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Response to: Is prehabilitation limited to preoperative exercise?

Published:February 17, 2017DOI:https://doi.org/10.1016/j.surg.2017.01.008
      We thank Le Roy and Slim
      • Le Roy B.
      • Slim K.
      Is prehabilitation limited to preoperative exercise?.
      for their letter and insightful comments suggesting that prehabilitation should not be limited to exercise and advocating that prehabilitation should encompass a multimodal treatment pathway, including preoperative nutrition and psychosocial support. We agree with Le Roy and Slim
      • Le Roy B.
      • Slim K.
      Is prehabilitation limited to preoperative exercise?.
      that prehabilitation should be multimodal. Surgery is a complex intervention with substantial postoperative risk. Postoperative morbidity, mortality, and duration of stay vary depending on the operation, health status of the patient, and a number of other factors.
      • Masoomi H.
      • Kang C.Y.
      • Chen A.
      • Mills S.
      • Dolich M.O.
      • Carmichael J.C.
      • et al.
      Predictive factors of in-hospital mortality in colon and rectal surgery.
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      References

        • Le Roy B.
        • Slim K.
        Is prehabilitation limited to preoperative exercise?.
        Sugery. 2017; 162: 191
        • Masoomi H.
        • Kang C.Y.
        • Chen A.
        • Mills S.
        • Dolich M.O.
        • Carmichael J.C.
        • et al.
        Predictive factors of in-hospital mortality in colon and rectal surgery.
        J Am Coll Surg. 2012; 215: 255-261
        • Afaneh C.
        • Gerszberg D.
        • Slattery E.
        • Seres D.S.
        • Chabot J.A.
        • Kluger M.D.
        Pancreatic cancer surgery and nutrition management: a review of the current literature.
        Hepatobiliary Surg Nutr. 2015; 4: 59-71
        • Balstad T.R.
        • Solheim T.S.
        • Strasser F.
        • Kaasa S.
        • Bye A.
        Dietary treatment of weight loss in patients with advanced cancer and cachexia: a systematic literature review.
        Crit Rev Oncol Hematol. 2014; 91: 210-221
        • Burden S.
        • Todd C.
        • Hill J.
        • Lal S.
        Pre-operative nutrition support in patients undergoing gastrointestinal surgery.
        Cochrane Database Syst Rev. 2012; : CD008879
        • Moran J.
        • Guinan E.
        • McCormick P.
        • Larkin J.
        • Mockler D.
        • Hussey J.
        • et al.
        The ability of prehabilitation to influence postoperative outcome after intra-abdominal operation: a systematic review and meta-analysis.
        Surgery. 2016; 160: 1189-1201
        • Tsimopoulou I.
        • Pasquali S.
        • Howard R.
        • Desai A.
        • Gourevitch D.
        • Tolosa I.
        • et al.
        Psychological prehabilitation before cancer surgery: a systematic review.
        Ann Surg Oncol. 2015; 22: 4117-4123
      1. The Association of Coloproctology of Great Britain and Ireland. Guidelines for the Management of Colorectal Cancer. 3rd ed. London: Association of Coloproctology of Great Britain and Ireland; 2007. Available from: https://www.uhb.nhs.uk/Downloads/pdf/CancerPbManagementColorectalCancer.pdf.

        • Liou K.
        • Ho S.
        • Fildes J.
        • Ooi S.Y.
        High intensity interval versus moderate intensity continuous training in patients with coronary artery disease: a meta-analysis of physiological and clinical parameters.
        Heart Lung Circ. 2016; 25: 166-174
        • Mainini C.
        • Rebelo P.F.
        • Bardelli R.
        • Kopliku B.
        • Tenconi S.
        • Costi S.
        • et al.
        Perioperative physical exercise interventions for patients undergoing lung cancer surgery: what is the evidence?.
        SAGE Open Med. 2016; 4: 1-19

      Linked Article

      • Is prehabilitation limited to preoperative exercise?
        SurgeryVol. 162Issue 1
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          We have read with interest the review and meta-analysis entitled, “The ability of prehabilitation to influence postoperative outcome after intra-abdominal operation: A systematic review and meta-analysis,” by Moran et al.1 In this study, the authors explored the impact of a prehabilitation program prior to an abdominal operation.
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