sessions, and modified data collection method), while others were proposed (earlier involvement of geriatrician, focusing on hip and knee surgery, 48-hour follow-up, and improved integration with municipal rehabilitation services and general practitioners).

conclusionThis study demonstrated the feasibility and acceptability of a prehabilitation and perioperative care intervention for older persons with frailty undergoing elective orthopaedic surgery. The proposed adaptations will inform the implementation strategy prior to conducting an RCT to evaluate effects on clinical outcomes and healthcare costs.

Indexed as

Frail ElderlyFrailtyOrthopedic ProceduresPerioperative CarePreoperative CareAgedAged, 80 and overFeasibility StudiesFemaleHumansMaleDenmarkFeasibility studies.Geriatric assessmentGeriatric nursingOrthopaedicsPerioperative carePreoperative exercise

Identifiers

PMID41196467
PMCPMC12592306

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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.