Mixed
A 4-week multimodal prehabilitation program (high-intensity exercise, nutritional support, psychological support, and smoking cessation) significantly reduces severe and medical postoperative complications in patients undergoing elective colorectal cancer surgery.
If you are having colorectal cancer surgery, ask your care team about a prehabilitation program. It typically involves 4 weeks of supervised exercise, nutritional support, and stress management before surgery. This can significantly lower your risk of serious complications and help you recover faster.
The rate of severe complications was significantly lower in patients undergoing prehabilitation compared with standard care (CCI score >20; 21 of 123 [17.1%] vs 38 of 128 [29.7%]; OR, 0.47 [95% CI, 0.26-0.87]; P = .02)... Patients encountered fewer medical complications (eg, cardiovascular or respiratory) after prehabilitation compared with standard care (19 of 123 [15.4%] vs 35 of 128 [27.3%]; OR, 0.48 [95% CI, 0.26-0.89]; P = .02).
Why this rating
Large multicenter randomized controlled trial (n=251), though terminated prematurely due to the pandemic, limiting statistical power for secondary outcomes.
Source
Effect of Multimodal Prehabilitation on Reducing Postoperative Complications and Enhancing Functional Capacity Following Colorectal Cancer Surgery
Charlotte J. L. Molenaar et al. · JAMA Surgery · 2023
DOI 10.1001/jamasurg.2023.0198
Related findings · Mixed
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