Perioperative medicine & outcomes

Early implementation of exercise to facilitate recovery after elective colorectal surgery—a randomized clinical pilot trial

Perioper Med (Lond)Published single-center randomized controlled pilot trial

Authors' conclusion

Early supervised postoperative exercise after elective colorectal surgery was safe and feasible. Although no differences were found for most secondary outcomes, the intervention improved postoperative physical performance. These exploratory findings warrant confirmation in adequately powered randomized trials.

Study context

Population
Patients undergoing elective colorectal surgeryrandomized, 30 patients for modified intention-to-treat analysis
Participants
31 patients
Comparison
Intervention group vs control group
  • Intervention groupn = 16
  • Control groupn = 15
Primary endpoint
Safety and feasibility
Methodological detailsmodified intention-to-treat analysis, primary outcomes changed prior to final analysis, retrospectively registered
  • Modified intention-to-treat analysis
  • Primary outcomes changed prior to final analysis
  • Retrospectively registered

Primary result

As reported in the abstract

Retention

96.8%

Adherence to the intervention

100%

Secondary outcomes

Physical performance (change in SPPB score from baseline to postoperative assessment)

Significantly better preservation of physical performance in the intervention group

Time to first bowel movement, handgrip strength, postoperative complications, other secondary outcomes

No significant between-group differences

Original publication

Early implementation of exercise to facilitate recovery after elective colorectal surgery—a randomized clinical pilot trial. Perioper Med (Lond). Published 16 October 2026. doi:10.1186/s13741-026-00752-8

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