TY - JOUR
T1 - Improving Outcomes in Oncological Colorectal Surgery by Prehabilitation
AU - Bruns, Emma R J
AU - van Rooijen, Stefanus J
AU - Argillander, Tanja E
AU - van der Zaag, Edwin S
AU - van Grevenstein, Wilhelmina M U
AU - van Duijvendijk, Peter
AU - Buskens, Christianne J
AU - Bemelman, Willem A
AU - van Munster, Barbara C
AU - Slooter, Gerrit D
AU - van den Heuvel, Baukje
PY - 2019/3
Y1 - 2019/3
N2 - INTRODUCTION: The cornerstone in the treatment of colorectal cancer is surgery. A surgical event poses a significant risk of decreased functional decline and impaired health-related quality of life. Prehabilitation is defined as the multimodal preoperative enhancement of a patient's condition. It may serve as a strategy to improve postoperative outcomes. Prehabilitation requires a multidisciplinary effort of medical health care professionals and a behavioral change of the patient.METHODS: The goal of prehabilitation is threefold: (1) to reduce postoperative complications, (2) to enhance and accelerate the recovery of the patient, and (3) to improve overall quality of life. In this article, we introduce the FIT model illustrating a possible framework toward the implementation of both evidence-based and tailor-made prehabilitation for patients undergoing surgery for colorectal cancer.RESULTS: The model is composed of three pillars: "facts" (how to screen patients and evidence on what content to prescribe), "integration" (data of own questionnaires assessing motivation of patients and specialists), and finally "tools" (which outcome measurements to use).DISCUSSION: Developing implementable methods and defining standardized outcome instruments will help establish a solid base for patient-centered prehabilitation programs. Any party introducing prehabilitation requiring multidisciplinary teamwork and behavioral change can potentially use this framework.
AB - INTRODUCTION: The cornerstone in the treatment of colorectal cancer is surgery. A surgical event poses a significant risk of decreased functional decline and impaired health-related quality of life. Prehabilitation is defined as the multimodal preoperative enhancement of a patient's condition. It may serve as a strategy to improve postoperative outcomes. Prehabilitation requires a multidisciplinary effort of medical health care professionals and a behavioral change of the patient.METHODS: The goal of prehabilitation is threefold: (1) to reduce postoperative complications, (2) to enhance and accelerate the recovery of the patient, and (3) to improve overall quality of life. In this article, we introduce the FIT model illustrating a possible framework toward the implementation of both evidence-based and tailor-made prehabilitation for patients undergoing surgery for colorectal cancer.RESULTS: The model is composed of three pillars: "facts" (how to screen patients and evidence on what content to prescribe), "integration" (data of own questionnaires assessing motivation of patients and specialists), and finally "tools" (which outcome measurements to use).DISCUSSION: Developing implementable methods and defining standardized outcome instruments will help establish a solid base for patient-centered prehabilitation programs. Any party introducing prehabilitation requiring multidisciplinary teamwork and behavioral change can potentially use this framework.
KW - Colorectal Cancer
KW - Prehabilitation
KW - Surgery
UR - http://www.scopus.com/inward/record.url?scp=85061959220&partnerID=8YFLogxK
U2 - 10.1097/PHM.0000000000001025
DO - 10.1097/PHM.0000000000001025
M3 - Article
C2 - 30153125
SN - 0894-9115
VL - 98
SP - 231
EP - 238
JO - American Journal of Physical Medicine & Rehabilitation
JF - American Journal of Physical Medicine & Rehabilitation
IS - 3
ER -