Older Adults (65 Years and Older)POPNCT07764289
The Perioperative Pathway for Older Adults
An observational study of Older Adults (65 Years and Older) and Postoperative Care, run by Örebro University, Sweden.
Trial 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. Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Older Adults (65 Years and Older), Postoperative Care, Preoperative Care
- How many people
- 1,000,000 participants
- Where
- No sites listed yet
- Study dates
- Oct 2026to Jan 2030
- How long will I take part?
- 12 Months
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 years and older
- All sexes
- No healthy volunteers
- Older adult
Study population: Older persons aged 65 or older. Next of kin and staff working at a nursing home.
Who may be able to join
- 65 years and older
- Being able to read and understand Swedish
- -65 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
Who cannot join
- -Cognitive decline
- Perioperative outcomes
- -Cognitive decline
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Official title: The Perioperative Pathway for Older Adults -a Mixed Method Study
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.
Read more
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.
- Conditions
- Older Adults (65 Years and Older), Postoperative Care, Preoperative Care, Intraoperative Care
- Being tested
- No intervention
- Keywords
- older adults, frail, mixed-method, perioperative period
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
No interventionOther
No intervention
| Study group | Role | What they receive |
|---|---|---|
| Registry-based cohort | Not described Receives: Other: No intervention | |
| Preoperative concerns and health literacy | Not described | |
| Nurses and nurse assistants working in nursing homes | Not described Receives: Other: No intervention | |
| Older adults and next of kin | Not described Receives: Other: No intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 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.
Measured: 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?
Measured: 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.
Measured: Before surgery.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Aug 2026
- Study startOct 2026 (estimated)
- Primary completionJan 2030 (estimated)
- Study completionJan 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Older Adults (65 Years and Older)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 1,000,000 participants (estimated)
- Target duration
- 12 Months
Sponsor and investigators
- Lead sponsor
- Örebro University, Sweden
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Maria Jaensson, Örebro University, Sweden
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07764289
- Sponsor's protocol ID
- Dnr 2026-01715-01
- Acronym
- POP
- Status last verified
- Aug 2026
- First submitted
- 1 Jun 2026
- Last updated
- 13 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Perioperative Pathway for Older Adults -a Mixed Method Study
- ClinicalTrials.gov ID
- NCT07764289
- Acronym / sponsor ID
- POP / Dnr 2026-01715-01
- Conditions
- Older Adults (65 Years and Older), Postoperative Care, Preoperative Care, Intraoperative Care
- Keywords
- older adults, frail, mixed-method, perioperative period
- Study type
- Observational
- Recruitment status
- Not yet recruiting
- Enrolment
- 1,000,000 participants (estimated)
- Lead sponsor
- Örebro University, SwedenUniversity, hospital or other
- Study start
- Oct 2026 (estimated)
- Primary completion
- Jan 2030 (estimated)
- Study completion
- Jan 2030 (estimated)
- First posted
- 13 Aug 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Observational model
- Other
- Time perspective
- Prospective
- Target follow-up
- 12 Months
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| 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 |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
- Study population
- Older persons aged 65 or older. Next of kin and staff working at a nursing home.
Key inclusion criteria (8 listed)
- 65 years and older
- Being able to read and understand Swedish
- -65 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
Key exclusion criteria (3 listed)
- -Cognitive decline
- Perioperative outcomes
- -Cognitive decline
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| No interventionNo intervention | Other | Nurses and nurse assistants working in nursing homes, Older adults and next of kin, Registry-based cohort |
Primary outcome
Preoperative concerns
Time frame: Before surgery.
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.
Interviews with older persons and next-of-kin
Time frame: The interview will be conducted at one time point approximately 60 minutes.
The interviews will investigate how an older person living in a nursing home can be involved in their care before and after an operation.
Interviews with staff
Time frame: The interview will be conducted at one time point approximately 60 minutes.
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?
Health literacy
Time frame: Before surgery.
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.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Aug 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Questions about this trial
What is this clinical trial studying?
An observational study of Older Adults (65 Years and Older) and Postoperative Care, run by Örebro University, Sweden.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 13 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Maria Jaensson (+4619303405, maria.jaensson@oru.se), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Preoperative concerns (time frame: Before surgery.). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Aug 2026.