Multiphasic Prehabilitation Across the Cancer Continuum: A Narrative Review and Conceptual Framework

Frontiers in Oncology

Chelsia Gillis¹  Sandy Jack²  Michael P. W. Grocott²  Malcolm West²  Doris Howell³  Gerrit Slooter⁵  Franco Carli⁶  Enrico M. Minnella⁹  Priya Brahmbhatt^1,10  Ian M. Randall^1,10  Susanne O. Dalton^1,12  Stefanus J. van Rooijen^1,13  Julie K. Silver^1,14  Shabbir M. H. Alibhai^1,15  Catherine M. Sabiston^1,15  Daniel Santa Mina^1,15 

[1] Palliative Care, Zealand University Hospital, Næstved, Denmark;0Faculty of Medicine, University of Southampton, Southampton, United Kingdom;1Acute Perioperative and Critical Care Theme, NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Trust, University of Southampton, Southampton, United Kingdom;2Faculty of Nursing, University of Toronto, Toronto, ON, Canada;3Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United States;4NIHR Biomedical Research Centre, University Hospital Southampton NHS Trusts, Southampton, United Kingdom;Cumming School of Medicine, University of Calgary, Calgary, AB, Canada;Danish Cancer Society Research Center, Copenhagen, Denmark;Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milano, Italy;Department of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada;Department of Anesthesia, McGill University Health Center, Montreal, QC, Canada;;Department of Clinical Oncology &Department of Surgical Oncology, Máxima Medical Center, Veldhoven, Netherlands;Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada;Faculty of Medicine, University of Toronto, Toronto, ON, Canada;

关键词: cancer;    survivorship;    prehabilitation;    rehabilitation;    oncology;    continuum of care;   

DOI  :  10.3389/fonc.2020.598425

来源: DOAJ

【 摘 要 】

The field of cancer survivorship has significantly advanced person-centered care throughout the cancer continuum. Within cancer survivorship, the last decade has seen remarkable growth in the investigation of prehabilitation comprising pre-treatment interventions to prevent or attenuate the burden of oncologic therapies. While the majority of evidence remains in the surgical setting, prehabilitation is being adapted to target modifiable risk factors that predict poor treatment outcomes in patients receiving other systemic and localized anti-tumor treatments. Here, we propose a multiphasic approach for prehabilitation across the cancer continuum, as a conceptual framework, to encompass the variability in cancer treatment experiences while adopting the most inclusive definition of the cancer survivor.

【 授权许可】

Unknown