Patient Empowerment Improved Perioperative Quality of Care in Cancer Patients Aged ≥ 65 Years – A Randomized Controlled Trial
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PURPOSE: This randomized controlled, clinical prospective interventional trial was aimed at exploring the effect of patient empowerment on short- and long-term outcomes after major oncologic surgery in elderly cancer patients. METHODS: This trial was performed from February 2011 to January 2014 at two tertiary medical centers in Germany. The study included patients aged 65 years and older undergoing elective surgery for gastro-intestinal, genitourinary, and thoracic cancer. The patients were randomly assigned to the intervention group, i.e. patient empowerment through information booklet and diary keeping, or to the control group, which received standard care. Randomization was done by block randomization in blocks of four in order of enrollment. The primary outcome were 1,postoperative length of hospital stay (LOS) and 2. long-term global health-related quality of life (HRQoL) one year postoperatively. HRQoL was assessed using the EORTC QLQ C30 questionnaire. Secondary outcomes encompassed postoperative stress and complications. Further objectives were the identification of predictors of LOS, and HRQoL at 12 months. RESULTS: Overall 652 patients were included. The mean age was 72 ± 4.9 years, and the majority of patients were male (68.6%, n = 447). The ^median of postoperative length of stay was 9 days (IQR 7-14 day). There were no significant differences between the intervention and the control groups in postoperative LOS (p = 0.99) or global HRQoL after one year (women: p = 0.54, men: p = 0.94). While overall complications and major complications occurred in 74% and 24% of the cases, respectively, frequency and severity of complications did not differ significantly between the groups. Patients in the intervention group reported significantly less postoperative pain (p = 0.03) than the control group. Independent predictors for LOS were identified as severity of surgery, length of anesthesia, major postoperative complications, nutritional state, and pre-operative physical functional capacity measured by the Timed Up and Go-test by multiple robust regressions. CONCLUSION: Patient empowerment through information booklet and diary keeping did not shorten the postoperative LOS in elderly onco-surgical patients, but improved quality of care regarding postoperative pain. Postoperative length of stay is influenced by pre-operative nutritional state, pre-operative functional impairment, severity of surgery, and length of anesthesia. TRIAL REGISTRATION: Clinicaltrials.gov. Identifier NCT01278537.
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OHC users with chronic diseases become more knowledgeable, feel better socially supported, and have improved behavioral and clinical outcomes compared with nonusers.
“For instance, OHC users with chronic diseases become more knowledgeable, feel better socially supported, and have improved behavioral and clinical outcomes compared with nonusers [18].”
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Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282 · see citing works
Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987) · Journal of Chronic Diseases · doi:10.1016/0021-9681(87)90171-8 · Cited by 49,742 · see citing works
Dindo, D., Demartines, N., & Clavien, P.-A. (2004) · Annals of Surgery · doi:10.1097/01.sla.0000133083.54934.ae · Cited by 31,378 · see citing works
Hirono, N., Mori, E., Ikejiri, Y., Imamura, T., Shimomura, T., Hashimoto, M., Yamashita, H., & Ikeda, M. (1997) · PubMed · Cited by 21,010 · see citing works
Kok, J. S., Berg, I. J., & Scherder, E. J. A. (2013) · Dementia and Geriatric Cognitive Disorders Extra · doi:10.1159/000353441 · Cited by 20,589 · see citing works
Older Adults' Reasons for Using Technology while Aging in Place
Peek, S. T. M., Luijkx, K. G., Rijnaard, M. D., Nieboer, M. E., van der Voort, C. S., Aarts, S., van Hoof, J., Vrijhoef, H. J., & Wouters, E. (2015) · Gerontology · doi:10.1159/000430949 · Cited by 19,803 · see citing works
Sensitivity and False Alarm Rate of a Fall Sensor in Long-Term Fall Detection in the Elderly
Kangas, M., Korpelainen, R., Vikman, I., Nyberg, L., & Jämsä, T. J. (2014) · Gerontology · doi:10.1159/000362720 · Cited by 19,003 · see citing works
Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living
Lawton, M. P., & Brody, E. M. (1969) · The Gerontologist · doi:10.1093/geront/9.3_part_1.179 · Cited by 18,540 · see citing works
Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., Filiberti, A., Flechtner, H., Fleishman, S. B., Haes, J. C. J. M. D., et al. (1993) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/85.5.365 · Cited by 16,005 · see citing works
Development and validation of a geriatric depression screening scale: a preliminary report
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1982) · Journal of Psychiatric Research · doi:10.1016/0022-3956(82)90033-4 · Cited by 15,025 · see citing works
The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons
Podsiadlo, D., & Richardson, S. (1991) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1991.tb01616.x · Cited by 14,418 · see citing works
Functional evaluation : Barthel index
Mahonery, F. I. (1965) · Medical Entomology and Zoology · Cited by 12,762 · see citing works
Toxicity and response criteria of the Eastern Cooperative Oncology Group
Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., Mcfadden, E. T., & Carbone, P. P. (1982) · American Journal of Clinical Oncology · doi:10.1097/00000421-198212000-00014 · Cited by 11,607 · see citing works
Hao (2015) · doi:10.1002/14651858 · Cited by 11,321 · see citing works
Decision aids for people facing health treatment or screening decisions
Stacey, D., Légaré, F., Lewis, K., Barry, M. J., Bennett, C. L., Eden, K. B., Holmes-Rovner, M., Llewellyn-Thomas, H., Lyddiatt, A., Thomson, R., et al. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001431.pub5 · Cited by 6,685 · see citing works
The cochrane database of systematic reviews
Geddes, J. R. (1996) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(96)90063-x · Cited by 5,988 · see citing works
Cognitive Stimulation in Patients with Dementia: Randomized Controlled Trial
Mapelli, D., Rosa, E. D., Nocita, R., & Sava, D. (2013) · Dementia and Geriatric Cognitive Disorders Extra · doi:10.1159/000353457 · Cited by 3,468 · see citing works
Performance‐Oriented Assessment of Mobility Problems in Elderly Patients
Tinetti, M. E. (1986) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1986.tb05480.x · Cited by 3,352 · see citing works
Interpreting the significance of changes in health-related quality-of-life scores.
