Evidence map›Paper›PMID 39505763›Full record

Trial reportCanadian journal of anaesthesia = Journal canadien d'anesthesie2025

Starting a surgical prehabilitation program: results from a pragmatic nonrandomized feasibility study.

Ian M Randall, Darren Au, Daniel Sibley, Andrew G Matthew, Maggie Chen, Priya Brahmbhatt, Calvin Mach, Daniel Sellers, Shabbir M H Alibhai, Hance Clarke and 7 more

Abstract readPragmatic Clinical Trial
PubMed Publisher
In one paragraph

Trial report in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Strategies to increase access to physician-led anesthesia care in Canada.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024
    Article
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

17 authors.

Ian M RandallDepartment of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada. ian.randall@uhn.ca.
Darren AuDepartment of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada.
Daniel SibleyDepartment of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada.ORCID 0000-0002-3238-4083
Andrew G MatthewFaculty of Medicine, University of Toronto, Toronto, ON, Canada.
Maggie ChenDepartment of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada.
Priya BrahmbhattDepartment of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada.
Calvin MachDepartment of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada.
Daniel SellersDepartment of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada.
Shabbir M H AlibhaiDepartment of Medicine, University Health Network, Toronto, ON, Canada.
Hance ClarkeDepartment of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada.
Gail DarlingFaculty of Medicine, University of Toronto, Toronto, ON, Canada.
Stuart A McCluskeyDepartment of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada.
Laura McKinneyDepartment of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada.
Karen NgDepartment of Geriatrics, Sinai Health System, Toronto, ON, Canada.
Fayez QuereshyFaculty of Medicine, University of Toronto, Toronto, ON, Canada.
Keyvan KarkoutiDepartment of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada.
Daniel Santa MinaDepartment of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada. daniel.santamina@uhn.ca.

Funding

University Health Network Mount Sinai Hospital-University Health Network Academic Medical Organization (MSH-UHN AMO) Innovation Fund
6 · The paper itself

Abstract

purposeWe sought to assess the feasibility and estimate the effects on outcomes of a multimodal prehabilitation service implemented as an ancillary surgical service.

methodsWe conducted a pragmatic, nonrandomized feasibility study of surgical prehabilitation. Patients were eligible if they were ≥ 18 yr of age, fluent in English, and referred by a health professional for prehabilitation. Participants received an individualized program of preoperative exercise, nutrition, psychological, and/or smoking cessation support. The primary outcome was operational feasibility, including referral volume, enrolment rate, prehabilitation window, engagement, completion rate, and safety. Secondary outcomes included surgical complications, length of hospital stay, readmission, quality of life, and physical and mental health. Qualitative data related to intervention feasibility and acceptability. We compared intervention participants with patients who were referred for, but declined, prehabilitation.

resultsOne hundred and sixteen patients were referred for prehabilitation. The mean age of referred patients was 71 yr and 55% were male. Over 90% of referrals were from surgical oncology, and the most common indication for referral was frailty (46%). Of the 116 referred patients, 83 consented to participate in the study. Patient-reported and objectively measured outcomes improved by a clinically important margin from baseline to presurgery, and returned to presurgery levels by 90 days postoperatively. Qualitative findings suggest that the prehabilitation intervention was well received.

conclusionMultimodal surgical prehabilitation is feasible as an integrated clinical service and may be effective for improving physical and psychological outcomes. Further evaluations of clinically integrated prehabilitation programs in Canada are needed to confirm these findings.

Indexed as

Preoperative CarePreoperative ExerciseAgedAged, 80 and overFeasibility StudiesFemaleHumansLength of StayMaleMiddle AgedPatient ReadmissionPostoperative ComplicationsQuality of LifeReferral and Consultationfeasibility studyhealth qualityimplementation scienceprehabilitationsurgery

Identifiers

PMID39505763

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.