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Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping

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Brain Prehabilitation for Oncologic Surgery.

Neil Daksla¹, Victoria Nguyen¹, Zhaosheng Jin¹

¹Department of Anesthesiology, Stony Brook University Health Science Center, Stony Brook, NY, 11794-8480, USA.

Current Oncology Reports

|July 28, 2022

Summary

This summary is machine-generated.

Prehabilitation, including physical, nutritional, and cognitive strategies, can help prevent postoperative cognitive complications like delirium. This approach is crucial for optimizing recovery, especially in oncologic patients.

Keywords:

Cancer Cognitive prehabilitation Frailty Postoperative cognitive dysfunction Postoperative delirium Surgical prehabilitation

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Area of Science:

Gerontology
Neuroscience
Surgical Oncology

Background:

Postoperative cognitive complications, including delirium and cognitive dysfunction, pose significant risks.
Oncologic patients face heightened risks due to malignancy, treatments, and frailty, impacting recovery and further cancer care.

Purpose of the Study:

To review current research on preventing postoperative cognitive complications.
To discuss the role of prehabilitation, including physical, nutritional, and cognitive strategies, in mitigating these risks, particularly in oncologic patients.

Main Methods:

Literature review summarizing current research on postoperative cognitive complications.
Analysis of preoperative preventive strategies and neuroprehabilitation.

Main Results:

Multicomponent interventions are recommended for preventing postoperative delirium.
Cognitive prehabilitation (Neurobics Trial) shows promise in enhancing cognitive reserve.
Prehabilitation's impact on postoperative cognitive outcomes in oncologic patients is a key focus.

Conclusions:

Prehabilitation strategies are vital for managing and preventing postoperative cognitive complications.
Tailored prehabilitation programs, potentially including cognitive elements, are essential for improving surgical outcomes, especially in vulnerable populations like cancer patients.