Key result
Preoperative prehabilitation linked to ~15% shorter Timed Up and Go times in cancer surgery patients.
Why the study?
Prehabilitation is recommended in ERAS protocols for elderly surgical patients to optimize preoperative status, yet its adoption remains limited in Japan due to brief preparation periods and lack of insurance support.
Does prehabilitation improve postoperative pain, length of hospital stay, and physical function in elderly patients undergoing surgery?
Observational (n=24)
No
Does prehabilitation improve postoperative pain, length of hospital stay, and physical function in elderly patients undergoing surgery?
Absolute Event Rate: 4.1% vs 4.8%
p-value: p=0.0015
Prehabilitation improves postoperative outcomes in elderly surgical patients, but its adoption in Japan is hindered by systemic barriers.
Prehabilitation may enhance preoperative function in cancer surgery; leaves open effects on pain and stay in elderly patients pending prospective trials.
超高齢化社会に突入したわが国では，治療技術の向上により，高齢患者への手術適応が以前にも増して拡大した．高齢患者では，呼吸循環器系の合併症に加え，認知機能の低下やサルコペニアおよびフレイルなどが，周術期に問題視される．ERAS protocolでは，高齢者に対する術前環境適正化策の一つとして，プレハビリテーションが推奨されるようになった．プレハビリテーションでは，運動療法，心理的サポートおよび栄養サポートの3つの介入をする．標準的なケアと比較してプレハビリテーションにより術後疼痛，在院日数および身体機能が改善することが示されている．一方，わが国では，術前準備期間の不足や保険制度上の支援がないことから普及がいまだ進んでいない．
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Hideki Taniguchi (2022) conducted an observational in Preoperative cancer (pancreatic, esophageal, colorectal) (n=24). Prehabilitation (resistance training, aerobic exercise, respiratory training) vs. Baseline (pre-intervention) was evaluated on Timed Up and Go (TUG) test time (seconds) (p=0.0015). A preoperative prehabilitation program significantly improved physical function, reducing Timed Up and Go test time from 4.8 seconds to 4.1 seconds (p=0.0015) in patients undergoing cancer surgery.
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