Preoperative physical activity and frailty in older patients undergoing cancer surgery – PREsurgery study

Argillander, Tanja E.; Zanden, Vera van der; Zaag-Loonen, Hester J. van der; Paarlberg, K.M.; Meijer, Wouter J.; Kruse, Arnold‐Jan; Westreenen, Henderik L. van; Duijvendijk, Peter van; Mourits, Marian J.E.; Munster, Barbara C. Van

doi:10.1016/j.jgo.2021.09.008

Cited by 2 publications

(4 citation statements)

References 10 publications

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“…In the preoperative phase, studies used Fitbit devices and MOX1 accelerometers to monitor physical activity and sleep patterns [13,16,26]. Studies utilising Fitbit devices demonstrated correlations between preoperative and postoperative physical activity levels with various outcomes such as LOS, complication rates, and readmission rates in colorectal surgery patients.…”

Section: Discussionmentioning

confidence: 99%

“…The search strategy yielded a total of 1525 studies. Following deduplication, 1253 were screened, resulting in 104 studies for full text review, 20 of which were included in this review (Figure 1) [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31]. Table 1 summarises key study characteristics.…”

Section: Study Demographicsmentioning

confidence: 99%

“…In contrast, very high nightly REM sleep duration (greater than around 2.5 h) was associated with increased risk of complications. Finally, Argillander [16] et al measured time spent in different postures and activities for 1 week prior to surgery. Authors correlated sedentary behaviour with frailty and worse physical outcomes as defined by a lower Short Physical Performance Battery score (p = 0.04), reduced hand grip strength (p = 0.03), lower Short-Form-36 score (p = 0.007), and lower motivation for movement (p = 0.02) and prehabilitation (p = 0.03).…”

Section: Preoperative Datamentioning

confidence: 99%

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Wearable Devices in Colorectal Surgery: A Scoping Review

Kavallieros,

Karakozis,

Hayward

et al. 2024

Cancers

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Wearable devices are increasingly utilised to monitor patients perioperatively, allowing for continuous data collection and early complication detection. There is considerable variability in the types and usage settings of wearables, particularly within colorectal surgery. To address this, a scoping review was conducted to investigate current utilisation of wearable devices in colorectal surgery. A systematic search across MEDLINE and Embase was conducted following PRISMA Scoping Review guidelines. Results were synthesised narratively, categorised by perioperative phase (preoperative; postoperative; combination), and supplemented with descriptive statistics and tables. Out of 1525 studies initially identified, 20 were included, reporting data on 10 different wearable devices. Use of wearable devices varied across settings with those used preoperatively tending to focus on baseline physical status or prehabilitation, while postoperative use centred around monitoring and identification of complications. Wearable devices can enhance perioperative monitoring, enable proactive interventions, and promote personalised care for improved patient outcomes in colorectal surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Study Demographicsmentioning

confidence: 99%

Section: Preoperative Datamentioning

confidence: 99%

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Wearable Devices in Colorectal Surgery: A Scoping Review

Kavallieros,

Karakozis,

Hayward

et al. 2024

Cancers

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“…Moreover the formula used to estimate the VO 2-peak was validated in a general population that might be functionally different from the surgical population [ 108 ]. Argillander et al proposed the integration of different physical tests assessing both aerobic fitness and muscular strength to provide a more in-depth assessment of the patient’s physical status, and not relying solely on a single preoperative test [ 111 ]. Indeed, patients’ ability to perform the basic activities of daily living and overcome the surgical stress does not depend exclusively on functional capacity [ 112 , 113 ].…”

Section: Functional Capacity and Muscle Strength Optimizationmentioning

confidence: 99%

Multimodal Prehabilitation for Patients with Crohn’s Disease Scheduled for Major Surgery: A Narrative Review

Fiorindi,

Giudici,

Testa

et al. 2024

Nutrients

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Approximately 15–50% of patients with Crohn’s disease (CD) will require surgery within ten years following the diagnosis. The management of modifiable risk factors before surgery is essential to reduce postoperative complications and to promote a better postoperative recovery. Preoperative malnutrition reduced functional capacity, sarcopenia, immunosuppressive medications, anemia, and psychological distress are frequently present in CD patients. Multimodal prehabilitation consists of nutritional, functional, medical, and psychological interventions implemented before surgery, aiming at optimizing preoperative status and improve postoperative recovery. Currently, studies evaluating the effect of multimodal prehabilitation on postoperative outcomes specifically in CD are lacking. Some studies have investigated the effect of a single prehabilitation intervention, of which nutritional optimization is the most investigated. The aim of this narrative review is to present the physiologic rationale supporting multimodal surgical prehabilitation in CD patients waiting for surgery, and to describe its main components to facilitate their adoption in the preoperative standard of care.

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Preoperative physical activity and frailty in older patients undergoing cancer surgery – PREsurgery study

Cited by 2 publications

References 10 publications

Wearable Devices in Colorectal Surgery: A Scoping Review

Wearable Devices in Colorectal Surgery: A Scoping Review

Multimodal Prehabilitation for Patients with Crohn’s Disease Scheduled for Major Surgery: A Narrative Review

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