Perioperative medicine & outcomes
Starting a surgical prehabilitation program: results from a pragmatic nonrandomized feasibility study
Authors' conclusion
Multimodal surgical prehabilitation is feasible as an integrated clinical service and may be effective for improving physical and psychological outcomes.
Study context
- Population
- Adults (≥ 18 yr) fluent in English referred by a health professional for surgical prehabilitationreferred
- Participants
- 116 adults
- Comparison
- Prehabilitation vs Declined
- Prehabilitationn = 83
- Outcome
- Operational feasibility (referral volume, enrolment rate, prehabilitation window, engagement, completion rate, safety)
Methodological detailsnonrandomized
- Nonrandomized
Main finding
As reported in the abstract
Operational feasibility
Patients referred for prehabilitation
116
Referred patients consenting to participate
83
Referrals from surgical oncology
Over 90%
Most common referral indication: frailty
46%
Secondary outcomes
Patient-reported and objectively measured outcomes · baseline to presurgery; 90 days postoperatively
- Improved by a clinically important margin from baseline to presurgery, returned to presurgery levels by 90 days postoperatively
Qualitative findings
- Prehabilitation intervention well received
Original publication
Starting a surgical prehabilitation program: results from a pragmatic nonrandomized feasibility study. Can J Anaesth. Published 6 November 2024. doi:10.
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