Osoba, D., Rodrigues, G., Myles, J., Zee, B. C.-Y., & Pater, J. L. (1998) · Journal of Clinical Oncology · doi:10.1200/jco.1998.16.1.139 · Cited by 2,971 · see citing works
A Multicomponent Intervention to Prevent Delirium in Hospitalized Older Patients
Inouye, S. K., Bogardus, S. T., Charpentier, P. A., Leo-Summers, L. S., Acampora, D., Holford, T. R., & Cooney, L. M. (1999) · New England Journal of Medicine · doi:10.1056/nejm199903043400901 · Cited by 2,904 · see citing works
Multimodal approach to control postoperative pathophysiology and rehabilitation
Kehlet, H. (1997) · British Journal of Anaesthesia · doi:10.1093/bja/78.5.606 · Cited by 2,830 · see citing works
Fayers, P. M., Aaronson, N. K., Bjordal, K., Groenvold, M., Curran, D., & Bottomley, A. (2001) · Research at the University of Copenhagen (University of Copenhagen) · Cited by 2,520 · see citing works
Ely, E. W., Margolin, R. A., Francis, J., May, L., Truman, B., Dittus, R. S., Speroff, T., Gautam, S., Bernard, G. R., & Inouye, S. K. (2001) · Critical Care Medicine · doi:10.1097/00003246-200107000-00012 · Cited by 2,424 · see citing works
Stewart, B. W., & Kleihues, P. (2003) · Cited by 2,389 · see citing works
Nygren, J., Thacker, J., Carli, F., Fearon, K. C. H., Norderval, S., Lobo, D. N., Ljungqvist, O., Soop, M., & Rodríguez, J. M. ́. (2012) · World Journal of Surgery · doi:10.1007/s00268-012-1787-6 · Cited by 2,218 · see citing works
POSSUM: A scoring system for surgical audit
Copeland, G. P., Jones, D., & Walters, M. (1991) · British journal of surgery · doi:10.1002/bjs.1800780327 · Cited by 1,716 · see citing works
The Cochrane Database of Systematic Reviews
Handoll, H. H., Howe, T. E., & Madhok, R. (2002) · Physiotherapy · doi:10.1016/s0031-9406(05)60709-2 · Cited by 1,497 · see citing works
Decision aids for people facing health treatment or screening decisions
Stacey, D., Légaré, F., Col, N. F., Bennett, C. L., Barry, M. J., Eden, K., Holmes-Rovner, M. M., Llewellyn‐Thomas, H. A., Lyddiatt, A., Thomson, R., et al. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001431.pub4 · Cited by 1,484 · see citing works
Mortality after surgery in Europe: a 7 day cohort study
Pearse, R. M., Moreno, R. P., Bauer, P., Pelosi, P. P., Metnitz, P., Spies, C., Vallet, B., Vincent, J., Hoeft, A., & Rhodes, A. (2012) · The Lancet · doi:10.1016/s0140-6736(12)61148-9 · Cited by 1,354 · see citing works
Self-citationReduction of Postoperative Pain by Encouragement and Instruction of Patients
Egbert, L. D., Battit, G. E., Welch, C. E., & Bartlett, M. K. (1964) · New England Journal of Medicine · doi:10.1056/nejm196404162701606 · Cited by 1,147 · see citing works
Gustafsson, U. O., Scott, M. J., Schwenk, W., Demartines, N., Roulin, D., Francis, N. K., McNaught, C., Macfie, J. M., Liberman, A. S., Soop, M., et al. (2012) · World Journal of Surgery · doi:10.1007/s00268-012-1772-0 · Cited by 1,130 · see citing works
Comorbidity and functional status are independent in older cancer patients.
