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A few weeks of exercise, nutrition and mental preparation before a big operation helps older patients recover faster and with fewer complications. It costs little and should be routine.
Prehabilitation programmes combining exercise, nutritional optimisation, and psychological support before surgery have shown reductions in complications and length of stay in colorectal and other cancer surgery, including in randomised trials, with the largest effects in frail and older patients. The waiting time before surgery is usually long enough. Making prehabilitation a standard offer for patients over 70 scheduled for major cancer surgery would apply existing evidence.
Shares Prehabilitation (the pre-treatment window), PREHAB: multimodal prehabilitation before colorectal cancer surgery, What a prehabilitation programme actually contains, and how long it needs, Structured exercise prescribed like a drug in all curative-intent cancer care.
Shares Prehabilitation (the pre-treatment window), PREHAB: multimodal prehabilitation before colorectal cancer surgery, What a prehabilitation programme actually contains, and how long it needs, What the randomised trials of prehabilitation found, operation by operation.
Shares Prehabilitation (the pre-treatment window), What a prehabilitation programme actually contains, and how long it needs, What the randomised trials of prehabilitation found, operation by operation, Surgery and radiotherapy cure most, get least.
Shares Surgery roadmap: radical operations → less surgery → no surgery when a drug has done the work, Older and multimorbid patients are excluded and undertreated, Surgery and radiotherapy cure most, get least.
Shares Prehabilitation (the pre-treatment window), PREHAB: multimodal prehabilitation before colorectal cancer surgery, What a prehabilitation programme actually contains, and how long it needs, What the randomised trials of prehabilitation found, operation by operation.
Shares Surgery and radiotherapy cure most, get least, Gastric & gastro-oesophageal junction cancer, Colorectal cancer.
Shares Structured exercise prescribed like a drug in all curative-intent cancer care, Exercise & lifestyle oncology.
Shares Older and multimorbid patients are excluded and undertreated, Gastric & gastro-oesophageal junction cancer, Colorectal cancer.