Evidence map›Paper›PMID 37848690›Full record

Trial reportJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2023

Barriers and Facilitators of Surgical Prehabilitation Adherence from the Patient Perspective: a Mixed Method Study.

Cintia Kimura, Yuning Liu, Sarah E Crowder, Carlie Arbaugh, Uyen Mai, Kreeti Shankar, Andrew Shelton, Brendan Visser, Cindy Kin

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04504266 (Perioperative Optimization With Enhanced Recovery), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04504266 naunknown statusnot on this map

Perioperative Optimization With Enhanced Recovery: The Effect of Health Habits on Surgical Outcomes in Patients Undergoing Major Abdominal Operations

TypeinterventionalSponsorStanford UniversityRan2020 to 2024Enrolled368ConditionsComplication of Surgical ProcedureArmsPOWER
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Review
  3. Using the Theoretical Domains Framework and Behavior Change Wheel Framework within the world of nutrition support.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Review
  4. [App-based prehabilitation: implementation and adherence].Chirurgie (Heidelberg, Germany) · 2025
    Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Cintia KimuraDivision of General Surgery, Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3680K, Stanford, CA, 94305, USA. cintia.msk@gmail.com.ORCID 0000-0001-5772-1747
Yuning LiuStanford Prevention Research Center, Stanford, CA, USA.
Sarah E CrowderDivision of General Surgery, Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3680K, Stanford, CA, 94305, USA.
Carlie ArbaughDivision of General Surgery, Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3680K, Stanford, CA, 94305, USA.
Uyen MaiS-SPIRE Center, Stanford University, Stanford, CA, USA.
Kreeti ShankarDivision of General Surgery, Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3680K, Stanford, CA, 94305, USA.
Andrew SheltonDivision of General Surgery, Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3680K, Stanford, CA, 94305, USA.
Brendan VisserDivision of General Surgery, Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3680K, Stanford, CA, 94305, USA.
Cindy KinDivision of General Surgery, Department of Surgery, Stanford University School of Medicine, 300 Pasteur Drive, H3680K, Stanford, CA, 94305, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdherence to prehabilitation is crucial for optimal benefit, but reasons for low adherence to home-based programs remain unexplored. Our aim was to identify and explore barriers and facilitators to prehabilitation adherence among patients undergoing abdominal surgery.

methodsNested in a single-center randomized controlled trial on prehabilitation (Perioperative Optimization With Enhanced Recovery (POWER)), this study had an explanatory sequential design with a connect integration. Patients randomized to the intervention arm were included in the quantitative analysis, and a subset of them was invited for a semi-structured interview. The exposure was the frequency of barriers to physical activity and healthy eating, and the outcome was adherence to those components of prehabilitation. Logistic or linear regression was used as appropriate.

resultsAmong 133 participants in the intervention arm, 116 (87.2%) completed the initial survey ((56.9% women, median age 61 years old (IQR 49.0; 69.4)). The most frequent barriers to exercise and healthy eating were medical issues (59%) and lack of motivation (31%), respectively. There was no significant association between the barriers to physical activity score and adherence to this component of the program (OR 0.89, 95% CI 0.78-1.02, p=0.09). Higher barriers to healthy eating scores were associated with lower Mediterranean diet scores pre- and post-intervention (coef.: -0.32, 95% CI: -0.49; -0.15, p<0.001; and coef.: -0.27, 95% CI: -0.47; -0.07, p=0.01, respectively). Interviews with 15 participants revealed that participating in prehabilitation was a motivator for healthy eating and exercising through goal setting, time-efficient workouts, and promoting self-efficacy.

conclusionsWe identified key barriers to be addressed and facilitators to be leveraged in future prehabilitation programs.

trial registrationNCT04504266.

Indexed as

Preoperative CarePreoperative ExerciseExerciseExercise TherapyFemaleHumansMaleMiddle AgedExerciseNutritionPrehabilitationSurgery

Identifiers

PMID37848690

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.