Extermann, M., Overcash, J. A., Lyman, G. H., Parr, J., & Balducci, L. (1998) · Journal of Clinical Oncology · doi:10.1200/jco.1998.16.4.1582 · Cited by 986 · see citing works
Identifying the elderly at risk for malnutrition
Guigoz, Y., Lauque, S., & Vellas, B. J. (2002) · Clinics in Geriatric Medicine · doi:10.1016/s0749-0690(02)00059-9 · Cited by 983 · see citing works
A concept analysis of empowerment
Gibson, C. H. (1991) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1991.tb01660.x · Cited by 853 · see citing works
Gaudreau, J., Gagnon, P. R., Harel, F., Tremblay, A., & Roy, M. (2005) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2004.07.009 · Cited by 691 · see citing works
Carlson, L. E., Speca, M., Faris, P., & Patel, K. D. (2007) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2007.04.002 · Cited by 688 · see citing works
Quinten, C., Coens, C., Mauer, M. E. L., Comte, S., Sprangers, M. A. G., Cleeland, C. S., Osoba, D., Bjordal, K., & Bottomley, A. (2009) · The Lancet Oncology · doi:10.1016/s1470-2045(09)70200-1 · Cited by 663 · see citing works
Bainbridge, D., Martin, J., Arango, M., & Cheng, D. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60990-8 · Cited by 600 · see citing works
Redefining Geriatric Preoperative Assessment Using Frailty, Disability and Co-Morbidity
Robinson, T. N., Eiseman, B., Wallace, J. I., Church, S. D., McFann, K. K., Pfister, S. M., Sharp, T. J., & Moss, M. (2009) · Annals of Surgery · doi:10.1097/sla.0b013e3181b45598 · Cited by 543 · see citing works
Postoperative Mortality and Morbidity in French Patients Undergoing Colorectal Surgery
Alvès, A. (2005) · Archives of Surgery · doi:10.1001/archsurg.140.3.278 · Cited by 535 · see citing works
Postoperative Delirium in Older Adults: Best Practice Statement from the American Geriatrics Society
Inouye, S. K., Robinson, T., Blaum, C. S., Busby‐Whitehead, J., Boustani, M. A., Chalian, A. A., Deiner, S. G., Fick, D. M., Hutchison, L. C., Johanning, J. M., et al. (2014) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2014.10.019 · Cited by 521 · see citing works
Preoperative education for hip or knee replacement
McDonald, S. J., Page, M. J., Beringer, K., Wasiak, J., & Sprowson, A. P. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003526.pub3 · Cited by 500 · see citing works
Rostoft, S., Nesbakken, A., Slaaen, M., Skovlund, E., Audisio, R. A., Johannessen, H., Bakka, A. O., & Wyller, T. B. (2009) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2009.11.002 · Cited by 456 · see citing works
Effects of psychoeducational care for adult surgical patients: A meta-analysis of 191 studies
Devine, E. C. (1992) · Patient Education and Counseling · doi:10.1016/0738-3991(92)90193-m · Cited by 360 · see citing works
EORTC elderly task force position paper: Approach to the older cancer patient
Pallis, A. G., Fortpied, C., Wedding, U., Nes, M.-C. V., Penninckx, B., Ring, A. E., Lacombe, D., Monfardini, S., Scalliet, P. G. M., & Wildiers, H. P. M. W. (2010) · European Journal of Cancer · doi:10.1016/j.ejca.2010.02.022 · Cited by 339 · see citing works
The measurement of pain in intensive care unit: Comparison of 5 self-report intensity scales
Chanques, G., Viel, E. J., Constantin, J., Jung, B., de Lattre, S., Carr, J., Cissé, M. F., Lefrant, J., & Jaber, S. (2010) · Pain · doi:10.1016/j.pain.2010.08.039 · Cited by 319 · see citing works
Psychological Stress: Psychoanalytic and Behavioral Studies of Surgical Patients.
Volkart, E. H., & Janis, I. L. (1959) · American Sociological Review · doi:10.2307/2089417 · Cited by 268 · see citing works
Psychological stress: Psychoanalytic and behavioral studies of surgical patients.
Janis, I. L. (1958) · John Wiley & Sons, Inc. eBooks · doi:10.1037/11191-000 · Cited by 254 · see citing works
Peri‐operative care of the elderly 2014
Griffiths, M. O. T. W. P. R., Beech, F., Brown, A. D. H., Dhesi, J. K., Foo, I. T. H., Goodall, J., Harrop-Griffiths, W. A., Jameson, J., Love, N., Pappenheim, K., et al. (2013) · Anaesthesia · doi:10.1111/anae.12524 · Cited by 249 · see citing works
THE CHOLINERGIC SYSTEM IN OLD AGE AND ALZHEIMER'S DISEASE
Perry, E. K. (1980) · Age and Ageing · doi:10.1093/ageing/9.1.1 · Cited by 248 · see citing works
Guo, P., East, L. A., & Arthur, A. J. (2011) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2011.08.008 · Cited by 227 · see citing works
Borghans, I., Kool, R. B., Lagoe, R. J., & Westert, G. P. (2012) · Health Policy · doi:10.1016/j.healthpol.2011.12.010 · Cited by 197 · see citing works
Huisman, M. G., van Leeuwen, B. L., Ugolini, G., Montroni, I., Spiliotis, J. D., Stabilini, C., Carino, N. D. L., Farinella, E., de Bock, G. H., & Audisio, R. A. (2014) · PLoS ONE · doi:10.1371/journal.pone.0086863 · Cited by 179 · see citing works
Pre-operative education for hip or knee replacement
McDonald, S. J., Hetrick, S. E., & Green, S. (2004) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003526.pub2 · Cited by 165 · see citing works
Patient education outcomes in surgery: a systematic review from 2004 to 2010
