Evidence map›Paper›PMID 32959532›Full record

ReviewBJS open2020

Prehabilitation in elective abdominal cancer surgery in older patients: systematic review and meta-analysis.

S L Daniels, M J Lee, J George, K Kerr, S Moug, T R Wilson, S R Brown, L Wyld

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BJS open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 7 pooled it
10.8field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 7 syntheses or guidelines pooled it, 163 citations in OpenAlex.

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  16. Prehabilitation beyond the trimodal standard: occupational therapy in a quadrimodal cancer care model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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 3 institutions in 1 country.

S L DanielsAcademic Directorate of General Surgery, Sheffield, UK.ORCID https://orcid.org/0000-0001-9452-3344
M J LeeAcademic Directorate of General Surgery, Sheffield, UK.ORCID https://orcid.org/0000-0001-9971-1635
J GeorgeAcademic Directorate of General Surgery, Sheffield, UK.ORCID https://orcid.org/0000-0001-8899-6620
K KerrDirectorate of Anaesthesia, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
S MougDepartment of Surgery, Royal Alexandra Hospital, Paisley, UK.ORCID https://orcid.org/0000-0001-9969-9760
T R WilsonDoncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, UK.
S R BrownAcademic Directorate of General Surgery, Sheffield, UK.
L WyldDepartment of Oncology and Metabolism, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0002-4046-5940
Sheffield Teaching Hospitals NHS Foundation Trust · GBDoncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust · GBRoyal Alexandra Hospital · GB

Funding

Bowel Disease Research Foundation 159450British Association for Surgical Oncology
6 · The paper itself

Abstract

backgroundPrehabilitation has emerged as a strategy to prepare patients for elective abdominal cancer surgery with documented improvements in postoperative outcomes. The aim of this study was to assess the evidence for prehabilitation interventions of relevance to the older adult.

methodsSystematic searches were conducted using MEDLINE, Web of Science, Scopus, CINAHL and PsychINFO. Studies of preoperative intervention (prehabilitation) in patients undergoing abdominal cancer surgery reporting postoperative outcomes were included. Age limits were not set as preliminary searches revealed this would be too restrictive. Articles were screened and selected based on PRISMA guidelines, and assessment of bias was performed. Qualitative, quantitative and meta-analyses of data were conducted as appropriate.

resultsThirty-three studies (3962 patients) were included. Interventions included exercise, nutrition, psychological input, comprehensive geriatric assessment and optimization, smoking cessation and multimodal (two or more interventions). Nine studies purposely selected high-risk, frail or older patients. Thirty studies were at moderate or high risk of bias. Ten studies individually reported benefits in complication rates, with meta-analyses for overall complications demonstrating significant benefit: multimodal (risk difference -0·1 (95 per cent c.i. -0·18 to -0·02); P = 0·01, I

conclusionThe conclusions of this review are limited by the quality of the included studies, and the heterogeneity of interventions and outcome measures reported. Exercise, nutritional and multimodal prehabilitation may reduce morbidity after abdominal surgery, but data specific to older patients are sparse.

Identifiers

PMID32959532
PMCPMC7709363
OpenAlexW3087423545

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.