Surgical Prehabilitation in Patients with Cancer: State-of-the-Science and Recommendations for Future Research from a Panel of Subject Matter Experts

Francesco Carli; Julie K Silver; Liane S Feldman; Andrea McKee; Sean Gilman; Chelsia Gillis; Celena Scheede-Bergdahl; Ann Gamsa; Nicole Stout; Bradford Hirsch

doi:10.1016/j.pmr.2016.09.002

Surgical Prehabilitation in Patients with Cancer: State-of-the-Science and Recommendations for Future Research from a Panel of Subject Matter Experts

Phys Med Rehabil Clin N Am. 2017 Feb;28(1):49-64. doi: 10.1016/j.pmr.2016.09.002.

Authors

Affiliations

¹ Department of Anesthesia, McGill University Health Centre, Montreal, Quebec, Canada. Electronic address: franco.carli@mcgill.ca.
² Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA, USA.
³ Department of Surgery, McGill University Health Centre, Montreal, Quebec, Canada.
⁴ Department of Radiation Oncology, Lahey Hospital and Medical Center, Burlington, MA, USA.
⁵ Department of Medicine, McGill University Health Centre, Montreal, Quebec, Canada.
⁶ Department of Anesthesia, McGill University Health Centre, Montreal, Quebec, Canada.
⁷ Department of Kinesiology and Physical Education, McGill University, Montreal, Quebec, Canada.
⁸ Rehabilitation Medicine Department, National Institutes of Health, Clinical Center, Bethesda, MD, USA.
⁹ Flatiron Health, New York, NY, USA.

PMID: 27913000
DOI: 10.1016/j.pmr.2016.09.002

Abstract

This review by a 10-member panel of experts in surgical prehabilitation addresses processes that may improve oncologic care. Surgical prehabilitation is the process on the continuum of care that occurs between the time of cancer diagnosis and the beginning of surgical treatment. The panel focused on the current state-of-the-science and recommended future research that would help to identify the elements that enhance preoperative physical, nutritional, and psychological health in anticipation of surgery, mitigate the burden of disease, facilitate the return of patient health status to baseline values, decrease postoperative morbidity, and reduce health care costs.

Keywords: Anxiety; Cancer; Exercise; Nutrition; Outcome; Prehabilitation; Surgery.

Publication types

Review

MeSH terms

Humans
Neoplasms / rehabilitation*
Neoplasms / surgery*
Preoperative Care / methods*