Ronco, M., Iona, L., Fabbro, C., Bulfone, G., & Palese, A. (2012) · International Journal of Evidence-Based Healthcare · doi:10.1111/j.1744-1609.2012.00286.x · Cited by 123 · see citing works
Shuldham, C. (2002) · European Heart Journal · doi:10.1053/euhj.2001.2897 · Cited by 117 · see citing works
Normative Data of the EORTC QLQ-C30 For the German Population: A Population-Based Survey
Waldmann, A., Schubert, D., & Katalinic, A. (2013) · PLoS ONE · doi:10.1371/journal.pone.0074149 · Cited by 109 · see citing works
Ponzetto, M., Maero, B., Maina, P., Rosato, R., Ciccone, G., Merletti, F., Rubenstein, L. Z., & Fabris, F. (2003) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/58.11.m1049 · Cited by 109 · see citing works
Patient Education and Health-related Quality of Life
Leino‐Kilpi, H., Johansson, K., Heikkinen, K., Kaljonen, A., Virtanen, H., & Salanterä, S. (2005) · Journal of Nursing Care Quality · doi:10.1097/00001786-200510000-00005 · Cited by 86 · see citing works
Luetz, A., Radtke, F. M., Franck, M., Seeling, M., Gaudreau, J., Kleinwächter, R., Kork, F., Zieb, A., Heymann, A., & Spies, C. (2008) · AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie · doi:10.1055/s-2008-1060551 · Cited by 82 · see citing works
Self-citationColorectal surgery in octogenarian patients—outcomes and predictors of morbidity
Tan, K., Kawamura, Y., Mizokami, K., Sasaki, J., Tsujinaka, S., Maeda, T., & Konishi, F. (2008) · International Journal of Colorectal Disease · doi:10.1007/s00384-008-0615-9 · Cited by 82 · see citing works
Postoperative complications in elderly patients and their significance for long-term prognosis
Story, D. (2008) · Current Opinion in Anaesthesiology · doi:10.1097/aco.0b013e3282f889f8 · Cited by 79 · see citing works
Diaries for recovery from critical illness
Ullman, A. J., Aitken, L. M., Rattray, J. E., Kenardy, J. A., Brocque, R. M. L., MacGillivray, S. A., & Hull, A. M. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010468.pub2 · Cited by 71 · see citing works
The Lived Perioperative Experience of Ambulatory Surgery Patients
Costa, M. J. (2001) · AORN Journal · doi:10.1016/s0001-2092(06)61505-6 · Cited by 66 · see citing works
The United Kingdom National Bowel Cancer Project – Epidemiology and surgical risk in the elderly
Tan, E., Tilney, H. S., Thompson, M., Smith, J. J., & Tekkis, P. P. (2007) · European Journal of Cancer · doi:10.1016/j.ejca.2007.06.009 · Cited by 64 · see citing works
Fink, C., Diener, M. K., Bruckner, T. M., Müller, G., Paulsen, L., Keller, M., Büchler, M. W., & Knebel, P. (2013) · Trials · doi:10.1186/1745-6215-14-271 · Cited by 38 · see citing works
Effects of education and support for surgical patients: The role of perceived control
Breemhaar, B., & van den Borne, H. W. (1991) · Patient Education and Counseling · doi:10.1016/0738-3991(91)90129-s · Cited by 36 · see citing works
Integration of clinical and patient-reported outcomes in surgical oncology
Macefield, R. C., AVERY, K. N. L., & Blazeby, J. M. (2012) · British journal of surgery · doi:10.1002/bjs.8989 · Cited by 33 · see citing works
Morledge, J. H., Ettinger, B. B., Aranda, J. F., McBarron, F., Barra, P., Gorwit, J., & Davidov, M. E. (1986) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1986.tb04203.x · Cited by 33 · see citing works
Inflammation and disability as risk factors for mortality in elderly acute care patients
Forasassi, C., Golmard, J., Pautas, É., Piette, F., Myara, I., & Raynaud-Simon, A. (2008) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2008.03.011 · Cited by 29 · see citing works
Formal education of patients about to undergo laparoscopic cholecystectomy
Gurusamy, K. S., Vaughan, J., & Davidson, B. R. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009933.pub2 · Cited by 28 · see citing works
Schmidt, M., Neuner, B., Kindler, A., Scholtz, K., Eckardt, R., Neuhaus, P., & Spies, C. (2014) · PLoS ONE · doi:10.1371/journal.pone.0085456 · Cited by 26 · see citing works
Self-citationHealth-Related Quality of Life and Postoperative Length of Stay for Patients with Colorectal Cancer
Holloway, S. E., Sarosi, G., Kim, L., Nwariaku, F. E., O’Keefe, G. E., Hynan, L. S., Jones, C., & Anthony, T. (2002) · Journal of Surgical Research · doi:10.1006/jsre.2002.6549 · Cited by 25 · see citing works
Perioperative Morbidity and Mortality in Octogenarians With Ovarian Cancer
Walters, C. L., Schneider, K. E., Whitworth, J. M., Fauci, J. M., Smith, H. J., Barnes, M. N., & Straughn, J. M. (2013) · International Journal of Gynecological Cancer · doi:10.1097/igc.0b013e3182980fac · Cited by 8 · see citing works
The rapid assessment of fatigue severity in cancer patients
Mendoza, T. R., Wang, X. S., Cleeland, C. S., Morrissey, M., Johnson, B. A., Wendt, J. K., & Huber, S. L. (1999) · Cancer · doi:10.1002/(sici)1097-0142(19990301)85:5 · Cited by 1 · see citing works
(1965) · PubMed
Flagged first, then by citations
Research works printed but not linked: 1
- [32]Spies C, Kastrup M, Kerner T, Melzer-Gartzke C, Zielke H, Kox WJ (2013) SOPs in Anästhesiologie und Schmerztherapie Stuttgart: Georg Thieme Verlag. 524 p.
