Evidence map›Paper›PMID 41890519›Full record

ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2026

Challenges of Care Transition From Hospital to Home for Older Colorectal Surgery Patients: Surgeons' Perspectives.

Sevdenur Cizginer, Ferhat Yildiz, Christy E Cauley, Stephen J Bartels, Christine S Ritchie, Bharati D Kochar, Matthew D Vrees, Richard N Jones, Edward R Marcantonio, Rocco Ricciardi and 1 more

Abstract read
In one paragraph

Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Sevdenur CizginerFrom the Center for Aging and Serious Illness, Mongan Institute, Massachusetts General Hospital, Boston, MA.
Ferhat YildizFrom the Center for Aging and Serious Illness, Mongan Institute, Massachusetts General Hospital, Boston, MA.
Christy E CauleyFrom the Center for Aging and Serious Illness, Mongan Institute, Massachusetts General Hospital, Boston, MA.
Stephen J BartelsHarvard Medical School, Boston, MA.
Christine S RitchieFrom the Center for Aging and Serious Illness, Mongan Institute, Massachusetts General Hospital, Boston, MA.
Bharati D KocharHarvard Medical School, Boston, MA.
Matthew D VreesDepartment of Surgery, The Miriam Hospital, Providence, RI.
Richard N JonesDepartment of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI.
Edward R MarcantonioHarvard Medical School, Boston, MA.
Rocco RicciardiHarvard Medical School, Boston, MA.
Benjamin F CrabtreeDivision of Research, Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.

Funding

Optimizing care for older surgical patients: atheory-guided implementation science approachK76AG078620 · NIA · RHODE ISLAND HOSPITAL · PI Sevdenur Cizginer · 2022 to 2026
$1.2M
NIA NIH HHS K76 AG078620
6 · The paper itself

Abstract

Objective: Postdischarge transitions from the hospital to home in older (≥65 years) colorectal surgery patients have a high risk of medication errors, complications, and worsening of existing conditions. Up to 14% are readmitted within 30 days, costing ~$180 million annually. The anticipated 50% increase in colorectal cancer surgeries in older adults by 2040 necessitates an improvement in care transitions and outcomes. Methods: We conducted semi-structured qualitative interviews with 10 surgeons from 8 US health systems to inform the design of a multicomponent care transition model. We selected participants through stratified purposive sampling based on experience with older surgical patients and/or leadership roles. Consolidated Criteria for Reporting Qualitative Studies guidelines were followed, and a detailed line-by-line editing and organizing style was used to analyze transcripts. Results: The interviews identified challenges in care transitions and potential solutions, and 4 themes emerged: (1) Discharge planning should start before surgery and incorporate preoperative geriatrics evaluation and planning; (2) Coordinated communication and collaboration among multidisciplinary care teams are necessary but often lacking; (3) Educating older surgical patients and their care partners and involving them in care decisions is needed for successful management of care responsibilities after discharge; and (4) The complex and fragmented healthcare system creates care challenges postdischarge. Conclusions: Discharge planning that begins preoperatively, integrates geriatrics domains, ensures timely and coordinated interdisciplinary communication postdischarge, and emphasizes patient and family education is essential to improve care transitions in older colorectal surgery patients. A multilevel care transition model incorporating these elements may enhance outcomes and reduce readmissions.

Indexed as

care transitionColorectal surgerygeriatric surgeryolder surgical patientspostdischarge outcomesqualitative methodsreadmission

Identifiers

PMID41890519
PMCPMC13016182

What OpenQuestion holds

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LicenceCC BY
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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.