Article

Cancer prehabilitation, a process on the continuum of care that occurs between
the time of cancer diagnosis and the beginning of acute treatment, includes
physical and psychological assessments that establish a baseline functional
level, identifies impairments, and provides targeted interventions that improve a
patient's health to reduce the incidence and the severity of current and future
impairments. There is a growing body of scientific evidence that supports
preparing newly diagnosed cancer patients for and optimizing their health before
starting acute treatments. This is the first review of cancer prehabilitation,
and the purpose was to describe early studies in the noncancer population and
then the historical focus in cancer patients on aerobic conditioning and building
strength and stamina through an appropriate exercise regimen. More recent
research shows that opportunities exist to use other unimodal or multimodal
prehabilitation interventions to decrease morbidity, improve physical and
psychological health outcomes, increase the number of potential treatment
options, decrease hospital readmissions, and reduce both direct and indirect
healthcare costs attributed to cancer. Future research may demonstrate increased
compliance with acute cancer treatment protocols and, therefore, improved
survival outcomes. New studies suggest that a multimodal approach that
incorporates both physical and psychological prehabilitation interventions may be
more effective than a unimodal approach that addresses just one or the other. In
an impairment-driven cancer rehabilitation model, identifying current and
anticipating future impairments are the critical first steps in improving
healthcare outcomes and decreasing costs. More research is urgently needed to
evaluate the most effective prehabilitation interventions, and combinations
thereof, for survivors of all types of cancer.

Langue : ANGLAIS