Evidence map›Paper›PMID 41696137›Full record

ArticleClinics in colon and rectal surgery2025

Unique Challenges of Shared Decision-Making in Colorectal Surgery for the Elderly Patient.

Madhuri V Nishtala, Julia R Berian

Abstract read
In one paragraph

Article in Clinics in colon and rectal surgery, 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

2 authors.

Madhuri V NishtalaDepartment of Surgery, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, United States.
Julia R BerianDepartment of Surgery, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, United States.

Funding

Preparing older adults for major abdominal surgery: a systems engineering approach to implement preoperative comprehensive geriatric assessmentsK23AG081487 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Julia Rose Berian · 2023 to 2026
$762k
NIA NIH HHS K23 AG081487
6 · The paper itself

Abstract

Older adults require disproportionately more operations and suffer more complications than their younger counterparts, making a thoughtful approach to shared decision-making imperative. This article reviews key considerations in the decision to pursue operative intervention for older adults. First, we explore the "Fix It" model and the importance of acknowledging trade-offs, with a specific focus on quality of life. This is followed by a discussion of how surgical recovery affects physical function, bowel function, and cognition. We describe strategies for shared decision-making in the older population, specifically eliciting patient preferences for overall health goals, establishing the goals of surgery, discussing advanced directives, and engaging caregivers. We anticipate these key content areas will provide surgeons with important insights with which to approach surgical decision-making for this vulnerable patient group.

Indexed as

geriatric surgerygoal-concordant caresurgical decision-making

Identifiers

PMID41696137
PMCPMC12900247

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.