Evidence map›Paper›PMID 41618415›Full record

ArticleTrials2026

Multimodal Prehabilitation In Pancreatic cancer Patients undergoing surgery (PIPS): study protocol for a randomized controlled trial.

Nicolò Pecorelli, Francesca Fermi, Martina Abati, Benedetta Bonomi, Laura Fossati, Gustavo Corti, Giovanni Guarneri, Marina Macchini, Anna Damascelli, Diego Palumbo and 5 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06069297 (Multimodal Prehabilitation in Localized Pancreatic Cancer Patients Undergoing Surgery), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT06069297 narecruitingnot on this map

Multimodal Prehabilitation in Localized Pancreatic Cancer Patients Undergoing Surgery: a Randomized Controlled Trial

TypeinterventionalSponsorIRCCS San RaffaeleRan2023 to 2027Enrolled238ConditionsPancreatic Cancer, Periampullary Cancer, Frailty Syndrome, MalnutritionArmsMultimodal Prehabilitation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

15 authors.

Nicolò Pecorelli *Division of Pancreatic Surgery, Pancreas Translational & Clinical Research Center, IRCCS San Raffaele Scientific Institute, Milan, 20132, Italy. pecorelli.nicolo@hsr.it.ORCID http://orcid.org/0000-0002-0883-8196
Francesca Fermi *Division of Pancreatic Surgery, Pancreas Translational & Clinical Research Center, IRCCS San Raffaele Scientific Institute, Milan, 20132, Italy.
Martina AbatiDivision of Pancreatic Surgery, Pancreas Translational & Clinical Research Center, IRCCS San Raffaele Scientific Institute, Milan, 20132, Italy.
Benedetta BonomiDivision of Pancreatic Surgery, Pancreas Translational & Clinical Research Center, IRCCS San Raffaele Scientific Institute, Milan, 20132, Italy.
Laura FossatiDivision of Pancreatic Surgery, Pancreas Translational & Clinical Research Center, IRCCS San Raffaele Scientific Institute, Milan, 20132, Italy.
Gustavo CortiDepartment of Rehabilitation and Functional Recovery, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Giovanni GuarneriDivision of Pancreatic Surgery, Pancreas Translational & Clinical Research Center, IRCCS San Raffaele Scientific Institute, Milan, 20132, Italy.
Marina MacchiniPathology Unit, Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Anna DamascelliDepartment of Radiology, San Raffaele Scientific Institute IRCCS, Vita-Salute San Raffaele University, Milan, Italy.
Diego PalumboDepartment of Radiology, San Raffaele Scientific Institute IRCCS, Vita-Salute San Raffaele University, Milan, Italy.
Stefania GaviraghiClinical and Health Psychology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Valentina Di MatteiClinical and Health Psychology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Francesco De CobelliDepartment of Radiology, San Raffaele Scientific Institute IRCCS, Vita-Salute San Raffaele University, Milan, Italy.
Andrea TettamantiDepartment of Rehabilitation and Functional Recovery, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Massimo FalconiDivision of Pancreatic Surgery, Pancreas Translational & Clinical Research Center, IRCCS San Raffaele Scientific Institute, Milan, 20132, Italy.

Funding

Ministero della Salute GR-2021-12374985
6 · The paper itself

Abstract

backgroundPancreatic cancer surgery is challenging and associated with up to a 70% complication rate, which translates to poor postoperative recovery and patient health-related quality of life (HRQoL). Previous studies showed that preoperative low functional capacity and malnutrition have been associated with inferior postoperative outcomes. Considering the high frequency of older and frail patients, often deconditioned by long-course neoadjuvant chemotherapy, the preoperative period, including the time window after chemotherapy, is a unique opportunity to condition modifiable risk factors (e.g., functional capacity, nutritional status). This manuscript outlines the protocol for a randomized controlled trial investigating the impact of a multimodal prehabilitation program on postoperative complications and recovery following pancreatectomy.

methodsThis is a single-center, randomized controlled trial evaluating a 4-6-week multimodal prehabilitation program (physical, nutritional, and psychological interventions) compared with usual perioperative care in adults scheduled for pancreatic surgery, whether upfront or following chemotherapy for pancreatic or periampullary cancer. The primary outcome will be the severity of postoperative complications, measured using the Comprehensive Complication Index (CCI DISCUSSION: A multimodal prehabilitation program may enhance functional capacity, improve nutritional status, and increase skeletal muscle mass, thereby promoting a shift from a catabolic to an anabolic state. By modulating systemic inflammation and supporting cardiovascular and immune function, this strategy could lead to fewer postoperative complications, a shorter length of stay, and a faster recovery of health-related quality of life. Positive findings from this trial would carry strong clinical significance and could be practice-changing, potentially informing future guidelines for the implementation of multimodal prehabilitation in patients undergoing pancreatic cancer surgery.

trial registrationTrial Registry NCT06069297. Registered on August 25, 2023.

Indexed as

PancreatectomyPancreatic NeoplasmsPreoperative ExerciseClinical ProtocolsFunctional StatusHumansLength of StayNutritional StatusPostoperative ComplicationsQuality of LifeRandomized Controlled Trials as TopicRecovery of FunctionRisk FactorsTime FactorsTreatment OutcomeComprehensive complication indexEnhanced recovery after surgeryFunctional capacityPancreatic neoplasmPancreatic surgeryPostoperative complicationsPrehabilitation

Identifiers

PMID41618415
PMCPMC12947364

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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.