PROPER-PRehabilitatiOn Plus Enhanced Recovery after surgery versus enhanced recovery after surgery in gynecologic oncology: a randomized clinical trial

Prehabilitation is a process that occurs before surgery and aims to improve patient functional capacity and enhance surgical recovery. This process includes medical, nutritional, physical, and psychological interventions that may reduce the duration of hospital stay and provide postoperative physica...

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Bibliographic Details
Published in:	International journal of gynecological cancer Vol. 32; no. 2; p. 195
Main Authors:	Lopes, Andre, Yamada, Alayne Magalhães Trindade Domingues, Cardenas, Thais de Campos, Carvalho, Jaqueline Nunes de, Oliveira, Emília de Azevedo, Silva, Marina Elisa Ribeiro da, Andrade, Juliana Fenerich Mauri, de Souza Neto, Eduardo, Barros, Lilian Arruda do Rêgo, Costa, Ronaldo Lúcio Rangel
Format:	Journal Article
Language:	English
Published:	England 01-02-2022
Subjects:	Enhanced Recovery After Surgery Female Genital Neoplasms, Female - surgery Humans Length of Stay Preoperative Exercise Prospective Studies Randomized Controlled Trials as Topic Single-Blind Method preoperative care surgical procedures postoperative care operative laparotomy
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Summary:	Prehabilitation is a process that occurs before surgery and aims to improve patient functional capacity and enhance surgical recovery. This process includes medical, nutritional, physical, and psychological interventions that may reduce the duration of hospital stay and provide postoperative physical benefits. To evaluate the impact of a prehabilitation program on postoperative recovery time for patients who will undergo gynecological surgery following the Enhanced Recovery After Surgery (ERAS) guidelines. A multidisciplinary, preoperative prehabilitation program for patients who will undergo gynecological surgery leads to a reduction in the length of hospital stay and improves patient functional capacity. Prospective, interventionist, and randomized controlled trial in a 1:1 ratio, open to multidisciplinary team and patients, blinded to surgeons and anesthesiologists. The control group will undergo ERAS standard preoperative care while the intervention group will have ERAS standard preoperative care plus prehabilitation. Patients scheduled to undergo gynecologic surgery performed by laparotomy with a preoperative schedule that allows prehabilitation intervention for 2 to 3 weeks. To compare time between surgery and the day the patient is ready for discharge in patients who underwent the prehabilitation process versus those who did not. Readiness for discharge is defined as the ability to take care of one's-self, to walk alone, and to ingest at least 75% of daily recommended calorie intake. 194 participants ESTIMATED DATES FOR COMPLETING ACCRUAL AND PRESENTING RESULTS: At present, 30 patients have been recruited. Accrual should be completed by 2023-24. The study is approved by the IBCC - São Camilo Oncologia ethics committee (reference number 4.256.553) and is registered at clinicaltrials.gov (NCT04596800).
ISSN:	1525-1438
DOI:	10.1136/ijgc-2021-003170