Article
Nutrition & Dietetics
Yaiza Garcia-Delgado, Maria Jose Lopez-Madrazo-Hernandez, Dacil Alvarado-Martel, Guillermo Miranda-Calderin, Arantza Ugarte-Lopetegui, Raul Alberto Gonzalez-Medina, Alba Hernandez-Lazaro, Garlene Zamora, Nuria Perez-Martin, Rosa Maria Sanchez-Hernandez, Adriana Ibarra-Gonzalez, Monica Bengoa-Dolon, Carmen Teresa Mendoza-Vega, Svein Mikael Appelvik-Gonzalez, Yurena Caballero-Diaz, Juan Ramon Hernandez-Hernandez, Ana Maria Wagner
Summary: Bariatric surgery is an effective treatment for obesity, yet the evidence on the role of prehabilitation in this context is limited. This study investigates the impact of physical and respiratory prehabilitation on obese patients awaiting surgery, in addition to standard education and behavioral interventions. Preliminary results suggest low completion rates, indicating a need for strategies to improve adherence.
Review
Urology & Nephrology
Anna Patrikidou, Walter Cazzaniga, Daniel Berney, Joost Boormans, Isabel de Angst, Domenico Di Nardo, Christian Fankhauser, Stefanie Fischer, Carmen Gravina, Hendrik Gremmels, Axel Heidenreich, Florian Janisch, Ricardo Lea, Nicola Nicolai, Christoph Oing, Jan Oldenburg, Robert Shepherd, Torgrim Tandstad, David Nicol
Summary: The 2023 EAU guidelines on testicular cancer provide a summary of the most recent evidence on the diagnosis, therapy, and follow-up of testicular cancer. These guidelines aim to standardize the management of testicular cancer by incorporating the highest available scientific evidence. Better stratification and optimization of treatment modalities can further improve the survival rates for patients with testicular cancer.
Article
Multidisciplinary Sciences
Thea C. Heil, Rene J. F. Melis, Huub A. A. M. Maas, Barbara C. van Munster, Marcel G. M. Olde Rikkert, Johannes H. W. de Wilt, Eddy M. M. Adang
Summary: This study found significant technical efficiency variation in preoperative colorectal cancer care for older patients provided by Dutch hospitals. Offering a care pathway that includes prehabilitation was positively related to technical efficiency, especially in high-volume hospitals and general hospitals.
Review
Urology & Nephrology
Borje Ljungberg, Laurence Albiges, Yasmin Abu-Ghanem, Jens Bedke, Umberto Capitanio, Saeed Dabestani, Sergio Fernandez-Pello, Rachel H. Giles, Fabian Hofmann, Milan Hora, Tobias Klatte, Teele Kuusk, Thomas B. Lam, Lorenzo Marconi, Thomas Powles, Rana Tahbaz, Alessandro Volpe, Axel Bex
Summary: The European Association of Urology has prepared evidence-based guidelines for the management of RCC, which were updated in 2022 using a standardized methodology. The guidelines provide transparent and reliable evidence for the management of RCC, based on a thorough literature assessment and clinical practice recommendations.
Article
Biochemistry & Molecular Biology
Apostolos Z. Skouras, Dimitrios Antonakis-Karamintzas, Charilaos Tsolakis, Argirios E. Tsantes, Georgia Kourlaba, Ioannis Zafeiris, Fotini Soucacos, Georgios Papagiannis, Athanasios Triantafyllou, Dimitra Houhoula, Olga Savvidou, Panagiotis Koulouvaris
Summary: Hip fractures are a major health concern, especially for older adults, with negative impacts on quality of life, mobility, and mortality. This study aims to investigate the short-term benefits of a supervised preoperative aerobic moderate-intensity interval training (MIIT) program and the added effect of an 8-week postoperative MIIT aerobic exercise program. The study also aims to explore the amelioration of surgical outcomes and hemostatic balance through exercise.
Article
Oncology
Jamie Murdoch, Anna Varley, Jane McCulloch, Megan Jones, Laura B. Thomas, Allan Clark, Susan Stirling, David Turner, Ann Marie Swart, Kerry Dresser, Gregory Howard, John Saxton, James Hernon
Summary: The standard care exercise advice for CRC patients undergoing surgery was limited, with pre-surgery exercise history and motivation affecting healthcare professionals' delivery of motivational components. Observations showed that most interviewed patients reported increased exercise levels as a result of the intervention, finding it motivational and greatly valuing the enhanced level of social support provided by staff.
Article
Surgery
Aron Onerup, John Andersson, Eva Angenete, David Bock, Mats Borjesson, Carolina Ehrencrona, Monika Fagevik Olsen, Per-Anders Larsson, Hanna de la Croix, Anette Wedin, Eva Haglind
Summary: This study aimed to determine the effect of a short-term, unsupervised exercise intervention before and after colorectal cancer surgery on self-assessed physical recovery. The results showed no significant difference in self-assessed physical recovery between the intervention group and the control group. Therefore, the current recommendations for preoperative exercise interventions need to be reconsidered.
