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Prehabilitation exercise programs for patients undergoing cancer surgery, does one size fit all?

  • Daniel Steffens
    Correspondence
    Corresponding author. Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital (RPAH) and Sydney Medical School, The University of Sydney, PO Box M157 Missenden Road, NSW 2050, Australia.
    Affiliations
    Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital (RPAH), Syndey, Australia
    Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, Australia
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  • Linda Denehy
    Affiliations
    Department of Health Services Research: Allied Health, Peter MacCallum Cancer Centre, Melbourne, Australia
    Department of Physiotherapy, Faculty of Medicine Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia
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Published:December 01, 2022DOI:https://doi.org/10.1016/j.ejso.2022.11.591
      Over the last decade, the number of research studies investigating the potential benefit of prehabilitation on improving postoperative outcomes of patients undergoing cancer surgery has increased dramatically. Preoperative exercise-based interventions have been shown to be acceptable, feasible and most importantly safe for patients undergoing gastrointestinal and thoracic cancer surgery [
      • Banugo P.
      • Amoako D.
      Prehabilitation.
      ]. Preoperative exercise is also shown to improve preoperative functional capacity, a key modifiable component directly associated with improved postoperative recovery [
      • Durrand J.
      • Singh S.J.
      • Danjoux G.
      Prehabilitation.
      ]. Significantly, there are now a plethora of randomised controlled trials and systematic reviews and more recently umbrella reviews demonstrating the effectiveness of preoperative exercise prehabiltation on reducing postoperative surgical morbidity and length of hospital stay, when compared to no exercise prehabilitation [
      • Steffens D.
      • et al.
      Preoperative exercise halves the postoperative complication rate in patients with lung cancer: a systematic review of the effect of exercise on complications, length of stay and quality of life in patients with cancer.
      ,
      • Waterland J.L.
      • et al.
      Efficacy of prehabilitation including exercise on postoperative outcomes following abdominal cancer surgery: a systematic review and meta-analysis.
      ,
      • McIsaac D.I.
      • et al.
      Prehabilitation in adult patients undergoing surgery: an umbrella review of systematic reviews.
      ].
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