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NCT Number: NCT07764289

The Perioperative Pathway for Older Adults

More than 1.5 million people undergo surgery in Sweden each year, and over 770,000 of them are aged 65 years or older. Older adults often have more complex health needs and may require additional support throughout the surgical care process.

Surgical care can be divided into three phases: before, during, and after surgery. Before surgery, older adults may need to improve their health status and prepare for the procedure. Many also feel worried about the surgery and recovery. It is important that patients understand the information they receive and are involved in decisions about their care. However, some older adults find it difficult to understand health information or to ask questions, which can make participation in care more challenging.

Recovery after surgery means returning to the same level of function as before surgery, or adjusting to a new level if needed. For older adults, recovery can take longer and often continues after leaving the hospital. Support during this period is important for a safe and successful recovery.

The POP project aims to improve the care and support provided to older adults undergoing surgery. The project focuses on identifying gaps and differences in current care and improving support throughout the entire surgical pathway, regardless of the type of surgery.

There is currently limited knowledge about how older adults in Sweden experience the surgical care process. By increasing this understanding, the project aims to support improvements in care and outcomes for older adults.

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Key information

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Preoperative concerns and health literacy

Inclusion criteria

  • 65 years and older
  • Being able to read and understand Swedish

Exclusion criteria

-Cognitive decline

Perioperative outcomes

Inclusion criteria

-65 years and older

Interviews with staff

Inclusion Critera:

-Working in a nursing home as a nurse assistant or a nurse with experience of pre- and postoperative care

Interviews with older persons and next-of-kin

Inclusion criteria

  • Living at a nursing home with an experience of undergoing surgery or being a next-of-kin to someone living at a nursing home
  • Being able to understand Swedish

Exclusion criteria

-Cognitive decline

Treatment and study plan

No intervention

Other

No intervention

Primary outcomes

  1. Preoperative concerns

    Time frame: Before surgery.

    Preoperative concerns in older adults (PCOA) is a questionnaire developed by Li et al. PCOAS will be translated to Swedish and psychometrically evaluated. Minimum value 1, maximum value 5 per item and a higher score means higher concerns.

  2. Interviews with older persons and next-of-kin

    Time frame: The interview will be conducted at one time point approximately 60 minutes.

    The interviews will investigate how an older person living in a nursing home can be involved in their care before and after an operation.

  3. Interviews with staff

    Time frame: The interview will be conducted at one time point approximately 60 minutes.

    The interviews will investigate how is the perioperative care process for older people living in nursing homes perceived and organized from the perspective of the staff?

  4. Health literacy

    Time frame: Before surgery.

    The HLS19-Q12 ( (Health Literacy Population Survey 2019-2021) instrument will be used to measure general health literacy. HLS19-Q12 is scaled from 0 to 100. A higher score value signifies a higher level of general HL.

Other outcomes

  1. Perioperative outcomes

    Time frame: 12 months

    Surgical time in minutes

  2. Perioperative outcomes

    Time frame: 12 month

    The Swedish PeriOperative Registry (SPOR) includes perioperative data. Clinical Frailty Scale (CFS), minimum 1 and maximum 9, with a cutoff of 4 will be used to classify high vs. low frailty .

  3. Perioperative outcomes.

    Time frame: 12 month

    The Swedish PeriOperative Registry (SPOR) includes perioperative data. Quality of recovery-15 (QoR-15) minimum 0 and maximum 10 with a lower score indicating worse recovery, and mortality within 6 months ).

  4. Perioperative outcomes

    Time frame: Before discharge from the PACU

    Postoperative complications at the PACU: PONV yes/no, n(%), pain in numeric rating scale, POUR in milliliter, hypothermia in Celcius

  5. Perioperative outcomes

    Time frame: At discharge from the PACU

    Lenght of stay in hours

  6. Perioperative outcomes

    Time frame: Baseline

    Baseline data : age in yrs, height in meters, BMI kg/m^2 , biological sex in n(%), ASA-classification in n(%), elective/acute surgery in n(%), intraoperative positioning in n(%)

Study contacts

Contact information is provided by the study sponsor or research team.

Maria Jaensson

CONTACT

[email protected]

+4619303405

Sponsors and collaborators

Lead sponsor

Örebro University, Sweden

Other

Registry information

Official study title

The Perioperative Pathway for Older Adults -a Mixed Method Study

Acronym: POP

Important dates

Study start
2026
Primary completion
2030
Study completion
2030
First posted
Aug 13, 2026
Registry last updated
Aug 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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