Prehabilitation and functional recovery for colorectal cancer patients

Eur J Surg Oncol. 2018 Jul;44(7):919-926. doi: 10.1016/j.ejso.2018.04.016. Epub 2018 Apr 30.

Abstract

Cancer and its treatments are associated with functional decline that has impactful consequences on quality of life, and care continuum. Thus, optimizing perioperative functional capacity has been identified as a research and clinical priority in cancer care. The process of enhancing physical fitness before an operation to enable the patient to withstand the stress of surgery has been termed prehabilitation. Main elements are preoperative exercise, nutrition therapy, and anxiety-reduction techniques. Given the growing body of evidence on prehabilitation efficacy, this narrative review will summarize the rational underlying preoperative interventions, and propose a structured clinical pathway aimed at optimizing preoperative functional capacity.

Keywords: Colorectal cancer; Exercise; Nutrition; Prehabilitation.

Publication types

  • Review

MeSH terms

  • Anxiety / diagnosis*
  • Anxiety / therapy
  • Body Composition
  • Colorectal Neoplasms / surgery*
  • Critical Pathways
  • Depression / diagnosis*
  • Depression / therapy
  • Digestive System Surgical Procedures*
  • Exercise Therapy*
  • Exercise Tolerance
  • Humans
  • Malnutrition / diagnosis*
  • Malnutrition / diet therapy
  • Mass Screening
  • Metabolic Equivalent
  • Nutrition Assessment
  • Nutritional Support
  • Physical Fitness
  • Preoperative Care / methods*
  • Quality of Life
  • Recovery of Function
  • Walk Test