2017
DOI: 10.1080/0284186x.2016.1268268
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Abstract: In large secondary analysis, multimodal prehabilitation resulted in greater improvement in walking capacity throughout the whole perioperative period when compared to rehabilitation started after surgery.

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Cited by 177 publications
(137 citation statements)
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“…A meta-analysis of prehabilitation interventions consisting of inspiratory muscle training, aerobic exercise, and/or resistance training found that prehabilitation decreased post-operative complications after intra-abdominal operations in a traditional surgical care setting (OR 0.59, 95% CI 0.38 to 0.91; p=0.03) 20. Small prospective trials suggest that trimodal prehabilitation (exercise, nutrition, and anxiety-reduction elements) facilitates an earlier return to functional walking capacity after surgery for colorectal surgery in excess of what is achieved when ERAS is implemented alone 21. It is likely that patients with impaired pre-operative function will attain the greatest clinical benefit.…”
Section: Resultsmentioning
confidence: 99%
“…A meta-analysis of prehabilitation interventions consisting of inspiratory muscle training, aerobic exercise, and/or resistance training found that prehabilitation decreased post-operative complications after intra-abdominal operations in a traditional surgical care setting (OR 0.59, 95% CI 0.38 to 0.91; p=0.03) 20. Small prospective trials suggest that trimodal prehabilitation (exercise, nutrition, and anxiety-reduction elements) facilitates an earlier return to functional walking capacity after surgery for colorectal surgery in excess of what is achieved when ERAS is implemented alone 21. It is likely that patients with impaired pre-operative function will attain the greatest clinical benefit.…”
Section: Resultsmentioning
confidence: 99%
“…Tailored programmes during this period should be multi‐faceted and targeted at individual patients' needs. A combination of strategies targeting poor muscle function, reduced physical fitness, secondary anorexia, inflammation, psychological health, and poor nutrition has been suggested in the context of multimodal prehabilitation prior to cancer and major intra‐abdominal surgery . A large body of evidence exists utilizing exercise to reverse loss of muscle mass and strength with ageing .…”
Section: Discussionmentioning
confidence: 99%
“…A combination of strategies targeting poor muscle function, reduced physical fitness, secondary anorexia, inflammation, psychological health, and poor nutrition has been suggested in the context of multimodal prehabilitation prior to cancer and major intra-abdominal surgery. [56][57][58][59][60][61] A large body of evidence exists utilizing exercise to reverse loss of muscle mass and strength with ageing. 62 In addition, physical exercise improves muscular strength and ameliorates systemic inflammation in cancer patients.…”
Section: Discussionmentioning
confidence: 99%
“…She points to Francesco Carli, MD, MPhil, professor of anesthesiology at McGill University in Montreal, Quebec, who has studied multimodal prehabilitation in colorectal cancer surgery patients. His team found that a combination of cardiovascular exercise, protein supplementation, and stress reduction interventions before surgery improved patients’ recovery better than if they had received only rehabilitation after surgery …”
Section: Prehabilitation Seeks To Reduce “Unnecessary Suffering”mentioning
confidence: 99%