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. 2024 Jun 18;111(6):znae056. doi: 10.1093/bjs/znae056

Table 3.

Final set of core standards for prehabilitation research in colorectal surgery

Domain Subdomain Standards (n = 33)
Components of prehabilitation Exercise
Nutrition
Psychological (emotional) support
Comprehensive geriatric assessment (for older, frail patients)
Setting for prehabilitation Multicentre options
Exercise/physical activity Medium Choice of face-to-face or remote
Group size Choice of one-to-one or group
Personalization A personalized exercise programme specifically tailored to the individual
Type Functional activity training
Cardiovascular/aerobic exercise
Duration The exercise programme should last 2–4 weeks
Nutrition Medium Choice of face-to-face or remote
Group size One-to-one nutritional advice
Personalization A personalized nutritional advice programme specifically tailored to the individual
Duration The nutrition programme should last 4–6 weeks
Psychological support Medium Choice of face-to-face or remote
Group size One-to-one psychological support
Personalization A personalized psychological support programme specifically tailored to the individual
Type Focus on anxiety reduction
Focus on body image including stoma concerns
Relaxation techniques (e.g. breathing exercises, yoga)
Mental preparedness and motivation
Duration Psychological support should last 2–6 weeks
Comprehensive geriatric assessment All components of the comprehensive geriatric assessments
Recipients of prehabilitation Reason for surgery All types of colorectal surgery for any condition, including patients having neoadjuvant chemotherapy
Age Patients of any age
Co-morbidities and risk factors Patients with any co-morbidities and additional risk factors
Delivery of prehabilitation Specialist nurse
Exercise physiologist or sports scientist
Physiotherapist
Nutritionist/dietician
Psychologist
Other patients who are having/have had colorectal surgery