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August 30, 2026Journal of Cancer SurvivorshipOpen Access

Benefits of prehabilitative exercise on physiological, functional and patient-reported outcomes in patients undergoing oncologic surgery: A systematic review and meta-analysis

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Authors

NCNatália CasagrandeFSFavil SinghARAnderson Rech

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Overview

Systematic review and meta-analysis reveals prehabilitation improves fitness and function in oncologic surgery patients, suggesting structured exercise mitigates perioperative deconditioning.

Key Points

  • To assess the effects of prehabilitative exercise on physiological, functional, and patient-reported outcomes in patients undergoing oncologic surgery.
  • Conducted a systematic review and three-level mixed-effects meta-analysis (PROSPERO: CRD420251072796) searching seven databases through June 2025.
  • Included 27 randomized controlled trials involving 2,005 adults that compared structured prehabilitative exercise interventions against usual care prior to cancer surgery.
  • Prehabilitation significantly improved cardiorespiratory fitness (SMD 0.31, p = 0.010), physical function (SMD 0.36, p < 0.001), and quality of life (SMD 0.19, p = 0.030), with sustained physical function benefits postoperatively.
  • Preoperative fatigue was significantly reduced (SMD –0.21, p = 0.017), whereas muscle strength and psychological distress were preserved relative to baseline.
  • The overall certainty of evidence across evaluated outcomes ranged from very low to moderate.

Cite This Study

Casagrande et al. (2026) studied this question.

synapsesocial.com/papers/6a93f14b6c1a8fb52e79e2echttps://doi.org/10.1007/s11764-026-02107-0
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