Perioperative medicine & outcomes
The challenges of evidence-based prehabilitation in a real-life context for patients preparing for colorectal surgery—a cohort study and multiple case analysis
Authors' conclusion
Implementation fidelity of an evidence-based multimodal prehabilitation program for high-risk patients preparing for colorectal surgery in real-life practice was moderate because adherence was high for most patients, but low for some patients.
Study context
- Population
- Patients undergoing colorectal surgery at a Dutch regional hospital, January 2023 to June 202310 high-risk participated
- Participants
- 58 patients
- Outcome
- Implementation fidelity of an evidence-based prehabilitation program (coverage, duration, content, frequency; aggregated adherence)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Implementation fidelity
- Coverage (preoperative risk assessment performed, 41 of 58)
- 80%
- Identified as high-risk and participated in prehabilitation (10 patients)
- 24%
- Duration of prehabilitation
- 33-84 days
- High adherence in five patients
- 84-100%
- Moderate adherence in two patients
- 72-73%
- Remarkably low adherence in three patients with multiple physical and cognitive impairments
- 25%, 53%, 54%
Observational data: associations, not effects.
Original publication
The challenges of evidence-based prehabilitation in a real-life context for patients preparing for colorectal surgery—a cohort study and multiple case analysis. Perioper Med (Lond). Published 17 January 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →