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Prehabilitation and functional recovery for colorectal cancer patients
Authors:Enrico Maria Minnella  Francesco Carli
Affiliation:1. Department of Anesthesia, McGill University Health Centre, Montreal General Hospital, 1650 Cedar Ave, Montreal, QC, H3G 1A4, Canada;2. Division of Metabolic Disorders and Complications, Research Institute, Faculty of Medicine, McGill University, 1001 Decarie Blvd, Montreal, QC, H4A 3J1, Canada
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  Prehabilitation  Nutrition  Exercise
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