Prehabilitation before surgery: is it for all patients?
Prehabilitation before surgery: is it for all patients?
Purpose: o evaluate the role of prehabilitation interventions in adult patients before elective major surgery.Recent findings: exercise training before elective adult major surgery is feasible and safe. Efficacy has been determined but the clinical effectiveness remains uncertain. Early data suggest a reduction in morbidity, length of stay, and an improvement in the quality of life. Nutritional and psychological interventions are less well evaluated, and when they are, it is often in combination with exercise interventions as part of multimodal prehabilitation.Summary: studies evaluating multimodal prehabilitation interventions before elective major surgery in adults are producing encouraging early results, but definitive clinical effectiveness is currently very limited. Future research should focus on refining interventions, exploring mechanisms, establishing minimum dosage, interrogating interactions between therapies, and urgent implementation of large-scale clinical effectiveness studies.
exercise, mortality, multimodal prehabilitation, nutrition, postoperative outcome, stress of surgery
507-516
West, Malcolm A.
98b67e58-9875-4133-b236-8a10a0a12c04
Jack, Sandy
a175e649-83e1-4a76-8f11-ab37ffd954ea
Grocott, Michael P.w.
1e87b741-513e-4a22-be13-0f7bb344e8c2
December 2021
West, Malcolm A.
98b67e58-9875-4133-b236-8a10a0a12c04
Jack, Sandy
a175e649-83e1-4a76-8f11-ab37ffd954ea
Grocott, Michael P.w.
1e87b741-513e-4a22-be13-0f7bb344e8c2
West, Malcolm A., Jack, Sandy and Grocott, Michael P.w.
(2021)
Prehabilitation before surgery: is it for all patients?
Best Practice & Research Clinical Anaesthesiology, 35 (4), .
(doi:10.1016/j.bpa.2021.01.001).
Abstract
Purpose: o evaluate the role of prehabilitation interventions in adult patients before elective major surgery.Recent findings: exercise training before elective adult major surgery is feasible and safe. Efficacy has been determined but the clinical effectiveness remains uncertain. Early data suggest a reduction in morbidity, length of stay, and an improvement in the quality of life. Nutritional and psychological interventions are less well evaluated, and when they are, it is often in combination with exercise interventions as part of multimodal prehabilitation.Summary: studies evaluating multimodal prehabilitation interventions before elective major surgery in adults are producing encouraging early results, but definitive clinical effectiveness is currently very limited. Future research should focus on refining interventions, exploring mechanisms, establishing minimum dosage, interrogating interactions between therapies, and urgent implementation of large-scale clinical effectiveness studies.
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Prehab and Evidence - MD Anderson chapter
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e-pub ahead of print date: 27 January 2021
Published date: December 2021
Additional Information:
Funding Information:
MAW ? National Institute for Health Research funded the Academic Clinical Lecturer in surgery at the University of Southampton.
Publisher Copyright:
© 2021
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
Keywords:
exercise, mortality, multimodal prehabilitation, nutrition, postoperative outcome, stress of surgery
Identifiers
Local EPrints ID: 451022
URI: http://eprints.soton.ac.uk/id/eprint/451022
ISSN: 1521-6896
PURE UUID: 74a54dc8-cec8-4705-85cb-e7dd8d4032b1
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Date deposited: 03 Sep 2021 16:31
Last modified: 17 Mar 2024 06:41
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Author:
Sandy Jack
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