Publication

The effects of physical prehabilitation in elderly patients undergoing colorectal surgery: a systematic review

Bruns, E. R. J., van den Heuvel, B., Buskens, C. J., van Duijvendijk, P., Festen, S., Wassenaar, E. B., van der Zaag, E. S., Bemelman, W. A. & van Munster, B. C., Aug-2016, In : Colorectal Disease. 18, 8, p. O267-O277 11 p.

Research output: Contribution to journalReview articleAcademicpeer-review

APA

Bruns, E. R. J., van den Heuvel, B., Buskens, C. J., van Duijvendijk, P., Festen, S., Wassenaar, E. B., ... van Munster, B. C. (2016). The effects of physical prehabilitation in elderly patients undergoing colorectal surgery: a systematic review. Colorectal Disease, 18(8), O267-O277. https://doi.org/10.1111/codi.13429

Author

Bruns, E. R. J. ; van den Heuvel, B. ; Buskens, C. J. ; van Duijvendijk, P. ; Festen, S. ; Wassenaar, E. B. ; van der Zaag, E. S. ; Bemelman, W. A. ; van Munster, B. C. / The effects of physical prehabilitation in elderly patients undergoing colorectal surgery : a systematic review. In: Colorectal Disease. 2016 ; Vol. 18, No. 8. pp. O267-O277.

Harvard

Bruns, ERJ, van den Heuvel, B, Buskens, CJ, van Duijvendijk, P, Festen, S, Wassenaar, EB, van der Zaag, ES, Bemelman, WA & van Munster, BC 2016, 'The effects of physical prehabilitation in elderly patients undergoing colorectal surgery: a systematic review', Colorectal Disease, vol. 18, no. 8, pp. O267-O277. https://doi.org/10.1111/codi.13429

Standard

The effects of physical prehabilitation in elderly patients undergoing colorectal surgery : a systematic review. / Bruns, E. R. J.; van den Heuvel, B.; Buskens, C. J.; van Duijvendijk, P.; Festen, S.; Wassenaar, E. B.; van der Zaag, E. S.; Bemelman, W. A.; van Munster, B. C.

In: Colorectal Disease, Vol. 18, No. 8, 08.2016, p. O267-O277.

Research output: Contribution to journalReview articleAcademicpeer-review

Vancouver

Bruns ERJ, van den Heuvel B, Buskens CJ, van Duijvendijk P, Festen S, Wassenaar EB et al. The effects of physical prehabilitation in elderly patients undergoing colorectal surgery: a systematic review. Colorectal Disease. 2016 Aug;18(8):O267-O277. https://doi.org/10.1111/codi.13429


BibTeX

@article{3be5c4cd215a4a0384ca6cf8f4ed9197,
title = "The effects of physical prehabilitation in elderly patients undergoing colorectal surgery: a systematic review",
abstract = "AimPrehabilitation, defined as enhancement of the preoperative condition of a patient, is a possible strategy for improving postoperative outcome. Lack of muscle strength and poor physical condition, increasingly prevalent in older patients, are risk factors for postoperative complications. Eighty-five per cent of patients with colorectal cancer are aged over 60years. Since surgery is the cornerstone of their treatment, this review systemically examined the literature on the effect of physical prehabilitation in older patients undergoing colorectal surgery.MethodTrials and case-control studies investigating the effect of physical prehabilitation in patients over 60years undergoing colorectal surgery were retrieved from MEDLINE, EMBASE, CINAHL and the Cochrane library. Patient characteristics, the type of intervention and outcome measurements were recorded. The risk of bias and heterogeneity was assessed.ResultsFive studies including 353 patients were identified. They were small, containing an average of 77 patients and were of moderate methodological quality. Compliance rates of the prehabilitation programme varied from 16 to 97{\%}. None of the studies could identify a significant reduction of postoperative complications or length of hospital stay. Four studies showed physical improvement (walking distance, respiratory endurance) in the prehabilitation group. Clinical heterogeneity precluded a meta-analysis.ConclusionPrehabilitation is a possible means of enhancing the physical condition of patients preoperatively. The quality of studies in older patients undergoing colorectal surgery is poor, despite the increase in elderly people with colorectal cancer. Defining specific patient groups at risk and standardizing the outcome are essential for improving the results of treatment.",
keywords = "Prehabilitation, colorectal surgery, elderly, frailty, 6-MINUTE WALK TEST, COLONIC SURGERY, FAST-TRACK, ENHANCED RECOVERY, RESECTION SURGERY, DEPRESSION SCALE, CANCER RESECTION, HOSPITAL ANXIETY, OLDER PATIENTS, FRAILTY",
author = "Bruns, {E. R. J.} and {van den Heuvel}, B. and Buskens, {C. J.} and {van Duijvendijk}, P. and S. Festen and Wassenaar, {E. B.} and {van der Zaag}, {E. S.} and Bemelman, {W. A.} and {van Munster}, {B. C.}",
year = "2016",
month = "8",
doi = "10.1111/codi.13429",
language = "English",
volume = "18",
pages = "O267--O277",
journal = "Colorectal Disease",
issn = "1462-8910",
publisher = "Wiley",
number = "8",

