Evidence map›Paper›PMID 36980756›Full record

ArticleCancers2023

Multimodal Prehabilitation in Patients Undergoing Complex Colorectal Surgery, Liver Resection, and Hyperthermic Intraperitoneal Chemotherapy (HIPEC): A Pilot Study on Feasibility and Potential Efficacy.

Dieuwke Strijker, Wilhelmus J H J Meijerink, Linda A G van Heusden-Schotalbers, Manon G A van den Berg, Monique J M D van Asseldonk, Luuk D Drager, Johannes H W de Wilt, Kees J H M van Laarhoven, Baukje van den Heuvel

Open access · goldFull text read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Nutritional prehabilitation in patients with head and neck cancer: an evidence mapping analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Multimodal prehabilitation in digestive oncology: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  7. Article
  8. Multimodal Prehabilitation in Head and Neck Cancer Patients Undergoing Surgery: A Feasibility Study.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    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

9 authors at 1 institution in 1 country.

Dieuwke StrijkerDepartment of Surgery, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.ORCID 0000-0002-8345-6876
Wilhelmus J H J MeijerinkDepartment of Operating Rooms, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.
Linda A G van Heusden-SchotalbersDepartment of Rehabilitation, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.
Manon G A van den BergDepartment of Gastroenterology and Hepatology-Dietetics and Intestinal Failure, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.
Monique J M D van AsseldonkDepartment of Gastroenterology and Hepatology-Dietetics and Intestinal Failure, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.
Luuk D DragerDepartment of Operating Rooms, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.ORCID 0000-0003-3283-095X
Johannes H W de WiltDepartment of Surgery, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.
Kees J H M van LaarhovenDepartment of Surgery, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.
Baukje van den HeuvelDepartment of Operating Rooms, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgery for complex primary and metastatic colorectal cancer (CRC), such as liver resection and hyperthermic intraperitoneal chemotherapy (HIPEC), in academic settings has led to improved survival but is associated with complications up to 75%. Prehabilitation has been shown to prevent complications in non-academic hospitals. This pilot study aimed to determine the feasibility and potential efficacy of a multimodal prehabilitation program in patients undergoing surgery in an academic hospital for complex primary and metastatic CRC.

methodsAll patients awaiting complex colorectal surgery, liver resection, or HIPEC from July 2019 until January 2020 were considered potentially eligible. Feasibility was measured by accrual rate, completion rate, adherence to the program, satisfaction, and safety. To determine potential efficacy, postoperative outcomes were compared with a historical control group.

resultsSixteen out of twenty-five eligible patients (64%) commenced prehabilitation, and fourteen patients fully completed the intervention (88%). The adherence rate was 69%, as 11 patients completed >80% of prescribed supervised trainings. No adverse events occurred, and all patients expressed satisfaction with the program. The complication rate was significantly lower in the prehabilitation group (37.5%) than the control group (70.2%,

conclusionThis pilot study illustrates that multimodal prehabilitation is feasible in the majority of patients undergoing complex colorectal cancer, liver resection, and HIPEC in an academic setting.

Indexed as

colorectal neoplasm MeSHcolorectal surgery MeSHhyperthermic intraperitoneal chemotherapyneoplasm metastasis MeSHperioperative carepostoperative complications MeSHprehabilitation

Identifiers

PMID36980756
PMCPMC10047129
OpenAlexW4328100109

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read1
measurements read39
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.