To evaluate the implementation of a standardised prehabilitation programme for patients undergoing elective colorectal cancer surgery and assess its effects and challenges.
Approach:
Prehabilitation Programme: The standardised prehabilitation programme includes exercise, nutritional guidance, and psychological support, focusing on enhancing patient participation and improving postoperative outcomes.
Key Findings:
Up to 44% of patients undergoing major abdominal oncological surgery experience postoperative complications.
Higher levels of physical activity and lower inactivity are positive predictors for postoperative functional recovery.
Reduced cardiorespiratory fitness prior to surgery is associated with increased risk of postoperative complications and mortality.
Frailty correlates with higher rates of postoperative complications, mortality, readmission, reoperation, and length of stay.
Interpretation:
Limitations:
Limited literature on the pitfalls and challenges of implementing prehabilitation programmes.
Insufficient knowledge regarding patient participation in prehabilitation.
Conclusion:
The study emphasizes the significance of a standardised prehabilitation programme in enhancing surgical outcomes for patients with colorectal cancer.
by Elize W. Lockhorst, Theresia A. M. Backhuijs, Teun M. E. Kerkhoff, Robert R. J. Coebergh van den Braak, Ninos Ayez, Cornelis Verhoef, Paul D. Gobardhan, Jennifer M. J. Schreinemakers
