↓ Skip to main content

Re-designing the pathway to surgery: better care and added value

Overview of attention for article published in Perioperative Medicine, June 2017
Altmetric Badge

About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#31 of 121)
  • Good Attention Score compared to outputs of the same age (78th percentile)

Mentioned by

10 tweeters


16 Dimensions

Readers on

48 Mendeley
You are seeing a free-to-access but limited selection of the activity Altmetric has collected about this research output. Click here to find out more.
Re-designing the pathway to surgery: better care and added value
Published in
Perioperative Medicine, June 2017
DOI 10.1186/s13741-017-0065-4
Pubmed ID

Michael P. W. Grocott, James O. M. Plumb, Mark Edwards, Imogen Fecher-Jones, Denny Z. H. Levett


The case for radical pathway re-design before surgery is in part driven by healthcare system pressures which are in turn the result of continuously rising demand in the face of tightly constrained resources. Such circumstances tend to drive revolutionary, rather than incremental, change. The current approach to preoperative assessment, that typically occurs in the weeks leading up to surgery, but is all too often only a few days before surgery, results in a lost opportunity for perioperative physicians to improve patient care. Re-engineering this process based on a patient-focused, pathway-driven vision of perioperative medicine offers a means of exploiting this opportunity. This review explores drivers for change, the opportunity offered by pathway re-design, and suggests a variety of strategies to add value in the preoperative pathway, each of which is facilitated by early engagement between perioperative physician and patient: collaborative decision-making, collaborative behavioural change, targeted comorbidity management as well as expectation management and psychological preparation for surgery including surgery schools.

Twitter Demographics

The data shown below were collected from the profiles of 10 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 48 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 48 100%

Demographic breakdown

Readers by professional status Count As %
Unspecified 8 17%
Researcher 8 17%
Student > Ph. D. Student 8 17%
Student > Master 7 15%
Student > Bachelor 4 8%
Other 13 27%
Readers by discipline Count As %
Medicine and Dentistry 26 54%
Unspecified 11 23%
Nursing and Health Professions 4 8%
Pharmacology, Toxicology and Pharmaceutical Science 2 4%
Psychology 2 4%
Other 3 6%

Attention Score in Context

This research output has an Altmetric Attention Score of 8. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 April 2019.
All research outputs
of 13,285,014 outputs
Outputs from Perioperative Medicine
of 121 outputs
Outputs of similar age
of 265,360 outputs
Outputs of similar age from Perioperative Medicine
of 1 outputs
Altmetric has tracked 13,285,014 research outputs across all sources so far. Compared to these this one has done well and is in the 84th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 121 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.8. This one has gotten more attention than average, scoring higher than 73% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 265,360 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 78% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them