Evidence map›Paper›PMID 42060648›Full record

ArticlePloS one2026

Asynchronous telerehabilitation in prehabilitation and postoperative recovery for colorectal cancer: A protocol for a randomized controlled trial.

José Manuel Burgos-Bragado, Carolina Jiménez-Sánchez, Natalia Brandín-de la Cruz, Beatriz Carpallo-Porcar, Lilian Le Roux-Ethève, Juan Luis Blas-Laina, Jorge Alamillo-Salas, Paola Gracia Gimeno, Sandra Calvo

Erratum issued Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06593678 (Telerehabilitation in Cancer Patients), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06593678 nacompletednot on this map

Telerehabilitation in Cancer Patients: Optimization of Prehabilitation and Rehabilitation Following Colorectal Resection. A Randomized Clinical Trial

TypeinterventionalSponsorInstituto de Investigación Sanitaria AragónRan2024 to 2026Enrolled80ConditionsColorectal Cancer, Telerehabilitation, Physical TherapyArmsTelerehabilitation Program, Booklet-based rehabilitation program
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

José Manuel Burgos-BragadoDepartment of Physical Therapy, Faculty of Health Sciences, Universidad San Jorge, Villanueva de Gállego, Zaragoza, Spain.
Carolina Jiménez-SánchezDepartment of Physical Therapy, Faculty of Health Sciences, Universidad San Jorge, Villanueva de Gállego, Zaragoza, Spain.ORCID https://orcid.org/0000-0003-2889-2226
Natalia Brandín-de la CruzDepartment of Physical Therapy, Faculty of Health Sciences, Universidad San Jorge, Villanueva de Gállego, Zaragoza, Spain.
Beatriz Carpallo-PorcarDepartment of Physical Therapy, Faculty of Health Sciences, Universidad San Jorge, Villanueva de Gállego, Zaragoza, Spain.ORCID https://orcid.org/0000-0003-3039-6539
Lilian Le Roux-EthèveDepartment of Physical Therapy, Faculty of Health Sciences, Universidad San Jorge, Villanueva de Gállego, Zaragoza, Spain.
Juan Luis Blas-LainaHospital Royo Villanova, Zaragoza, Spain.ORCID https://orcid.org/0000-0001-7004-4664
Jorge Alamillo-SalasHospital Royo Villanova, Zaragoza, Spain.
Paola Gracia GimenoHospital Royo Villanova, Zaragoza, Spain.
Sandra CalvoDepartment of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain.ORCID https://orcid.org/0000-0002-1674-7788

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionColorectal cancer (CRC) is a leading global malignancy, and surgery is frequently followed by complications, functional decline, and reduced quality of life. Multimodal prehabilitation and rehabilitation can improve physical recovery and psychosocial outcomes, but uptake is often limited by logistical and mobility barriers. Asynchronous telerehabilitation offers a flexible, patient-centered, and scalable approach; however, its effectiveness across the perioperative CRC pathway has not been rigorously evaluated. This trial will evaluate a multimodal asynchronous program delivered in prehabilitation and postoperative phases, against a booklet-based usual-care approach reflecting the pre-existing perioperative pathway in the study setting before trial initiation.

methodsThis single-blind, parallel-group randomized controlled trial will compare an asynchronous multimodal telerehabilitation program with a booklet-based usual-care program in adults scheduled for elective CRC resection. Fifty-six participants will be randomized 1:1 to the telerehabilitation group (HEFORA platform) or the usual-care control group. The intervention includes a 2-week prehabilitation phase and a 4-week postoperative rehabilitation phase. Assessments will be performed at five time points: baseline (pre-prehabilitation), post-prehabilitation (pre-surgery), post-surgery (pre-rehabilitation), post-rehabilitation, and 3-month follow-up. OUTCOMES: The primary outcome is functional capacity, measured by the Six-Minute Walk Test distance. Secondary outcomes include muscle strength, body composition, pulmonary function, physical activity, sleep quality, psychosocial variables, health-related quality of life, treatment expectancy, usability, satisfaction, and adherence. Analyses will follow the intention-to-treat principle using longitudinal models and sensitivity analyses for missing data and adherence. Conclusions: This study will provide evidence on the role of asynchronous telerehabilitation in perioperative colorectal cancer care. Positive results could inform clinical guidelines, promote wider adoption of digital rehabilitation strategies, and support a more accessible, patient-centered, and cost-effective approach to oncologic recovery.

trial registrationClinicalTrials.gov identifier: NCT06593678.

Indexed as

Colorectal NeoplasmsFemaleHumansMalePostoperative PeriodPreoperative ExerciseQuality of LifeRandomized Controlled Trials as TopicRecovery of FunctionSingle-Blind MethodTelerehabilitation

Identifiers

PMID42060648
PMCPMC13132202

What Socratic holds

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LicenceCC BY
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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.