A toolbox for a structured risk-based prehabilitation program in major surgical oncology
Prehabilitation is a multimodal concept to improve functional capability prior to surgery, so that the patients’ resilience is strengthened to withstand any peri- and postoperative comorbidity. It covers physical activities, nutrition, and psychosocial wellbeing. The literature is heterogeneous in o...
Gespeichert in:
| Hauptverfasser: | , , , , , , , , , , , , , , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2023
|
| In: |
Frontiers in Surgery
Year: 2023, Jahrgang: 10, Pages: 1-13 |
| ISSN: | 2296-875X |
| DOI: | 10.3389/fsurg.2023.1186971 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://dx.doi.org/10.3389/fsurg.2023.1186971 Verlag, kostenfrei, Volltext: https://www.frontiersin.org/articles/10.3389/fsurg.2023.1186971 
|
| Verfasserangaben: | Svenja Sliwinski, Elisabeth Werneburg, Sara Fatima Faqar-Uz-Zaman, Charlotte Detemble, Julia Dreilich, Lisa Mohr, Dora Zmuc, Katharina Beyer, Wolf O. Bechstein, Florian Herrle, Patrizia Malkomes, Christoph Reissfelder, Joerg P. Ritz, Tim Vilz, Johannes Fleckenstein and Andreas A. Schnitzbauer |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1854277871 | ||
| 003 | DE-627 | ||
| 005 | 20260210090511.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 230803s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.3389/fsurg.2023.1186971 |2 doi | |
| 035 | |a (DE-627)1854277871 | ||
| 035 | |a (DE-599)KXP1854277871 | ||
| 035 | |a (OCoLC)1425213326 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Sliwinski, Svenja Christin |d 1992- |e VerfasserIn |0 (DE-588)1231079304 |0 (DE-627)1753532361 |4 aut | |
| 245 | 1 | 2 | |a A toolbox for a structured risk-based prehabilitation program in major surgical oncology |c Svenja Sliwinski, Elisabeth Werneburg, Sara Fatima Faqar-Uz-Zaman, Charlotte Detemble, Julia Dreilich, Lisa Mohr, Dora Zmuc, Katharina Beyer, Wolf O. Bechstein, Florian Herrle, Patrizia Malkomes, Christoph Reissfelder, Joerg P. Ritz, Tim Vilz, Johannes Fleckenstein and Andreas A. Schnitzbauer |
| 264 | 1 | |c 2023 | |
| 300 | |a 13 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Veröffentlicht: 26. Juni 2023 | ||
| 500 | |a Gesehen am 03.08.2023 | ||
| 520 | |a Prehabilitation is a multimodal concept to improve functional capability prior to surgery, so that the patients’ resilience is strengthened to withstand any peri- and postoperative comorbidity. It covers physical activities, nutrition, and psychosocial wellbeing. The literature is heterogeneous in outcomes and definitions. In this scoping review, class 1 and 2 evidence was included to identify seven main aspects of prehabilitation for the treatment pathway: (i) risk assessment, (ii) FITT (frequency, interventions, time, type of exercise) principles of prehabilitation exercise, (iii) outcome measures, (iv) nutrition, (v) patient blood management, (vi) mental wellbeing, and (vii) economic potential. Recommendations include the risk of tumor progression due to delay of surgery. Patients undergoing prehabilitation should perceive risk assessment by structured, quantifiable, and validated tools like Risk Analysis Index, Charlson Comorbidity Index (CCI), American Society of Anesthesiology Score, or Eastern Co-operative Oncology Group scoring. Assessments should be repeated to quantify its effects. The most common types of exercise include breathing exercises and moderate- to high-intensity interval protocols. The program should have a duration of 3-6 weeks with 3-4 exercises per week that take 30-60 min. The 6-Minute Walking Testing is a valid and resource-saving tool to assess changes in aerobic capacity. Long-term assessment should include standardized outcome measurements (overall survival, 90-day survival, Dindo-Clavien/CCI®) to monitor the potential of up to 50% less morbidity. Finally, individual cost-revenue assessment can help assess health economics, confirming the hypothetic saving of |8 for treatment for |1 spent for prehabilitation. These recommendations should serve as a toolbox to generate hypotheses, discussion, and systematic approaches to develop clinical prehabilitation standards. | ||
| 700 | 1 | |a Werneburg, Elisabeth |e VerfasserIn |4 aut | |
| 700 | 1 | |a Faqar-Uz-Zaman, Sara Fatima |e VerfasserIn |4 aut | |
| 700 | 1 | |a Detemble, Charlotte |e VerfasserIn |4 aut | |
| 700 | 1 | |a Dreilich, Julia |e VerfasserIn |4 aut | |
| 700 | 1 | |a Mohr, Lisa |e VerfasserIn |4 aut | |
| 700 | 1 | |a Zmuc, Dora |e VerfasserIn |4 aut | |
| 700 | 1 | |8 1\p |a Beyer, Katharina |d 1980- |e VerfasserIn |0 (DE-588)1161101918 |0 (DE-627)1024486699 |0 (DE-576)50635346X |4 aut | |
| 700 | 1 | |a Bechstein, Wolf O. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Herrle, Florian |e VerfasserIn |4 aut | |