Article
Medicine, General & Internal
Enoch Akowuah, Ayesha Mathias, Michelle Bardgett, Samantha Harrison, Adetayo S. Kasim, Kirsti Loughran, Emmanuel Ogundimu, Jason Trevis, Janelle Wagnild, Pasan Witharana, Helen C. Hancock, Rebecca H. Maier
Summary: Prehabilitation prior to surgery has been shown to reduce postoperative complications, reduce length of hospital stay and improve quality of life after cancer and limb reconstruction surgery. However, there are minimal data on the impact of prehabilitation in patients undergoing cardiac surgery, despite the fact these patients are generally older and have more comorbidities and frailty. This trial will assess the feasibility and impact of a prehabilitation intervention consisting of exercise and inspiratory muscle training on preoperative functional exercise capacity in adult patients awaiting elective cardiac surgery, and determine any impact on clinical outcomes after surgery.
Review
Urology & Nephrology
Morgan Roupret, Marko Babjuk, Maximilian Burger, Otakar Capoun, Daniel Cohen, Eva M. Comperat, Nigel C. Cowan, Jose L. Dominguez-Escrig, Paolo Gontero, A. Hugh Mostafid, Joan Palou, Benoit Peyronnet, Thomas Seisen, Viktor Soukup, Richard J. Sylvester, Bas W. G. van Rhijn, Richard Zigeuner, Shahrokh F. Shariat
Summary: The updated EAU guidelines on UTUC aim to assist clinicians in evidence-based management, providing recommendations on diagnosis, risk stratification, radical and conservative treatment, and prognostic factors. Due to the rarity of UTUC, there is insufficient data to provide strong recommendations. Recommendations are based on the 2017 TNM classification and emphasize individualized treatment based on proposed risk stratification.
Review
Urology & Nephrology
Morgan Roupret, Thomas Seisen, Alison J. Birtle, Otakar Capoun, Jose L. Dominguez-Escrig, Irene Gurses Andersson, Eva M. Comperat, Fredrik Liedberg, Paramananthan Mariappan, A. Hugh Mostafid, Benjamin Pradere, Bas W. G. van Rhijn, Shahrokh F. Shariat, Bhavan P. Rai, Francesco Soria, Viktor Soukup, Robbert G. Wood, Evanguelos N. Xylinas, Alexandra Masson-Lecomte, Paolo Gontero
Summary: The European Association of Urology has updated the guidelines for the management of upper urinary tract urothelial carcinoma. The recommendations are based on a systematic review of the literature and assessed by a panel of experts. However, there is still insufficient high-level evidence in many areas to provide strong recommendations.
Article
Medicine, General & Internal
Christelle Nguyen, Isabelle Boutron, Alexandra Roren, Philippe Anract, Johann Beaudreuil, David Biau, Stephane Boisgard, Camille Daste, Isabelle Durand-Zaleski, Benedicte Eschalier, Charlotte Gil, Marie-Martine Lefevre-Colau, Remy Nizard, Elodie Perrodeau, Hasina Rabetrano, Pascal Richette, Katherine Sanchez, Jordan Zalc, Emmanuel Coudeyre, Francois Rannou
Summary: This study compared the effects of multidisciplinary prehabilitation and usual care on functional independence and activity limitations in patients undergoing total knee replacement surgery for osteoarthritis. The results showed that multidisciplinary prehabilitation did not improve short-term functional independence or reduce activity limitations in the midterm after surgery.
Article
Anesthesiology
E. F. Akowuah, J. M. Wagnild, M. Bardgett, J. G. Prichard, A. Mathias, S. L. Harrison, E. O. Ogundimu, H. C. Hancock, R. H. Maier
Summary: The feasibility, safety and efficacy of prehabilitation in adult patients awaiting elective cardiac surgery were evaluated in this study. The results showed that prehabilitation did not significantly improve patients' exercise capacity and quality of life. Future research should focus on patients with sarcopenia and include inspiratory muscle strength training.
Article
Orthopedics
Anabel Casanovas-Alvarez, Raquel Sebio-Garcia, Magda Ciendones, Jordi Cuartero, Blanca Estanyol, Josep Padros, Barbara Garcia-Valdecasas, Agusti Barnadas, Jaume Masia
Summary: The objective of this study is to assess the effects of a prehabilitation program on patients with breast cancer receiving neoadjuvant therapy. The prehabilitation program consists of Nordic Walking, resistance training exercises, and health education. The study also aims to compare the short-term effects of the intervention on other patient-reported outcome measures.
Article
Surgery
An T. Ngo-Huang, Nathan H. Parker, Lianchun Xiao, Keri L. Schadler, Maria Q. B. Petzel, Laura R. Prakash, Michael P. Kim, Ching-Wei D. Tzeng, Jeffrey E. Lee, Naruhiko Ikoma, Robert A. Wolff, Milind M. Javle, Eugene J. Koay, Shubham D. Pant, Justin P. Folloder, Xuemei Wang, Alicia M. Cotto, Ye Rang Ju, Naveen Garg, Huamin Wang, Eduardo D. Bruera, Karen M. Basen-Engquist, Matthew H. G. Katz
Summary: The objective of this study was to determine the effects of a preoperative, home-based exercise program on fitness and physical function in patients with pancreatic cancer. The study found that a well-tolerated preoperative exercise program was essential for the health of patients. The results showed that physical activity and exercise capacity significantly improved in patients who received exercise, emphasizing the importance of preoperative activity for patients preparing for surgery.
Article
Surgery
Karla Bernardi, Oscar A. Olavarria, Naila H. Dhanani, Nicole Lyons, Julie L. Holihan, Deepa Cherla, David H. Berger, Tien C. Ko, Lillian S. Kao, Mike K. Liang
Summary: There is no difference in 2-year outcomes of obese patients seeking ventral hernia repair who undergo preoperative nutritional counseling and exercise (prehabilitation) versus standard counseling.