Cited by
Sorted by citations
Batchelor, T. J. P., Rasburn, N., Abdelnour‐Berchtold, E., Brunelli, A., Cerfolio, R. J., González, M., Ljungqvist, O. H., Petersen, R. H., Popescu, W. M., Slinger, P., et al. (2018) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezy301 · Cited by 1,383 · see citing works
Watt, J. A., Tricco, A. C., Talbot‐Hamon, C., Pham, B., Rios, P. D. L., Grudniewicz, A., Wong, C. L., Sinclair, D. E., & Straus, S. E. (2018) · BMC Medicine · doi:10.1186/s12916-017-0986-2 · Cited by 219 · see citing works
The Value and Future Developments of Multidisciplinary Team Cancer Care
Selby, P. J., Popescu, R. A., Lawler, M., Butcher, H., & Costa, A. (2019) · American Society of Clinical Oncology Educational Book · doi:10.1200/edbk_236857 · Cited by 176 · see citing works
Empowerment in cancer patients: Does peer support make a difference? A systematic review
Ziegler, E., Hill, J., Lieske, B., Klein, J., Knesebeck, O. V. D., & Kofahl, C. (2022) · Psycho-Oncology · doi:10.1002/pon.5869 · Cited by 160 · see citing works
Faithfull, S., Turner, L., Poole, K., Joy, M., MANDERS, R. J. F., Weprin, J., Winters‐Stone, K. M., & Saxton, J. (2019) · European Journal of Cancer Care · doi:10.1111/ecc.13023 · Cited by 105 · see citing works
Bailo, L., Guiddi, P., Vergani, L., Marton, G., & Pravettoni, G. (2019) · ecancermedicalscience · doi:10.3332/ecancer.2019.912 · Cited by 94 · see citing works
Darville, R., Lomanowska, A. M., Yu, H., Jobin, P. G., Rosenbloom, B. N., Gabriel, G., Daudt, H., Negraeff, M., Renna, T. D., Hudspith, M., et al. (2023) · Canadian Journal of Pain · doi:10.1080/24740527.2023.2266751 · Cited by 85 · see citing works
Enhanced Recovery after Surgery: History, Key Advancements and Developments in Transplant Surgery
Golder, H., & Papalois, V. E. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10081634 · Cited by 83 · see citing works
Rezaei Aghdam, A., Watson, J., Cliff, C., & Miah, S. J. (2020) · Journal of Medical Internet Research · doi:10.2196/16324 · Cited by 57 · see citing works
Gröndahl, W., Muurinen, H., Katajisto, J., Suhonen, R., & Leino‐Kilpi, H. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-023108 · Cited by 50 · see citing works
Mueller, A., Spies, C., Eckardt, R., Weiss, B., Pohrt, A., Wernecke, K., & Schmidt, M. (2019) · Journal of Clinical Anesthesia · doi:10.1016/j.jclinane.2019.109632 · Cited by 49 · see citing works
Self-citationGuidelines on enhanced recovery after pulmonary lobectomy
Berna, P., Quesnel, C., Assouad, J., Bagan, P., Etienne, H., Fourdrain, A., Guen, M. L., Léone, M., Lorne, E., Nguyen, Y. N.-L., et al. (2021) · Anaesthesia Critical Care & Pain Medicine · doi:10.1016/j.accpm.2020.100791 · Cited by 46 · see citing works
Educating Patients Regarding Pain Management and Safe Opioid Use After Surgery: A Narrative Review
Lee, B. H., & Wu, C. L. (2019) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000004436 · Cited by 43 · see citing works
Exploring the meaningfulness of healthcare organizations: a multiple case study
Palumbo, R., Annarumma, C., & Musella, M. (2017) · International Journal of Public Sector Management · doi:10.1108/ijpsm-10-2016-0174 · Cited by 39 · see citing works
Menichetti, J., Graffigna, G., & Steinsbekk, A. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2017.12.009 · Cited by 32 · see citing works
Stolt, M., Katajisto, J., Kottorp, A., & Leino‐Kilpi, H. (2019) · Journal of Nursing Care Quality · doi:10.1097/ncq.0000000000000391 · Cited by 21 · see citing works
Low, C. E., Pillay, R. M., Teo, F. J. J., Loh, C. Y. L., Yau, C. E., Lee, A. R. Y. B., Ho, C. S. H., & Chen, M. Z. (2024) · Age and Ageing · doi:10.1093/ageing/afae111 · Cited by 20 · see citing works
The Effects of Preoperative Education for Patients With Cancer
Kim, N., Yang, J., Lee, K. S., & Shin, I. (2020) · Cancer Nursing · doi:10.1097/ncc.0000000000000871 · Cited by 17 · see citing works
Prehabilitation of the Thoracic Surgery Patient
Dezube, A. R., Cooper, L., & Jaklitsch, M. T. (2020) · Thoracic surgery clinics/Thorac. surg. clin. · doi:10.1016/j.thorsurg.2020.04.004 · Cited by 17 · see citing works
Palmer, C. G. S., McConkie‐Rosell, A., Holm, I. A., LeBlanc, K., Sinsheimer, J. S., Briere, L. C., Dorrani, N., Herzog, M. R., Lincoln, S. A., Schoch, K., et al. (2018) · Journal of Genetic Counseling · doi:10.1007/s10897-018-0228-6 · Cited by 16 · see citing works
Wang, X. S., Kamal, M. J., Chen, T. H., Shi, Q., García-González, A., Iniesta, M. D., Cleeland, C. S., Gottumukkala, V. N. R., & Meyer, L. A. (2021) · Gynecologic Oncology · doi:10.1016/j.ygyno.2021.01.021 · Cited by 16 · see citing works
Germline Testing in Prostate Cancer: When and Who to Test
Sokolova, A. O. (2021) · ONCOLOGY · doi:10.46883/onc.2021.3510.0645 · Cited by 14 · see citing works
Mörgeli, R., Scholtz, K., Kurth, J., Treskatsch, S., Neuner, B., Koch, S., Kaufner, L., & Spies, C. (2017) · Visceral Medicine · doi:10.1159/000475611 · Cited by 13 · see citing works
