Nationwide Implementation of Multimodal Prehabilitation and Complications After Colorectal Cancer Surgery - Scorecard - MDSpire

Nationwide Implementation of Multimodal Prehabilitation and Complications After Colorectal Cancer Surgery

  • By

  • Charissa R. Sabajo

  • David W. G. ten Cate

  • Susan van Grinsven

  • Lennaert C. B. Groen

  • Emiel G. G. Verdaasdonk

  • Suzanne C. L. Kerstens

  • Jalou J. M. Woltering

  • Hendrik A. Marsman

  • Ruud F. W. Franssen

  • Ad Kerst

  • Ernst J. A. Steller

  • Okan W. Bastian

  • Casper D. P. van ’t Hullenaar

  • Aaldert K. Talsma

  • Wout van der Meij

  • Bas Inberg

  • Geertruid M. H. Marres

  • Marijn Takkenberg

  • Lisa D. Geomini

  • Margot H. M. Heijmans

  • Marc R. M. Scheltinga

  • Jan Willem T. Dekker

  • Baukje van den Heuvel

  • Johannes M. Klaase

  • Gerrit D. Slooter

  • July 1, 2026

  • 0 min

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Clinical Scorecard: National Adoption of Comprehensive Prehabilitation Strategies and Surgical Outcomes in Colorectal Cancer Procedures

At a Glance

CategoryDetail
ConditionColorectal Cancer (CRC)
Key MechanismsMultimodal prehabilitation integrating physical, nutritional, and psychological interventions.
Target PopulationPatients scheduled for elective CRC surgery, including those receiving preoperative neoadjuvant therapy.
Care SettingMulticenter hospitals in the Netherlands.

Key Highlights

  • Program includes high-intensity interval training, nutritional support, and mental health education.
  • Delays of up to 8 weeks before surgery do not affect cancer prognosis.
  • Standard care includes nutritional assessment and referral for geriatric consultation for patients over 70.
  • Implementation of prehabilitation is gaining traction in Dutch hospitals.

Guideline-Based Recommendations

Diagnosis

  • Assessment of nutritional status using a nutrition questionnaire.

Management

  • Implementation of a multimodal prehabilitation program prior to surgery.

Monitoring & Follow-up

  • Monitoring of postoperative complications within 90 days after surgery.

Risks

  • Patients with ASA scores of 3 to 4 or impaired physical performance are at higher risk for complications.

Patient & Prescribing Data

Elective CRC surgery patients, including those with neoadjuvant therapy.

Nutritional support includes 1.2 to 1.5 g of protein per kilogram daily, vitamins, and minerals.

Clinical Best Practices

  • Provide high-intensity interval training for physical fitness.
  • Tailor mental health support to individual patient needs.
  • Refer patients over 70 for outpatient geriatric consultation.

Related Resources & Content

Original Source(s)

Nationwide Implementation of Multimodal Prehabilitation and Complications After Colorectal Cancer Surgery

  • by Charissa R. Sabajo, David W. G. ten Cate, Susan van Grinsven, Lennaert C. B. Groen, Emiel G. G. Verdaasdonk, Suzanne C. L. Kerstens, Jalou J. M. Woltering, Hendrik A. Marsman, Ruud F. W. Franssen, Ad Kerst, Ernst J. A. Steller, Okan W. Bastian, Casper D. P. van ’t Hullenaar, Aaldert K. Talsma, Wout van der Meij, Bas Inberg, Geertruid M. H. Marres, Marijn Takkenberg, Lisa D. Geomini, Margot H. M. Heijmans, Marc R. M. Scheltinga, Jan Willem T. Dekker, Baukje van den Heuvel, Johannes M. Klaase, Gerrit D. Slooter

  • July 1, 2026

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