2022
DOI: 10.1186/s12905-022-01882-z
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Considerations for multimodal prehabilitation in women with gynaecological cancers: a scoping review using realist principles

Abstract: Background There is increasing recognition that prehabilitation is important as a means of preparing patients physically and psychologically for cancer treatment. However, little is understood about the role and optimal nature of prehabilitation for gynaecological cancer patients, who usually face extensive and life-changing surgery in addition to other treatments that impact significantly on physiological and psychosexual wellbeing. Review question … Show more

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Cited by 15 publications
(16 citation statements)
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“…Mechanisms such as accessibility, motivation, role of healthcare professionals and organizations, acceptability and prioritization have been shown to improve physical fitness, reduce LOS, reduce delay for surgery, reduce post-operative complications, and improve quality of life. 10 In order for healthcare professionals to deliver and engage in prehabilitation, there needs to be strong evidence-based protocols for implementation and clinical practice in a multidisciplinary system that provides specific guidance for screening and triage of patients. Numerous studies have investigated unimodal prehabilitation intervention, with exercise being the most studied ( Figure 2 ).…”
Section: Discussionmentioning
confidence: 99%
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“…Mechanisms such as accessibility, motivation, role of healthcare professionals and organizations, acceptability and prioritization have been shown to improve physical fitness, reduce LOS, reduce delay for surgery, reduce post-operative complications, and improve quality of life. 10 In order for healthcare professionals to deliver and engage in prehabilitation, there needs to be strong evidence-based protocols for implementation and clinical practice in a multidisciplinary system that provides specific guidance for screening and triage of patients. Numerous studies have investigated unimodal prehabilitation intervention, with exercise being the most studied ( Figure 2 ).…”
Section: Discussionmentioning
confidence: 99%
“…Other interventions have included nutritional, educational, psychological, or clinical components. 10 , 11 , 12 However, a single prehabilitation literature review on nutrition within oncology research revealed a lack of standardization and validation of nutritional assessment. Investigation of this model frequently revealed inadequate evidence-based intervention that failed to include monitoring or evaluation of its outcome.…”
Section: Discussionmentioning
confidence: 99%
“…The research team had previously conducted a scoping review of multimodal prehabilitation for gynaecological cancers, using a realist perspective to understand the related barriers and facilitators to engagement and delivery that should be considered when designing a prehabilitation intervention for this group of women (4). The ndings of this review helped to inform the topic guide used in the current study, however, they were not used 'a priori' in coding or thematic analysis.…”
Section: Contextmentioning
confidence: 99%
“…It is now recommended that multimodal prehabilitation, comprising of nutritional assessment and intervention, physical activity and psychological support should be a recognised component of the pre-operative management of patients with advanced ovarian cancers (5). Whilst there is no evidence from completed randomised controlled trials for multimodal prehabilitation in advanced ovarian cancer, there is research in progress (4). Current models of prehabilitation for this group vary, and of those that exist, few suggest that patient co-design or theoretical models have been used in their development (6).…”
Section: Introductionmentioning
confidence: 99%
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