Self-citationSurgeons’ Interactions With and Attitudes Toward E-Patients: Questionnaire Study in Germany and Oman
Masters, K., Loda, T., Johannink, J., Al-Abri, R. K., & Herrmann‐Werner, A. (2020) · Journal of Medical Internet Research · doi:10.2196/14646 · Cited by 13 · see citing works
Kristoffersen, E. W., Opsal, A., Tveit, T. O., & Fossum, M. (2022) · BMC Anesthesiology · doi:10.1186/s12871-022-01852-w · Cited by 11 · see citing works
Patient Empowerment in Cancer Care
Kim, S. H., Choe, Y. H., & Kim, D. H. (2023) · Cancer Nursing · doi:10.1097/ncc.0000000000001228 · Cited by 13 · see citing works
Prehabilitation: The underutilised weapon for chronic pain management
Tidmarsh, L. V., Harrison, R. N., & Finlay, K. A. (2024) · British Journal of Pain · doi:10.1177/20494637241250239 · Cited by 10 · see citing works
Liu, C., Li, W., Liu, T., Du, C., Luo, Q., Song, L., Liu, X., & Zhou, Y. (2023) · Supportive Care in Cancer · doi:10.1007/s00520-023-07573-1 · Cited by 10 · see citing works
Boogar, I. R., Talepasand, S., Norouzi, H., Mozafari, S., & Hosseini, S. J. (2018) · International Journal of Cancer Management · doi:10.5812/ijcm.62539 · Cited by 10 · see citing works
Paiva, B. C., Sousa, C. S., Poveda, V. D. B., & Turrini, R. N. T. (2017) · Revista Sobecc · doi:10.5327/z1414-4425201700040006 · Cited by 9 · see citing works
Seyfulayeva, A., Fonte, B. F., Alho, A. M., Shaikh, A. N., Nunes, A. B., Casaca, P., Leite, A., Taha, A., Dhingra‐Kumar, N., & Sousa, P. J. D. S. (2025) · BMJ Open Quality · doi:10.1136/bmjoq-2024-002986 · Cited by 8 · see citing works
Persson, J., Clifford, D., Wallergård, M., & Sandén, U. (2021) · JMIR Rehabilitation and Assistive Technologies · doi:10.2196/29763 · Cited by 8 · see citing works
Collette, A. M., Spies, C., Eckardt, R., Wernecke, K., & Schmidt, M. (2017) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2016.10.005 · Cited by 8 · see citing works
Self-citationScholtz, K., Spies, C., Mörgeli, R., Eckardt, R., von Dossow, V., Braun, S., Sehouli, J., Bahra, M., Stief, C. G., Wernecke, K. ‐., et al. (2018) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.13067 · Cited by 8 · see citing works
Self-citationLam, A. B., Sorensen, L., Moore, V. A., Bouvette, M. J., Barba, A., Clifton, S. C., Wismann, A., Keyser, K., Shinall, M. C., & Nipp, R. D. (2025) · JCO Oncology Practice · doi:10.1200/op-24-00762 · Cited by 7 · see citing works
Preoperative Patient Education
Burch, J., & Balfour, A. (2020) · Springer eBooks · doi:10.1007/978-3-030-33443-7_5 · Cited by 7 · see citing works
Li, C., Yu, H., Wen, J., & Li, L. (2025) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2024.09.009 · Cited by 6 · see citing works
Ammar, N., Olusanya, O. A., Melton, C. A., Chinthala, L. K., Huang, X., White, B. M., & Shaban‐Nejad, A. (2023) · JMIR Formative Research · doi:10.2196/50210 · Cited by 7 · see citing works
Nonpharmacological interventions for pain management in lung cancer patients: A systematic review
Kumar, J., Alam, M. M., & Johnson, K. (2020) · Indian Journal of Palliative Care · doi:10.4103/ijpc.ijpc_24_20 · Cited by 6 · see citing works
Melhem, S. J., Nabhani‐Gebara, S., & Kayyali, R. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1116882 · Cited by 6 · see citing works
Ali, S. A. B., Fermi, F., Olleik, G., Lapointe-Gagner, M., Jain, S., Nguyen-Powanda, P., Ghezeljeh, T. N., Elhaj, H., Alali, N., Pook, M., et al. (2024) · Surgical Endoscopy · doi:10.1007/s00464-024-11258-z · Cited by 5 · see citing works
Addressing Resistance to Targeted Therapies in Metastatic Colorectal Cancer
Jones, J. (2021) · ONCOLOGY · doi:10.46883/onc.2021.3510.0654 · Cited by 5 · see citing works
Wang, X. S., Bree, K. K., Navai, N., Kamal, M. J., Shen, S., Letona, E., Cleeland, C. S., Shi, Q., & Gottumukkala, V. N. R. (2023) · Cancers · doi:10.3390/cancers15113051 · Cited by 4 · see citing works
Colorectal cancer literacy and related factors in northeast of Iran: A cross‐sectional study
Delshad, M. H., Pourhaji, F., Abdollahi, M., Khorram, H. P., & Pourhasan, A. (2024) · Cancer Reports · doi:10.1002/cnr2.2037 · Cited by 4 · see citing works
Sandén, U., Harrysson, L., Thulesius, H. O., & Nilsson, F. (2021) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2021.1926052 · Cited by 4 · see citing works
Bottet, B., Piton, N., Selim, J., Sarsam, M., Guisier, F., & Baste, J. (2023) · Cancers · doi:10.3390/cancers15164039 · Cited by 4 · see citing works
Surgical Management of Hidradenitis Suppurativa
Ocker, L., Rached, N. A., & Bechara, F. G. (2024) · IntechOpen eBooks · doi:10.5772/intechopen.1005024 · Cited by 4 · see citing works
Enhanced Recovery After Liver Surgery
Simoneau, È., Aloia, T. A., & Tzeng, C.-W. D. (2019) · Springer eBooks · doi:10.1007/978-3-030-25486-5_25 · Cited by 4 · see citing works
Scholtz, K., Borchers, F., Mörgeli, R., Krampe, H., Schmidt, M., Eckardt‐Felmberg, R., von Dossow, V., Sehouli, J., Stief, C. G., Pohrt, A., et al. (2024) · European Journal of Surgical Oncology · doi:10.1016/j.ejso.2024.108421 · Cited by 3 · see citing works
