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Published on: September 11, 2021
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Prehabilitation for esophagectomy
Emre Doganay1, Krishna Moorthy1
1Department of Surgery and Cancer, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Journal of Thoracic Disease
|May 14, 2019
Summary
Prehabilitation, a novel intervention for esophageal cancer (EC) patients, shows promise in improving functional capacity through exercise. Further research is needed to confirm its effectiveness and impact on oncological outcomes.
Area of Science:
- Oncology
- Surgical Management
- Patient Recovery
Background:
- Esophagectomy is the primary treatment for esophageal cancer (EC).
- EC management, including neoadjuvant therapies, negatively impacts patient body composition, function, and psychological health.
- Prehabilitation is an emerging strategy to optimize patients before surgery.
Purpose of the Study:
- To evaluate the safety, feasibility, and efficacy of prehabilitation in EC patients.
- To assess the impact of prehabilitation on functional capacity, body composition, and psychological well-being.
- To explore the relationship between prehabilitation and oncological outcomes.
Main Methods:
- Review of emerging evidence on prehabilitation interventions for EC.
- Analysis of studies focusing on exercise, nutritional, and psychological components of prehabilitation.
- Assessment of data regarding prehabilitation's effect on morbidity, mortality, and functional capacity.
Main Results:
- Prehabilitation appears safe, feasible, and efficacious in EC patients.
- Exercise-based prehabilitation shows a positive effect on functional capacity.
- Nutritional and psychological interventions require further evaluation.
- No clear link between prehabilitation and oncological outcomes has been established.
Conclusions:
- Early prehabilitation studies are promising for EC patient management.
- Further large-scale research is necessary to determine the clinical effectiveness of prehabilitation.
- Prehabilitation may improve patient outcomes but requires more investigation regarding oncological benefits.
