Evidence map›Paper›PMID 36245070›Full record

ArticleAnnals of hepato-biliary-pancreatic surgery2022

Outcomes of an outpatient home-based prehabilitation program before pancreaticoduodenectomy: A retrospective cohort study.

Kai Siang Chan, Sameer Padmakumar Junnarkar, Bei Wang, Yen Pin Tan, Jee Keem Low, Cheong Wei Terence Huey, Vishalkumar Girishchandra Shelat

Open access · diamondAbstract read
In one paragraph

Article in Annals of hepato-biliary-pancreatic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Postoperative outcomes following prehabilitationWorld journal of gastrointestinal surgery · 2025
    Article
  5. Article
  6. Prehabilitation for muscle wasting in cancer: do definitions matter?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
  7. Review
  8. Article
  9. Article
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

7 authors at 2 institutions in 1 country.

Kai Siang ChanDepartment of General Surgery, Tan Tock Seng Hospital, Singapore.ORCID https://orcid.org/0000-0001-9533-801X
Sameer Padmakumar JunnarkarDepartment of General Surgery, Tan Tock Seng Hospital, Singapore.ORCID https://orcid.org/0000-0003-0588-1014
Bei WangDepartment of General Surgery, Tan Tock Seng Hospital, Singapore.ORCID https://orcid.org/0000-0001-9336-4505
Yen Pin TanDepartment of General Surgery, Tan Tock Seng Hospital, Singapore.ORCID https://orcid.org/0000-0003-3940-2130
Jee Keem LowDepartment of General Surgery, Tan Tock Seng Hospital, Singapore.ORCID https://orcid.org/0000-0002-8641-5770
Cheong Wei Terence HueyDepartment of General Surgery, Tan Tock Seng Hospital, Singapore.ORCID https://orcid.org/0000-0001-8575-5645
Vishalkumar Girishchandra ShelatDepartment of General Surgery, Tan Tock Seng Hospital, Singapore.ORCID https://orcid.org/0000-0003-3988-8142
Tan Tock Seng Hospital · SGNanyang Technological University · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Backgrounds/Aims: Prehabilitation aims for preoperative optimisation to reduce postoperative complications. However, there is a paucity of data on its use in patients undergoing pancreaticoduodenectomy (PD). Thus, this study aims to evaluate the outcomes of a home-based outpatient prehabilitation program (PP) versus no-PP in patients undergoing PD. Methods: This retrospective cohort study compared patients who underwent PP versus no-PP before elective PD from January 2016 to December 2020. Inclusion criteria for PP were < 65 years or 65-74 years with FRAIL score < 3. No-PP included dietician, case manager and anesthesia review. PP included additional physiotherapy sessions, caregiver training and interim phone consultation. Univariate and multivariate analysis were used to evaluate length of stay (LOS), morbidity, 30-day readmission, and 90-day mortality. Results: Seventy-one patients (PP: n = 50 [70.4%]; no-PP: n = 21 [29.6%]) were included in this study. Median age was 65 years (interquartile range [IQR]: 58-72 years). Majority (n = 58 [81.7%]) of patients underwent open surgery. Ductal adenocarcinoma was the most common histology (49.3%). Patient demographics were comparable between both groups. Overall median LOS was 11.0 days (IQR: 8.0-17.0 days). Compared to no-PP, PP was not independently associated with reduced intra-abdominal collections (odds ratio [OR]: 0.43; 95% confidence interval [CI]: 0.03-6.11, Conclusions: Our outpatient PP with unsupervised exercise regimes did not improve postoperative outcomes following elective PD.

Indexed as

Enhanced recovery after surgeryPancreatic neoplasmsPancreaticoduodenectomyPreoperative carePreoperative exercise

Identifiers

PMID36245070
PMCPMC9721255
OpenAlexW4306369148

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.