Self-citationParvizi, A., Mohammad, R. P., Haddadi, S., Kia, S. R., Akbari, M., & Yazdanipour, M. A. (2025) · Annals of Medicine and Surgery · doi:10.1097/ms9.0000000000003032 · Cited by 3 · see citing works
Value of Geriatric Assessment in Patients With Genitourinary Carcinoma
Zangl, Q. (2021) · ONCOLOGY · doi:10.46883/onc.2021.3510.0620 · Cited by 3 · see citing works
Exploring health navigating design: momentary contentment in a cancer context
Sandén, U., Harrysson, L., Thulesius, H. O., & Nilsson, F. (2017) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2017.1374809 · Cited by 3 · see citing works
Application of empowerment education in health education for cancer patients
Peng, Y., Han, L., Fang-Fang, A. N., Li, L. I., & Hou, Y. (2021) · Journal of Integrative Nursing · doi:10.4103/jin.jin_58_20 · Cited by 3 · see citing works
Co-creating an empowering health education intervention for urological cancer patients
Petit‐Steeghs, V., Pittens, C. A. C. M., Oosterman, J., & Broerse, J. E. W. (2021) · Health Education Journal · doi:10.1177/00178969211035169 · Cited by 3 · see citing works
Evaluating the quality of online resources for patient education on robotic esophagectomy
Kelly, S., Jindani, R., Yanis, S., Habboosh, N., Parmar, P., Rodríguez-Quintero, J. H., Nobel, T. B., Vimolratana, M., Chudgar, N. P., & Stiles, B. M. (2025) · Journal of Robotic Surgery · doi:10.1007/s11701-025-02297-2 · Cited by 2 · see citing works
Improving delayed discharge in gastrointestinal surgery patients: An integrative review
Chaimee, M., Attawet, J., Qiu, Y., Hugh, T. J., Murray‐Parahi, P., & Wilson, A. (2025) · International Journal of Nursing Studies Advances · doi:10.1016/j.ijnsa.2025.100417 · Cited by 2 · see citing works
Masters, K., Loda, T., Al-Abri, R. K., Johannink, J., & Herrmann‐Werner, A. (2020) · Annals of Medicine and Surgery · doi:10.1016/j.amsu.2020.05.022 · Cited by 1 · see citing works
Kinsey, D., Febrey, S., Briscoe, S., Kneale, D., Coon, J. T., Carrieri, D., Lovegrove, C., McGrath, J. S., Hemsley, A. G., Meléndez‐Torres, G. J., et al. (2023) · Health and Social Care Delivery Research · doi:10.3310/ghty5117 · Cited by 2 · see citing works
COLOMATE challenge to overcome resistance in metastatic colorectal cancer
Yoshino, T. (2021) · ONCOLOGY · doi:10.46883/onc.2021.3510.0656 · Cited by 2 · see citing works
Prehabilitation in Thoracic Surgery
Licker, M. J., & Navarro, R. (2020) · Springer eBooks · doi:10.1007/978-3-030-28528-9_3 · Cited by 2 · see citing works
Pulmonary rehabilitation programs in lung transplant: a literature review
Pinto, J. M. D. S., do Vale, C. K. D. C., Rodrigues, D. L. D. L., de Freitas, J. B., Júnior, J. M., Araújo, A. S., & Morano, M. T. A. P. (2015) · Revista Brasileira em Promoção da saúde · doi:10.5020/18061230.2015.p443 · Cited by 1 · see citing works
Hentati, A., Ayed, A. B., Jdidi, J., Chaari, Z., Hlima, G. B., & Frikha, I. (2023) · Asian Cardiovascular and Thoracic Annals · doi:10.1177/02184923231216131 · Cited by 1 · see citing works
Rafiei, M., Ahmadifajr, Z., & Mazalzadeh, F. (2024) · Journal of Health Reports and Technology · doi:10.5812/jhrt-149502 · Cited by 1 · see citing works
Labenbacher, S., Hammer, S., Moser, A., Schreiber, N., & Bornemann‐Cimenti, H. (2025) · Journal of Advanced Nursing · doi:10.1111/jan.70264 · Cited by 1 · see citing works
Busse, S., Uslar, V., Fudickar, S., Ödemis, V., Hellmers, S., Bräuer, A. U., Hein, A., & Weyhe, D. (2025) · JMIR Formative Research · doi:10.2196/75972 · Cited by 1 · see citing works
Hickmann, E., Richter, P., & Schlieter, H. (2021) · Lecture notes in information systems and organisation · doi:10.1007/978-3-030-86790-4_5 · Cited by 1 · see citing works
Clinically Meaningful Outcome Measures: A Role for Geriatric Assessment
Kovar, N. (2021) · ONCOLOGY · doi:10.46883/onc.2021.3510.0624 · Cited by 1 · see citing works
Aged Patients with a Frailty Syndrome
Spies, C., Mörgeli, R., Wolf, A., Müller, A., & Birkelbach, O. (2017) · Springer eBooks · doi:10.1007/978-3-319-60804-4_19 · Cited by 1 · see citing works
Self-citationKim, J. (2020) · Journal of the Korea Academia-Industrial cooperation Society · doi:10.5762/kais.2020.21.8.455 · Cited by 1 · see citing works
Gizhlaryan, M. (2021) · ONCOLOGY · doi:10.46883/onc.2021.3510.0665 · Cited by 1 · see citing works
Vu, P. H., Tran, D. V., Dao, T. T. H., Dong, O. T., Nguyen, T. T., & Tu, N. H. (2021) · Hospital Topics · doi:10.1080/00185868.2021.2014767 · Cited by 1 · see citing works
Gedrimė, L., Fatkulina, N., Brasaitė, I., & Salanterä, S. (2019) · MEDICAL SCIENCE PULSE · doi:10.5604/01.3001.0013.1538
Chancen, Risiken und Pflichten in der patientenorientierten digitalen Gesundheitskommunikation
Haßing, D., & Müther, H.-H. (2020) · Springer eBooks · doi:10.1007/978-3-658-26670-7_6
Why Was the Primary Outcome Switched in a Patient Empowerment Trial?
