Pragmatic Approaches to Scalable Prehabilitation.

Area of Science:

• Oncology
• Geriatrics
• Rehabilitation Medicine

Background:

• Cancer patients often experience muscle wasting, nutritional deficits, functional decline, and psychological distress.
• These issues can negatively impact treatment tolerance and recovery.
• Proactive assessment and intervention are crucial for optimizing patient care.

Purpose of the Study:

• To highlight the importance of comprehensive prehabilitation for cancer patients.
• To discuss the benefits of a multimodal approach in addressing patient impairments.
• To review the positive impact of urological prehabilitation on specific patient outcomes.

Main Methods:

• Screening for muscle wasting, nutritional status, functional capacity, and psychological well-being.
• Implementation of a multimodal prehabilitation strategy.
• Utilizing cross-referral systems for specialized care when needed.

Main Results:

• Prehabilitation addresses impairments and optimizes function prior to cancer treatment.
• Urological prehabilitation demonstrated significant improvements in lean body mass and bone density.
• Enhanced erectile function and urinary continence were observed following urological prehabilitation.

Conclusions:

• Proactive screening and multimodal prehabilitation are essential components of cancer care.
• Prehabilitation strategies can significantly improve physical and functional outcomes for cancer patients.
• Targeted prehabilitation, such as in urology, yields measurable benefits in body composition and quality of life.