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World J Gastrointest Surg. Sep 27, 2026; 18(9): 120394
Published online Sep 27, 2026. doi: 10.4240/wjgs.120394
Published online Sep 27, 2026. doi: 10.4240/wjgs.120394
Effects of comprehensive geriatric assessment-guided nursing interventions on postoperative complications/recovery in elderly patients undergoing gastrointestinal or hepatobiliary surgery
Zhe-Xin Dong, Shuang Xie, Jing Xu, General Ward of Ward 17, Zhejiang Hospital, Hangzhou 310013, Zhejiang Province, China
Author contributions: Dong ZX designed and wrote the manuscript; Xie S performed the research and collected and analyzed the data; Xu J prepared all tables and figures and reviewed and edited the manuscript. All authors reviewed the manuscript, were involved in critically revising it for important intellectual content, and approved the final version for publication.
AI contribution statement: No AI tool was involved in the generation of research data, interpretation of results, or formulation of conclusions. All AI-generated outputs were critically reviewed and revised by the authors.
Supported by Zhejiang Provincial Medical and Health Science and Technology Plan Project, No. 2025KY532.
Institutional review board statement: The retrospective research protocol was reviewed and approved by the Institutional Ethics Committee of Zhejiang Hospital (Approval No. ZJHIRB-2025-166K).
Informed consent statement: The Institutional Ethics Committee waived the requirement for individual informed consent because the analysis was performed exclusively on de-identified retrospective data extracted from the hospital’s electronic medical record system and involved no direct contact with patients or additional risks.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: De-identified individual participant data underlying the analyses, together with the statistical code and the data dictionary, are available from the corresponding author on reasonable request and following review by the Institutional Ethics Committee. Because the Ethics Committee waived the requirement for individual informed consent on the basis of de-identification, any onward data sharing will be limited to de-identified data and to bona fide academic research use.
Corresponding author: Jing Xu, Associate Chief Nurse, General Ward of Ward 17, Zhejiang Hospital, No. 12 Lingyin Road, Xihu District, Hangzhou 310013, Zhejiang Province, China.
Received: April 14, 2026
Revised: June 18, 2026
Accepted: August 10, 2026
Published online: September 27, 2026
Processing time: 153 Days and 23.9 Hours
Revised: June 18, 2026
Accepted: August 10, 2026
Published online: September 27, 2026
Processing time: 153 Days and 23.9 Hours
Core Tip
Core Tip: Comprehensive geriatric assistance-guided stratified nursing intervention reduced postoperative complications and shortened the length of hospital stay in elderly patients undergoing gastrointestinal or hepatobiliary surgeries. The effects remained significant after adjustment for other covariates. Hospitals should consider implementing the systematic integration of perioperative nursing for elderly individuals undergoing surgery.