Condition category
Surgery
Date applied
11/04/2005
Date assigned
20/06/2005
Last edited
07/06/2011
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Dr Danielle Harari

ORCID ID

Contact details

9th Floor North Wing
St Thomas' Hospital
Lambeth Palace Road
London
SE1 7EH
United Kingdom
danielle.harari@kcl.ac.uk

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

G021011

Study information

Scientific title

Acronym

POPS

Study hypothesis

Functional status, pain control, and quality of life is commonly improved in older people following elective orthopaedic surgery. However, older people with comorbidities are more likely to have prolonged hospital stay and readmissions relating to post-operative problems such as delirium, prolonged immobility, and complex discharges.

1. Proactive multidisciplinary geriatric intervention (as compared with usual care) will reduce:
a. Post-operative length of stay
b. Hospital readmission within 28 days
c. Post-operative delirium in at risk older people undergoing elective surgery

2. Proactive multidisciplinary geriatric intervention will cost-effectively improve post-operative clinical (illness events), functional (dependency) and psychological (anxiety and depression) outcomes in at risk older patients undergoing elective surgery

Ethics approval

Not provided at time of registration

Study design

Randomised controlled trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Other

Trial type

Treatment

Patient information sheet

Condition

Orthopaedic surgery

Intervention

We are evaluating a multidisciplinary Comprehensive Geriatric Assessment (CGA) team (geriatrician, specialist nurse, physiotherapist, occupational therapist [OT], social worker) whose aim is to reduce post-operative problems in at risk older surgical patients through proactive assessment and treatment. The aim of this randomised controlled trial (RCT) is to evaluate the clinical impact and cost-effectiveness of this approach.

Control: Usual care

Intervention type

Procedure/Surgery

Phase

Not Specified

Drug names

Primary outcome measures

Primary outcome at 1 month post-operatively will be hospital length of stay.

Secondary outcome measures

Secondary outcomes include post-operative medical complications, mobility, mood, quality of life, and resource use.

Overall trial start date

01/01/2004

Overall trial end date

31/01/2006

Reason abandoned

Eligibility

Participant inclusion criteria

Patients aged 65+ on the elective orthopaedic waiting list will be screened by postal questionnaire for medical, functional, psychosocial risk factors, and those at risk who consent to participate will be randomised 3 months prior to surgery to receive either the intervention or 'usual care'.

Participant type

Patient

Age group

Senior

Gender

Both

Target number of participants

126

Participant exclusion criteria

1. Patients aged 65 years and over awaiting elective surgery without evidence-based risk factors from screening (postal questionnaire)
2. People who refuse consent

Recruitment start date

01/01/2004

Recruitment end date

31/01/2006

Locations

Countries of recruitment

United Kingdom

Trial participating centre

9th Floor North Wing
London
SE1 7EH
United Kingdom

Sponsor information

Organisation

Guy's and St Thomas' Charity (UK)

Sponsor details

Guy's Hospital
Counting House
Thomas Street
London
SE1 9RT
United Kingdom
charitablefoundation@gstt.nhs.uk

Sponsor type

Charity

Website

Funders

Funder type

Charity

Funder name

Guy's and St Thomas' Charitable Foundation. Registered Charity number 251983 (UK)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

2007 cohort study in http://www.ncbi.nlm.nih.gov/pubmed/17259638

Publication citations

  1. Cohort study

    Harari D, Hopper A, Dhesi J, Babic-Illman G, Lockwood L, Martin F, Proactive care of older people undergoing surgery ('POPS'): designing, embedding, evaluating and funding a comprehensive geriatric assessment service for older elective surgical patients., Age Ageing, 2007, 36, 2, 190-196, doi: 10.1093/ageing/afl163.

Additional files

Editorial Notes