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Updated: Jul 9, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Establishing Innovative Complex Services: Learning from the Active Together Cancer Prehabilitation and Rehabilitation

Carol Keen1, Gail Phillips2, Michael Thelwell2

  • 1Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S9 3TY, UK.

Healthcare (Basel, Switzerland)
|December 8, 2023
PubMed
Summary

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Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
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Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Associations between preoperative weight and body composition changes and surgical outcomes in patients with obesity and gastrointestinal cancer: a protocol for a prospective observational study in the active together cancer prehabilitation service.

BMJ open·2026
Same author

Publisher Correction: Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock 2026.

Intensive care medicine·2026
Same author

The Effect of Prehabilitation on Health Resource Use and 1-Year Survival: An Observational Cohort Evaluation of the Active Together Service.

Journal of evaluation in clinical practice·2026
Same author

Clinical Criteria for the Definition of Refractory Septic Shock: A Joint Delphi Consensus from the Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM).

Critical care medicine·2026
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Clinical criteria for the definition of refractory septic shock: a joint Delphi consensus from the Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM).

Intensive care medicine·2026
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Executive Summary: Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026.

Critical care medicine·2026

Active Together provides essential physical, nutritional, and psychological support for cancer patients, improving outcomes and reducing healthcare demands. This innovative service addresses health inequalities and requires a systems approach for equitable, high-quality care delivery.

Area of Science:

  • Oncology
  • Gerontology
  • Health Services Research

Background:

  • An ageing population necessitates robust prehabilitation and rehabilitation services for cancer patients.
  • Existing healthcare systems require innovative models to support cancer survivors.
  • Health inequalities impact cancer patient outcomes across diverse demographics.

Purpose of the Study:

  • To introduce Active Together, an evidence-based service enhancing cancer patient outcomes.
  • To reduce healthcare resource demand through integrated prehabilitation and rehabilitation.
  • To address health inequalities by offering personalized support.

Main Methods:

  • Implementation of a novel, collaborative service model involving health, academic, and charity sectors.
  • Integration of physical, nutritional, and psychological support within existing healthcare pathways.
Keywords:
cancercollaborationprehabilitationservice delivery

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  • Application of behavior change theories and individualized care approaches.

    • Main Results:

    • The service is designed to improve patient outcomes and decrease healthcare resource utilization.
    • It addresses health disparities related to age, socioeconomic status, ethnicity, and culture.
    • Successful delivery requires skilled leadership, flexibility, and innovation.

    Conclusions:

    • Scaling services regionally and ensuring accessibility are crucial for equitable patient support.
    • A systems approach is necessary to manage complexity in multi-provider, multi-pathway care delivery.
    • Future efforts must prioritize efficient, high-quality care, staff well-being, and patient needs.