}

RIS

TY - JOUR

T1 - The effects of physical prehabilitation in elderly patients undergoing colorectal surgery

T2 - a systematic review

AU - Bruns, E. R. J.

AU - van den Heuvel, B.

AU - Buskens, C. J.

AU - van Duijvendijk, P.

AU - Festen, S.

AU - Wassenaar, E. B.

AU - van der Zaag, E. S.

AU - Bemelman, W. A.

AU - van Munster, B. C.

PY - 2016/8

Y1 - 2016/8

N2 - AimPrehabilitation, defined as enhancement of the preoperative condition of a patient, is a possible strategy for improving postoperative outcome. Lack of muscle strength and poor physical condition, increasingly prevalent in older patients, are risk factors for postoperative complications. Eighty-five per cent of patients with colorectal cancer are aged over 60years. Since surgery is the cornerstone of their treatment, this review systemically examined the literature on the effect of physical prehabilitation in older patients undergoing colorectal surgery.MethodTrials and case-control studies investigating the effect of physical prehabilitation in patients over 60years undergoing colorectal surgery were retrieved from MEDLINE, EMBASE, CINAHL and the Cochrane library. Patient characteristics, the type of intervention and outcome measurements were recorded. The risk of bias and heterogeneity was assessed.ResultsFive studies including 353 patients were identified. They were small, containing an average of 77 patients and were of moderate methodological quality. Compliance rates of the prehabilitation programme varied from 16 to 97%. None of the studies could identify a significant reduction of postoperative complications or length of hospital stay. Four studies showed physical improvement (walking distance, respiratory endurance) in the prehabilitation group. Clinical heterogeneity precluded a meta-analysis.ConclusionPrehabilitation is a possible means of enhancing the physical condition of patients preoperatively. The quality of studies in older patients undergoing colorectal surgery is poor, despite the increase in elderly people with colorectal cancer. Defining specific patient groups at risk and standardizing the outcome are essential for improving the results of treatment.

AB - AimPrehabilitation, defined as enhancement of the preoperative condition of a patient, is a possible strategy for improving postoperative outcome. Lack of muscle strength and poor physical condition, increasingly prevalent in older patients, are risk factors for postoperative complications. Eighty-five per cent of patients with colorectal cancer are aged over 60years. Since surgery is the cornerstone of their treatment, this review systemically examined the literature on the effect of physical prehabilitation in older patients undergoing colorectal surgery.MethodTrials and case-control studies investigating the effect of physical prehabilitation in patients over 60years undergoing colorectal surgery were retrieved from MEDLINE, EMBASE, CINAHL and the Cochrane library. Patient characteristics, the type of intervention and outcome measurements were recorded. The risk of bias and heterogeneity was assessed.ResultsFive studies including 353 patients were identified. They were small, containing an average of 77 patients and were of moderate methodological quality. Compliance rates of the prehabilitation programme varied from 16 to 97%. None of the studies could identify a significant reduction of postoperative complications or length of hospital stay. Four studies showed physical improvement (walking distance, respiratory endurance) in the prehabilitation group. Clinical heterogeneity precluded a meta-analysis.ConclusionPrehabilitation is a possible means of enhancing the physical condition of patients preoperatively. The quality of studies in older patients undergoing colorectal surgery is poor, despite the increase in elderly people with colorectal cancer. Defining specific patient groups at risk and standardizing the outcome are essential for improving the results of treatment.

KW - Prehabilitation

KW - colorectal surgery

KW - elderly

KW - frailty

KW - 6-MINUTE WALK TEST

KW - COLONIC SURGERY

KW - FAST-TRACK

KW - ENHANCED RECOVERY

KW - RESECTION SURGERY

KW - DEPRESSION SCALE

KW - CANCER RESECTION

KW - HOSPITAL ANXIETY

KW - OLDER PATIENTS

KW - FRAILTY

U2 - 10.1111/codi.13429

DO - 10.1111/codi.13429

M3 - Review article

VL - 18

SP - O267-O277

JO - Colorectal Disease

JF - Colorectal Disease

SN - 1462-8910

IS - 8

ER -

ID: 40504977