Implementation Pilot of Preoperative CGA Referral Process for Older Patients Undergoing Major Surgery
University of Wisconsin, Madison
Summary
The goal of this clinical trial is to test whether a new implementation package can help older adults prepare for major surgery. The main question it aims to answer is: Can the implementation package help give more people access to this resource? Participants will be in two groups: older adults who are planning a major surgery and their medical and surgical healthcare providers. The results will be compared to a historic baseline.
Description
The goal of this clinical trial is to test a new implementation package, which will be applied at the system-level, to see whether it can help more older adults prepare for major surgery. The study will evaluate whether the implementation package (1) improves the number of older adults who get a full "comprehensive geriatric assessment" (CGA) before surgery compared to the number of older adults who would be eligible for it, also called "reach"; and (2) increases the use of CGA by the medical and surgical providers who are taking care of these older adults, also called "adoption". Participant…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: 1. Patient aged 80 or older who is scheduled for an elective inpatient major surgery 2. Providers working in a clinic (aged 18 and older) where pCGA is performed or a related anesthesia pre-operative clinic 3. Surgeons (adults older than 18) with a patient aged 80 or older who is scheduled for an elective inpatient major surgery Exclusion criteria: * None
Interventions
- OtherImplementation Package for CGA
The Implementation Package will include streamlined referral processes and education for surgeons and staff about the new processes. These strategies will be applied after surgery is ordered to help increase the reach and adoption of the CGA.
- OtherRoutine Clinical Care
Routine care may or may not include the use of the CGA before surgery. The use of CGA in clinical care is up to the medical and surgical healthcare providers.
Location
- University of WisconsinMadison, Wisconsin