MétaCan
Menu
Back to cohort
Record W4406972621 · doi:10.1016/j.amjsurg.2025.116226

Interventions to support caregivers of older adults undergoing surgery: A systematic review

2025· review· en· W4406972621 on OpenAlexaff
Elham Navab, Nicholas Legacy, Kristen R. Haase, Laura Freeman, Amir Hossein Goudarzian, Ana Patricia Ayala, Valentina Donison, Ailsa Sirois, Farshad Sharifi, Tyler R. Chesney, Camilla L. Wong, D. Ross Boswell, S. M. Alibhai, Martine Puts

Bibliographic record

VenueThe American Journal of Surgery · 2025
Typereview
Languageen
FieldHealth Professions
TopicFamily and Patient Care in Intensive Care Units
Canadian institutionsInstitute for Work & HealthSt. Michael's HospitalUniversity Health NetworkUniversity of British ColumbiaUniversity of Toronto
Fundersnot available
KeywordsPsychological interventionMedicineGerontologyIntensive care medicineNursing

Abstract

fetched live from OpenAlex

INTRODUCTION: Increasing numbers of caregivers provide support to older adults after surgery, which is associated with stress and negative impacts on their health. Our review questions were: METHODS: The databases searched included PubMed, OVID MEDLINE, OVID PsycINFO, EBSCO CINAHL, OVID EMBASE, Web of Science Core Collection, Wiley Cochrane CENTRAL on February 14, 2024. Studies eligible for inclusion were randomized controlled trial (RCT) or quasi-experimental design with control groups, published in English, Dutch, German, French and Persian, included any unpaid caregiver, and the intervention must include a component specifically designed to meet the caregivers' needs. RESULTS: in total 27,845 were screened and 45 full texts were reviewed. Seven RCTs, two pilot RCTS, and four quasi RCTs were included. Only five interventions had any positive impact and included self-management, telehealth, education and a family-centered care model. CONCLUSION: Few effective interventions were identified and more engagement with caregivers may identify interventions that better target the caregivers' needs. PROSPERO REGISTRATION NUMBER: CRD42024519637.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.023
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.014
Threshold uncertainty score0.028

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0040.023
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0070.007
Bibliometrics0.0030.003
Science and technology studies0.0010.001
Scholarly communication0.0020.002
Open science0.0020.001
Research integrity0.0030.002
Insufficient payload (model declined to judge)0.0050.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.154
GPT teacher head0.439
Teacher spread0.285 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations6
Published2025
Admission routes1
Has abstractno

Explore more

Same venueThe American Journal of SurgerySame topicFamily and Patient Care in Intensive Care UnitsFrench-language works237,207