NCT07764289

Brief Summary

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.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,000,000

participants targeted

Target at P75+ for all trials

Timeline
40mo left

Started Oct 2026

Typical duration for all trials

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 1, 2026

Completed
2 months until next milestone

First Posted

Study publicly available on registry

August 13, 2026

Completed
2 months until next milestone

Study Start

First participant enrolled

October 1, 2026

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2030

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2030

Last Updated

August 13, 2026

Status Verified

August 1, 2026

Enrollment Period

3.3 years

First QC Date

June 1, 2026

Last Update Submit

August 12, 2026

Conditions

Postoperative CareOlder Adults (65 Years and Older)Preoperative CareIntraoperative Care

Keywords

older adultsfrailmixed-methodperioperative period

Outcome Measures

Primary Outcomes (4)

  • Preoperative concerns

    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.

    Before surgery.

  • Interviews with older persons and next-of-kin

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

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

  • Interviews with staff

    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?

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

  • Health literacy

    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.

    Before surgery.

Other Outcomes (6)

  • Perioperative outcomes

    12 months

  • Perioperative outcomes

    12 month

  • Perioperative outcomes.

    12 month

  • +3 more other outcomes

Study Arms (4)

Registry-based cohort

Other: No intervention

Preoperative concerns and health literacy

Nurses and nurse assistants working in nursing homes

Other: No intervention

Older adults and next of kin

Other: No intervention

Interventions

No interventionOTHER

No intervention

Nurses and nurse assistants working in nursing homesOlder adults and next of kinRegistry-based cohort

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Older persons aged 65 or older. Next of kin and staff working at a nursing home.

You may qualify if:

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

You may not qualify if:

  • Cognitive decline
  • Perioperative outcomes
  • years and older
  • Interviews with staff
  • 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
  • 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
  • Cognitive decline

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Central Study Contacts

Maria Jaensson

CONTACT

+4619303405maria.jaensson@oru.se

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
PROSPECTIVE
Target Duration
12 Months
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Senior lecturer, Associate professor

Study Record Dates

First Submitted

June 1, 2026

First Posted

August 13, 2026

Study Start

October 1, 2026

Primary Completion (Estimated)

January 1, 2030

Study Completion (Estimated)

January 1, 2030

Last Updated

August 13, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will not share