Evidence map›Paper›PMID 41832364›Full record

ArticleAnnals of surgical oncology2026

Expert Consensus on Self-Reported Physical, Nutritional, and Psychological Screening Tools for Prehabilitation in Gastrointestinal Cancer Surgery: An International Delphi Study.

Jack Reeves, Sascha Karunaratne, Kate Alexander, Alexandria Petridis, Sharon Carey, Haryana M Dhillon, Linda Denehy, Michael Solomon, Bernhard Riedel, Cherry Koh and 9 more

Abstract readConsensus Statement
In one paragraph

Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

19 authors.

Jack ReevesSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia. jack.reeves@uts.edu.au.ORCID http://orcid.org/0009-0009-2851-5501
Sascha KarunaratneSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
Kate AlexanderSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
Alexandria PetridisSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
Sharon CareySurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
Haryana M DhillonFaculty of Science, School of Psychology, Psycho-oncology Cooperative Research Group, The University of Sydney, Sydney, Australia.
Linda DenehyDepartment of Health Services Research, Allied Health, Peter MacCallum Cancer Centre, Melbourne, Australia.
Michael SolomonSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
Bernhard RiedelThe Sir Peter MacCallum Department of Oncology, and The Department of Critical Care, The University of Melbourne, Melbourne, Australia.
Cherry KohSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
Kate McBrideSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
Chelsia GillisSchool of Human Nutrition, McGill University, Montreal, QC, Canada.
Kate WhiteSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
Nicholas HirstSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
Zaid ShadidSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
Ishraque RahmanSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
Neil PillingerSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
Daniel SteffensSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
Global (P)rehabilitation Initiative Collaborative Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrehabilitation can decrease postoperative complications and enhance recovery for people with gastrointestinal cancer. Preoperative screening may identify individuals at highest risk of poor postoperative outcomes, enabling targeted and tailored interventions. Despite this, optimal tools for screening patients before surgery remain unclear. This Delphi study sought to achieve international consensus on appropriate screening tools to identify patients at increased risk of postoperative complications before undergoing gastrointestinal cancer surgery.

methodsA three-round iterative Delphi survey was distributed to a global multidisciplinary network of prehabilitation experts. Respondents were asked to rate screening tools, identified through a scoping review, on a 5-point Likert scale based on the appropriateness of their use for adult patients undergoing gastrointestinal cancer surgery. The screening tools were categorized as evaluating either physical, nutritional, or psychological domains. A consensus criterion was applied in the second and third rounds, which required ≥ 70% of respondents to rate a given tool as ≥ 4 for it to proceed to future rounds.

resultsOverall, 308 self-nominated prehabilitation experts rated the screening tools. Of 26 screening tools (including 9 physical, 7 nutritional, and 10 psychological), consensus was achieved for three physical, three nutritional, and four psychological tools.

conclusionBased on Delphi consensus of global prehabilitation experts, 10 self-reported screening tools reached consensus. Given that tool selection was informed by Delphi consensus rather than empirical validation, prospective studies are necessary to assess whether these instruments accurately stratify surgical risk and identify candidates most likely to benefit from prehabilitation.

Indexed as

Digestive System Surgical ProceduresGastrointestinal NeoplasmsNutritional StatusPostoperative ComplicationsPreoperative CarePreoperative ExerciseSelf ReportDelphi TechniqueHumansPrognosisSurveys and QuestionnairesDelphi studyGastrointestinal cancerPrehabilitationPreoperative screening

Identifiers

PMID41832364
PMCPMC13179180

What Socratic holds

Textmetadata
LicenceCC BY
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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.