Gray, R. J., & Brown, E. (2022) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2020.08.013
(2019) · Elsevier eBooks · doi:10.1016/b978-0-12-816438-9.02001-8
Correia, M. I. T. D. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-816438-9.00024-6
Rezaeiaghdam, A. (2022) · Queensland University of Technology · doi:10.5204/thesis.eprints.231220
Kristoffersen, E. W., Opsal, A., Tveit, T. O., & Fossum, M. (2022) · Research Square · doi:10.21203/rs.3.rs-1719766/v1
Tian, M., Xie, L., Wei, W., Chen, Y., & Tang, J. (2024) · doi:10.2196/preprints.59646
Wang, Y., Fleming, F. J., & Loh, K. P. (2025) · JCO Oncology Practice · doi:10.1200/op-25-00032
Busse, S., Uslar, V., Fudickar, S. J. F., Ödemis, V., Hellmers, S., Bräuer, A. U., Hein, A., & Weyhe, D. (2025) · doi:10.2196/preprints.75972
Aziz, M., Iftikhar, M., Haider, S., Siddique, S., Barkat, M., Munawar, S., Ejaz, M., & Ahsan, S. (2025) · Pakistan Journal of Health Sciences · doi:10.54393/pjhs.v6i4.2450
Empowerment durch PROM: der Kontext ist entscheidend für die Wirksamkeit
van Oorschot, B. (2025) · Die Onkologie · doi:10.1007/s00761-025-01761-w
Kristoffersen, E. W., Opsal, A., Tveit, T. O., & Fossum, M. (2022) · Figshare · doi:10.6084/m9.figshare.21269140
Factors influencing optimal postoperative pain management: a systematic scoping review
Fakier, R., Parker, R., Sarkies, M., & Limakatso, K. (2026) · Frontiers in Pain Research · doi:10.3389/fpain.2026.1870836
Patient education for older adults with cancer and their caregivers: A scoping review
Lin, L., Sattar, S., Steenstra, I. A., Ku, N.-W., Anand, S., Ho, H., Oleynikov, C., Haase, K. R., Celik, I., Mirzaei, S., et al. (2026) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2026.104656
- Authors
- Schmidt, M., Eckardt, R., Scholtz, K., Neuner, B., von Dossow-Hanfstingl, V., Sehouli, J., Stief, C. G., Wernecke, K.-D., Spies, C. D., & PERATECS Group
- Affiliations
- Charité – Universitätsmedizin Berlin (DE)
- Ludwig-Maximilians-Universität München (DE)
- Corresponding author
- Spies, Claudia D.
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2015-09-17
- Volume
- 10
- Issue
- 9
- Pages
- e0137824
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4574984
- OpenAlex
- W2172688798
- Cited by
- 87
- References
- 76
- Citations by year
- 2026: 2 · 2025: 12 · 2024: 8 · 2023: 9 · 2022: 6 · 2021: 16 · 2020: 9 · 2019: 12 · 2018: 5 · 2017: 7 · 2015: 1
- FWCI
- 4.36
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Refubium (Universitätsbibliothek der Freien Universität Berlin) (submittedVersion, cc-by)
- Universitätsbibliothek der FU Berlin Hochschulschriftenstelle u. Dokumentenserver (cc-by)
- Funders
- Deutsche Krebshilfe (DKH-108474, 108474)
- Topics
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- patient empowerment, elderly cancer patients, perioperative care, postoperative hospital stay, health-related quality of life, postoperative pain, postoperative complications, information booklet, diary writing, predictors of length of stay, nutritional status, cancer surgery, gastrointestinal cancer, genitourinary cancer, thoracic tumors, patient education, EORTC QLQ-C30
- MeSH terms
- Aged, Female, Gastrointestinal Neoplasms, Germany, Humans, Length of Stay, Male, Postoperative Pain, Patient Education as Topic, Patient Participation, Postoperative Complications, Prospective Studies, Quality of Health Care, Quality of Life, Surveys and Questionnaires, Thoracic Neoplasms, Urogenital Neoplasms, Treatment Outcome, Perioperative Care, Tertiary Care Centers
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