Evidence map›Paper›PMID 37158927›Full record

ArticlePerioperative medicine (London, England)2023

Prehabilitation for patients with colorectal cancer: a snapshot of current daily practice in Dutch hospitals.

Charlotte J L Molenaar, Muriël Reudink, Charissa R Sabajo, Loes Janssen, Rudi M H Roumen, Joost M Klaase, Gerrit D Slooter

Open access · goldAbstract read
In one paragraph

Article in Perioperative medicine (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Charlotte J L Molenaar *Department of Surgery, Máxima Medical Centre, Veldhoven, the Netherlands.
Muriël Reudink *Department of Surgery, Máxima Medical Centre, Veldhoven, the Netherlands. m.reudink@maastrichtuniversity.nl.ORCID http://orcid.org/0000-0002-4349-7948
Charissa R SabajoDepartment of Surgery, Máxima Medical Centre, Veldhoven, the Netherlands.
Loes JanssenDepartment of Surgery, Máxima Medical Centre, Veldhoven, the Netherlands.
Rudi M H RoumenDepartment of Surgery, Máxima Medical Centre, Veldhoven, the Netherlands.
Joost M KlaaseDepartment of Surgery, University Medical Centre Groningen, Groningen, the Netherlands.
Gerrit D SlooterDepartment of Surgery, Máxima Medical Centre, Veldhoven, the Netherlands.
Radboud University Nijmegen · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultimodal prehabilitation programmes are increasingly being imbedded in colorectal cancer (CRC) pathways to enhance the patient's recovery after surgery. However, there is no (inter)national consensus on the content or design of such a programme. This study aimed to evaluate the current practice and opinion regarding preoperative screening and prehabilitation for patients undergoing surgery for CRC throughout the Netherlands.

methodsAll regular Dutch hospitals offering colorectal cancer surgery were included. An online survey was sent to one representative colorectal surgeon per hospital. Descriptive statistics were used for analyses.

resultsResponse rate was 100% (n = 69). Routine preoperative screening of patients with CRC for frailty, diminished nutritional status and anaemia was the standard of care in nearly all Dutch hospitals (97%, 93% and 94%, respectively). Some form of prehabilitation was provided in 46 hospitals (67%) of which more than 80% addressed nutritional status, frailty, physical status and anaemia. All but two of the remaining hospitals were willing to adopt prehabilitation. The majority of the hospitals offered prehabilitation to specific subgroups of patients with CRC, such as the elderly (41%), the frail (71%) or high-risk patients (57%). There was high variability in the setting, design and content of the prehabilitation programmes.

conclusionsWhereas preoperative screening is sufficiently incorporated in Dutch hospitals, standardised enhancement of the patient's condition in the context of multimodal prehabilitation seems to be challenging. This study presents an overview of current clinical practice in the Netherlands. Uniform clinical prehabilitation guidelines are vital to diminish heterogeneity in programmes and to produce useful data to enable a nationwide implementation of an evidence-based prehabilitation programme.

Indexed as

Colorectal cancerMultimodal prehabilitationPreoperative screeningSurgery

Identifiers

PMID37158927
PMCPMC10165784
OpenAlexW4375955847

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LicenceCC BY
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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.