Evidence map›Paper›PMID 41127498›Full record

ReviewCureus2025

The Effects of Multimodal Prehabilitation on Postoperative Outcomes in Colorectal Surgery: A Systematic Review and Meta-Analysis.

Nirmani Widanage, Ahmed Almonib, Kasun Gunathilaka

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  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

3 authors.

Nirmani WidanageGeneral and Colorectal Surgery, George Eliot Hospital NHS Trust, Nuneaton, GBR.
Ahmed AlmonibGeneral Surgery, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.
Kasun GunathilakaGeneral Surgery, National Cancer Institute Sri Lanka, Maharagama, LKA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Colorectal surgery carries risks of functional decline and complications. Multimodal prehabilitation, integrating exercise, nutrition, and psychological support, may enhance recovery alongside Enhanced Recovery After Surgery (ERAS) pathways. This review evaluated its impact on postoperative outcomes. A systematic review and meta-analysis were conducted using a standardized and transparent methodology to ensure comprehensive and unbiased reporting. PubMed, Embase (via Ovid), MEDLINE (via Ovid), and Cochrane Central were searched for randomized controlled trials (RCTs). Eligible trials compared multimodal prehabilitation with standard care in elective colorectal resections. The primary outcome was overall postoperative complications; secondary outcomes included functional capacity by the six-minute walk test (6MWT) and severe complications (Clavien-Dindo ≥III). Five RCTs (422 patients) were included. Prehabilitation significantly lowered overall postoperative complications compared with standard of care (OR: 0.60, 95% CI: 0.42-0.86; p=0.02; I²=0%). Functional recovery was improved, with a pooled mean 6MWT difference at eight weeks of +50.8 m (95% CI: 25.9-75.7; p<0.0001; I²=59%). No significant reduction was observed for severe complications (OR: 0.65, 95% CI: 0.13-3.29; p=0.37; I²=20%). Multimodal prehabilitation improves functional recovery and reduces overall complications in colorectal cancer surgery, though its effect on severe complications remains uncertain. Larger multicenter trials are needed to strengthen the evidence base.

Indexed as

6-minute walk testcolorectal cancercolorectal resectionsenhanced recovery after surgery (eras) protocolsmultimodal prehabilitationsystematic review and meta analysis

Identifiers

PMID41127498
PMCPMC12538375

What Socratic holds

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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.