OnCo
termsTerm

Prehabilitation (the pre-treatment window)

aka Prehab, Pre-operative optimisation

Using the weeks between diagnosis and surgery or chemotherapy to get fitter, better nourished and psychologically prepared, so treatment goes better and recovery is faster.

Multimodal prehabilitation combines exercise, nutrition (protein, correction of deficiency, immunonutrition), psychological support and risk-factor control (smoking, alcohol, anaemia). It sits upstream of ERAS and downstream of screening for frailty and malnutrition. Trials show improved functional capacity and, in colorectal surgery, fewer severe complications; the optimal window (4-8 weeks) competes with pressure to operate quickly and with neoadjuvant therapy.

Category
Nutrition & lifestyle

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