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 |