Evidence map›Paper›PMID 27539131›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2017

Four-week prehabilitation program is sufficient to modify exercise behaviors and improve preoperative functional walking capacity in patients with colorectal cancer.

Brian P Chen, Rashami Awasthi, Shane N Sweet, Enrico M Minnella, Andreas Bergdahl, Daniel Santa Mina, Francesco Carli, Celena Scheede-Bergdahl

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03758209 (Comparison of Preoperative Multimodal Preparation Program), which is not on this map. Cited by 63 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 9 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03758209 nacompletednot on this mapstarted 2018, after this paper: background citation

Comparison of Preoperative Multimodal Preparation Program (Prehabilitation) With Enhanced Recovery Program for Elective Colorectal Cancer Surgery.

TypeinterventionalSponsorSt. Borbala HospitalRan2018 to 2019Enrolled184ConditionsColorectal Cancer, Insulin ResistanceArmsPrehabilitation + ERAS, ERAS
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 9 syntheses or guidelines pooled it, 164 citations in OpenAlex.

  1. Pooled it
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  9. Combined exercise and nutritional rehabilitation in outpatients with incurable cancer: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Pooled it
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  11. Exploring the impact of exercise and mind-body prehabilitation interventions on physical and psychological outcomes in women undergoing breast cancer surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  13. Feasibility of a novel exercise prehabilitation programme in patients scheduled for elective colorectal surgery: a feasibility randomised controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
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  20. General Principles of Risk Mitigation before Colorectal Surgery.Clinics in colon and rectal surgery · 2026
    Review

3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Brian P ChenDepartment of Kinesiology and Physical Education, McGill University, 475 Pine Avenue West, Montreal, QC, H2W 1S4, Canada.
Rashami AwasthiDepartment of Kinesiology and Physical Education, McGill University, 475 Pine Avenue West, Montreal, QC, H2W 1S4, Canada.
Shane N SweetDepartment of Kinesiology and Physical Education, McGill University, 475 Pine Avenue West, Montreal, QC, H2W 1S4, Canada.
Enrico M MinnellaDepartment of Anesthesia, McGill University, Montreal, QC, Canada.
Andreas BergdahlDepartment of Exercise Science, Concordia University, Montreal, QC, Canada.
Daniel Santa MinaFaculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada.
Francesco CarliDepartment of Anesthesia, McGill University, Montreal, QC, Canada.
Celena Scheede-BergdahlDepartment of Kinesiology and Physical Education, McGill University, 475 Pine Avenue West, Montreal, QC, H2W 1S4, Canada. celena.scheede@mcgill.ca.
McGill University · CAMcGill University Health Centre · CAConcordia University · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHigh complication rates following colorectal surgery render many patients unable to fully regain functional capacity, thus seriously compromising quality of life. The aim of this study was to assess whether a 4-week trimodal prehabilitation program (exercise, nutritional supplementation, and counseling on relaxation techniques), implemented during the preoperative period, is sufficient to modify exercise behaviors and improve functional capacity of elderly patients scheduled for colorectal cancer surgery.

methodsPatients were assigned to either a prehabilitation (PREHAB; n = 57) or matched time control group (CTRL; n = 59). Over the 4-week period prior to surgery, patients in PREHAB participated in a trimodal prehabilitation program. Patients in CTRL received the same program but only postoperatively. The Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire was used to measure physical activity levels, while the 6-min walk test (6MWT) was used for assessment of functional walking capacity. Measurements were collected at baseline and at the time of surgery.

resultsOver the preoperative period, patients in PREHAB significantly increased the amount of moderate- and vigorous-intensity physical activities that they performed. PREHAB patients also demonstrated a greater improvement in 6MWT compared to CTRL. At the time of surgery, a greater proportion of patients in PREHAB met current physical activity guidelines, as compared to CTRL.

conclusionsThese findings highlight the positive effects of a trimodal prehabilitation program on patients' physical activity levels and functional walking capacity and demonstrate that modifying exercise behaviors and improving physical function within the 4-week preoperative period are an achievable goal.

Indexed as

Recovery of FunctionAgedColorectal NeoplasmsExerciseFemaleHumansMalePreoperative CareQuality of LifeTreatment OutcomeWalkingCancerExerciseFunctional capacityOncologyPrehabilitationRehabilitation

Identifiers

PMID27539131
OpenAlexW2512818468

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.