| 700 | 1 | |a Malkomes, Patrizia |e VerfasserIn |4 aut | |
| 700 | 1 | |a Reißfelder, Christoph |d 1975- |e VerfasserIn |0 (DE-588)1025566211 |0 (DE-627)722940297 |0 (DE-576)370516044 |4 aut | |
| 700 | 1 | |a Ritz, Jörg-Peter |d 1963- |e VerfasserIn |0 (DE-588)12125691X |0 (DE-627)081187408 |0 (DE-576)292612737 |4 aut | |
| 700 | 1 | |a Vilz, Tim |e VerfasserIn |4 aut | |
| 700 | 1 | |a Fleckenstein, Johannes |e VerfasserIn |4 aut | |
| 700 | 1 | |a Schnitzbauer, Andreas A. |e VerfasserIn |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Frontiers in Surgery |d Lausanne : Frontiers Media, 2014 |g 10(2023), Artikel-ID 1186971, Seite 1-13 |h Online-Ressource |w (DE-627)788288954 |w (DE-600)2773823-1 |w (DE-576)408066717 |x 2296-875X |7 nnas |a A toolbox for a structured risk-based prehabilitation program in major surgical oncology |
| 773 | 1 | 8 | |g volume:10 |g year:2023 |g elocationid:1186971 |g pages:1-13 |g extent:13 |a A toolbox for a structured risk-based prehabilitation program in major surgical oncology |
| 856 | 4 | 0 | |u https://dx.doi.org/10.3389/fsurg.2023.1186971 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |7 0 |
| 856 | 4 | 0 | |u https://www.frontiersin.org/articles/10.3389/fsurg.2023.1186971 |x Verlag |z kostenfrei |3 Volltext |7 0 |
| 883 | |8 1\p |a cgwrk |d 20250802 |q DE-101 |u https://d-nb.info/provenance/plan#cgwrk | ||
| 951 | |a AR | ||
| 992 | |a 20230803 | ||
| 993 | |a Article | ||
| 994 | |a 2023 | ||
| 998 | |g 1025566211 |a Reißfelder, Christoph |m 1025566211:Reißfelder, Christoph |d 50000 |d 60000 |d 61800 |e 50000PR1025566211 |e 60000PR1025566211 |e 61800PR1025566211 |k 0/50000/ |k 0/60000/ |k 1/60000/61800/ |p 12 | ||
| 999 | |a KXP-PPN1854277871 |e 4362742123 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"recId":"1854277871","physDesc":[{"extent":"13 S."}],"person":[{"display":"Sliwinski, Svenja Christin","given":"Svenja Christin","role":"aut","family":"Sliwinski"},{"display":"Werneburg, Elisabeth","given":"Elisabeth","role":"aut","family":"Werneburg"},{"display":"Faqar-Uz-Zaman, Sara Fatima","given":"Sara Fatima","role":"aut","family":"Faqar-Uz-Zaman"},{"role":"aut","given":"Charlotte","family":"Detemble","display":"Detemble, Charlotte"},{"role":"aut","given":"Julia","family":"Dreilich","display":"Dreilich, Julia"},{"display":"Mohr, Lisa","given":"Lisa","role":"aut","family":"Mohr"},{"family":"Zmuc","given":"Dora","role":"aut","display":"Zmuc, Dora"},{"display":"Beyer, Katharina","given":"Katharina","role":"aut","family":"Beyer"},{"role":"aut","given":"Wolf O.","family":"Bechstein","display":"Bechstein, Wolf O."},{"display":"Herrle, Florian","family":"Herrle","role":"aut","given":"Florian"},{"display":"Malkomes, Patrizia","role":"aut","given":"Patrizia","family":"Malkomes"},{"display":"Reißfelder, Christoph","family":"Reißfelder","given":"Christoph","role":"aut"},{"family":"Ritz","role":"aut","given":"Jörg-Peter","display":"Ritz, Jörg-Peter"},{"display":"Vilz, Tim","given":"Tim","role":"aut","family":"Vilz"},{"display":"Fleckenstein, Johannes","role":"aut","given":"Johannes","family":"Fleckenstein"},{"role":"aut","given":"Andreas A.","family":"Schnitzbauer","display":"Schnitzbauer, Andreas A."}],"relHost":[{"disp":"A toolbox for a structured risk-based prehabilitation program in major surgical oncologyFrontiers in Surgery","physDesc":[{"extent":"Online-Ressource"}],"recId":"788288954","type":{"media":"Online-Ressource","bibl":"periodical"},"language":["eng"],"part":{"year":"2023","pages":"1-13","extent":"13","volume":"10","text":"10(2023), Artikel-ID 1186971, Seite 1-13"},"title":[{"title_sort":"Frontiers in Surgery","title":"Frontiers in Surgery"}],"id":{"issn":["2296-875X"],"eki":["788288954"],"zdb":["2773823-1"]},"titleAlt":[{"title":"FSURG"},{"title":"Front. Surg."}],"pubHistory":["1.2014 -"],"origin":[{"publisher":"Frontiers Media","dateIssuedKey":"2014","dateIssuedDisp":"2014-","publisherPlace":"Lausanne"}]}],"origin":[{"dateIssuedDisp":"2023","dateIssuedKey":"2023"}],"title":[{"title":"A toolbox for a structured risk-based prehabilitation program in major surgical oncology","title_sort":"toolbox for a structured risk-based prehabilitation program in major surgical oncology"}],"note":["Veröffentlicht: 26. Juni 2023","Gesehen am 03.08.2023"],"type":{"media":"Online-Ressource","bibl":"article-journal"},"language":["eng"],"name":{"displayForm":["Svenja Sliwinski, Elisabeth Werneburg, Sara Fatima Faqar-Uz-Zaman, Charlotte Detemble, Julia Dreilich, Lisa Mohr, Dora Zmuc, Katharina Beyer, Wolf O. Bechstein, Florian Herrle, Patrizia Malkomes, Christoph Reissfelder, Joerg P. Ritz, Tim Vilz, Johannes Fleckenstein and Andreas A. Schnitzbauer"]},"id":{"eki":["1854277871"],"doi":["10.3389/fsurg.2023.1186971"]}} | ||
| SRT | |a SLIWINSKISTOOLBOXFOR2023 | ||