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
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
Cardiac & Cardiovascular Systems
Wen Gao, Hongyan Li, Yuaner Chen, Yuping Zhang, Mao Zhang, Jingfen Jin
Summary: This study aims to examine whether a short-term multimodal prehabilitation program is associated with improved preoperative readiness and postoperative outcomes. The findings of this study will provide evidence to support the development of a perioperative program aimed at enhancing patient recovery.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Surgery
Joel E. Lambert, Lawrence D. Hayes, Thomas J. Keegan, Daren A. Subar, Christopher J. Gaffney
Summary: Prehabilitation was associated with reduced hospital length of stay but had no effect on functional capacity, postoperative complications, or mortality rates in patients undergoing surgery for hepatobiliary, colorectal, and upper gastrointestinal cancer.
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.
Article
Gastroenterology & Hepatology
Cintia Kimura, Yuning Liu, Sarah E. Crowder, Carlie Arbaugh, Uyen Mai, Kreeti Shankar, Andrew Shelton, Brendan Visser, Cindy Kin
Summary: This study aimed to identify barriers and facilitators to prehabilitation adherence among patients undergoing abdominal surgery. The most frequent barriers to exercise and healthy eating were medical issues and lack of motivation, respectively. Higher barriers to healthy eating scores were associated with lower Mediterranean diet scores.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Anesthesiology
A. Fulop, L. Lakatos, N. Susztak, A. Szijarto, B. Banky
Summary: This study found that a 4-week trimodal prehabilitation program can improve the functional status and some parameters of emotional and physical well-being of patients awaiting colorectal surgery. However, these effects did not result in improvements in postoperative mortality and morbidity, or a reduction in duration of hospital stay.
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.
Review
Oncology
Vanessa Ferreira, Claire Lawson, Taline Ekmekjian, Francesco Carli, Celena Scheede-Bergdahl, Stephanie Chevalier
Summary: Through searching and analyzing studies, it was found that multimodal prehabilitation compared to standard hospital care can improve functional walking capacity and pulmonary function during the preoperative period for lung cancer patients. However, it does not have a significant impact on postoperative outcomes. Notably, the nutrition-only study showed significantly lower rates of postoperative complications.
SUPPORTIVE CARE IN CANCER
(2021)
Review
Oncology
Kelly Wade-Mcbane, Alex King, Catherine Urch, Julian Jeyasingh-Jacob, Andrew Milne, Clair Le Boutillier
Summary: Based on the review of primary research, a standardized prehabilitation program for lung cancer patients is currently lacking. Future programs should consider factors such as patient values, needs, goals, support structures, and beliefs, as they can influence intervention delivery and engagement. Furthermore, future research should consider using a conceptual framework to conceptualize the experience of living with and beyond cancer, in order to shape and inform personalized prehabilitation services.
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
Vanessa Ferreira, Claire Lawson, Francesco Carli, Celena Scheede-Bergdahl, Stephanie Chevalier
Summary: The novel multimodal prehabilitation intervention was feasible in lung cancer patients awaiting surgery within a preoperative timeframe. There was high adherence to the intervention with some positive effects observed, although the study was interrupted by the COVID-19 pandemic.
INTERNATIONAL JOURNAL OF SURGERY
(2021)
Article
Oncology
Sophie K. Allen, Vanessa Brown, Daniel White, David King, Julie Hunt, Joe Wainwright, Annabelle Emery, Emily Hodge, Aga Kehinde, Pradeep Prabhu, Timothy A. Rockall, Shaun R. Preston, Javed Sultan
Summary: This study indicates that prehabilitation can help maintain cardiopulmonary fitness and muscle mass, improve quality of life, and increase the completion rate of neoadjuvant therapy in esophagogastric cancer patients. Further large-scale trials are needed to confirm these findings and assess their impact on clinical and oncological outcomes.
ANNALS OF SURGICAL ONCOLOGY
(2022)
Review
Oncology
Augustinas Bausys, Morta Mazeikaite, Klaudija Bickaite, Bernardas Bausys, Rimantas Bausys, Kestutis Strupas
Summary: Surgery is the only potential cure for esophagogastric cancer. Prehabilitation has emerged as a novel strategy to improve postoperative outcomes by preparing patients for surgery. Current evidence suggests that prehabilitation can have positive effects on physical performance, nutritional status, and quality of life. However, optimal interventions for prehabilitation are still unclear and more research is needed.
Article
Oncology
Daniel Steffens, Linda Denehy, Michael Solomon, Cherry Koh, Nabila Ansari, Kate McBride, Sharon Carey, Jenna Bartyn, Aaron Sean Lawrence, Kym Sheehan, Kim Delbaere
Summary: This study explores the perspectives of 30 gastrointestinal cancer patients on the adoption of a prehabilitation multimodal online program. Most patients recovering from gastrointestinal cancer surgery have a positive view on the safety and potential benefits of the online program. However, poor preoperative health, lack of motivation, and lack of personal encouragement are identified as the main barriers to its uptake.
