Outcome	Score	Is it an outcome/standard? (yes/no)	Is it already included? (yes/no)	Matched outcome if already included (outcome ID)	Final decision	Comments
To measure what benefit the prehabilitation has on the patient's recovery if serious complications occur. Such as are they off the ventilators earlier; ability to walk independently sooner; are they coping better psychologically, etc.	9	Yes	Yes	112, 113, 109	Already included—no further action required
Body composition—muscle mass/muscle quality	8	Yes	No	96, 97, 98	Already included—modification to existing outcome/standard wording needed to clarify
My support network, a.k.a. my family and friends	9	No	No		Not an outcome/standard
Prehabilitation during COVID	9	No	No		Not an outcome/standard
How to manage patient expectations	9	No	No		Not an outcome/standard
Healthcare professionals’ likelihood to adapt to a patient’s personal nutritional and physical therapy when those standards are not within protocols—computer says no	9	No	No		Not an outcome/standard
Allow me as the patient to document the success of the intervention pre, during and post. I would like it above my bed ‘prehab optimized and independent documenter’, ha ha what are the chances?	9	No	No		Not an outcome/standard
Abdominal muscle function/activation measured by ultrasound	9
Preop input is so vital in getting the best post surgery. The psychological side of surgery coupled with the need to look at diet should be paramount for the best possible recovery. Using veteran patients to support existing patients along with the expertise of a dietician and colorectal doctor or nurse would only aid a speedier recovery; when patients get left behind so does their morale and subsequent recovery time	9	Yes	Yes	88	Already included—no further action required
Pulse wave velocity (a measure of vascular stiffness)	8	Yes	No		To be added to round 2
Patient’s spouse should be involved in the whole prehabilitation process (offered/delivered)	9	Yes	No		To be added to round 2
% muscle mass	6	Yes	No	96, 97, 98	Already included—modification to existing outcome/standard wording needed to clarify
Survival outcomes	7	Yes	No		To be added to round 2
Quality of life scores	9	Yes	Yes	109,110	Already included- no further action required
Completion of chemotherapy/radiotherapy	7	Yes	No	117	Already included—modification to existing outcome/standard wording needed to clarify
Patient experience	9	yes	yes	109	Already included—no further action required
WHODAS 2.0 (assessment of health and disability)	8	Yes	Yes	90–99 and 109–111	To be added to round 2
Short physical performance battery	7	No	No	90–99 and 109–111	Not an outcome/standard
Family/carer voice	9	Yes	No		To be added to round 2
Prehab should be community-based with leverage into long-term exercise behaviour change	9	Yes	Yes	8 to 11	Already included–no further action required
Compliance with postop ERAS goals	7	No	No		Not an outcome/standard
Cancer recurrence rate	6	Yes	No		To be added to round 2
Cost saving of prehabilitation programme	7	No	No		Not an outcome/standard
Patient activation measures	8	Yes	Yes	109, 110	To be added to round 2
Joining a peer group for support from other similar patients with more experience	6	No	No		Not an outcome/standard
Mentoring with one-on-one contact to another patient in similar situation	5	Yes	Yes		Already included—no further action required
Prehabilitation for friend or family member who will support the patient's recovery at home	7	No	No		Not an outcome/standard
Are patients expectations met?	6	No	No		Not an outcome/standard
How important is the role of local cancer support charities in signposting to prehabilitation advice?	7	No	No		Not an outcome/standard
How important is role of community-based charities and other support groups in delivery of prehabilitation?	7	No	No		Not an outcome/standard
Risk triage tool that medically and rehabilitaion dichotomizes prehabilitation assessment and intervention needs to support programme	9	No	No		Not an outcome/standard
Changes in negative lifestyle behaviours (e.g. smoking; drinking >14 units alcohol per week; amount of physical activity per week) (WHO guidelines)	9	Yes	No		To be added to round 2
DASI score	7	Yes	Yes		To be added to round 2	Think this and WHODAS can be added as a separate item ‘global measure of health and function, e.g. WHODAS or DASI score’
Qualitative analysis of prehabilitation (e.g. acceptance to patients and healthcare professionals)	9	No	No		Not an outcome/standard
Patient activation measure as measure of patient self-efficacy—important to commissioners	7	Yes	Yes	109, 110	To be added to round 2	I think this is different—needs adding as its own item
Postoperative course longer than hospital stay (e.g. A&E attendances; readmission rates and primary care visits up to 12 months post-surgery)	7	Yes	No		To be added to round 2
Vitamin D assessment	9	No	No		Not an outcome/standard
Institution-free days to 12 months after surgery	9	No	No		Not an outcome/standard
Consultant needs to encourage prehabilitation in the initial instance to the patient	9	No	No		Not an outcome/standard
Specialist nurse needs to encourage prehabilitation to the patient	9	No	No		Not an outcome/standard
Contact with the physiotherapist (face to face—if possible)	9	Yes	Yes	82	Already included- no further action required
Cardiopulmonary exercise test	9	Yes	Yes	90	Already included—no further action required
Assessment with the physiotherapist to identify objectives and plan of prehabilitation	9	Yes	Yes	82	Already included—no further action required
Outcome measures—6MWT; sit to stand; grip strength; BMI; maximum inspiratory pressure (MIP); balance test	9	Yes	Yes	89–99	Already included—no further action required
Food diary given to patient in initial assessment with the physio then after this has been kept a few days—a dietetics assessment	9	Yes	Yes	27–33	Already included—no further action required
Bespoke gym programme with a gym instructor/exercise physio—overseen by the physio 3–4× weekly—supervised	9	Yes	Yes	23–26	Already included—no further action required
Inspiratory muscle training 2× daily—supervised if possible/or via telephone with patients keeping a record of their progress for feedback	9	Yes	Yes	18	Already included—no further action required
Physio can flag up potential function needs if they need and possible things they’ll require from a psychologist	9	No	No		Not an outcome/standard
Training programme should be completed for at least 4 weeks prior to surgery but we’ve seen positive outcomes with only 2 weeks training	9	Yes	Yes	23–26	Already included- no further action required
Re-do outcomes the week before their surgery	9	No	No		Not an outcome/standard
Physio throughout can manage patient expectations and what will be expected of them the day post-surgery (i.e. getting out of bed)	9	No	No		Not an outcome/standard
Physiotherapist who prehabbed the patients sees the patient the day post-surgery as they will know their baseline, etc. and already have a good rapport with the patient	9	No	No		Not an outcome/standard
Experience from stoma patients—living with a stoma	6	No	No		Not an outcome/standard
Ease of access to prehabilitation for the patient	9	Yes	Yes	94	Already included—no further action required
Affordability of prehabilitation for the patient	9	No	No		Not an outcome/standard
The patient is key to the content/design of their prehabilitation programme	9	Yes	Yes	14	Already included—no further action required