SEARCHOTHERsurgery, oncology

other·surgery, oncology, clinical nutrition, public health, research methods·PMC10562336

Research Priorities in Prehabilitation for Patients Undergoing Cancer Surgery: An International Delphi Study

Annals of Surgical Oncology · 148 authors, 8 centres

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TL;DR

Ten research priorities reached international consensus, including efficacy of prehabilitation on postoperative outcomes, programme composition, cost effectiveness, and modes of delivery.

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A three-round international Delphi study was conducted via an online platform to establish consensus on prehabilitation research priorities for patients undergoing cancer surgery. In round one, 446 research priorities were identified and collated into 75 unique research questions. The identified priorities are intended to guide future trial design and resource allocation.

STUDY TYPE

other

SPECIALTY

surgery

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ORIGINAL PAPER

PMC10562336

Research Priorities in Prehabilitation for Patients Undergoing Cancer Surgery: An International Delphi Study

Annals of Surgical Oncology

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ABSTRACT

Background Recently, the number of prehabilitation trials has increased significantly. The identification of key research priorities is vital in guiding future research directions. Thus, the aim of this collaborative study was to define key research priorities in prehabilitation for patients undergoing cancer surgery. Methods The Delphi methodology was implemented over three rounds of surveys distributed to prehabilitation experts from across multiple specialties, tumour streams and countries via a secure online platform. In the first round, participants were asked to provide baseline demographics and to identify five top prehabilitation research priorities. In successive rounds, participants were asked to rank research priorities on a 5-point Likert scale. Consensus was considered if > 70% of participants indicated agreement on each research priority. Results A total of 165 prehabilitation experts participated, including medical doctors, physiotherapists, dieticians, nurses, and academics across four continents. The first round identified 446 research priorities, collated within 75 unique research questions. Over two successive rounds, a list of 10 research priorities reached international consensus of importance. These included the efficacy of prehabilitation on varied postoperative outcomes, benefit to specific patient groups, ideal programme composition, cost efficacy, enhancing compliance and adherence, effect during neoadjuvant therapies, and modes of delivery. Conclusions This collaborative international study identified the top 10 research priorities in prehabilitation for patients undergoing cancer surgery. The identified priorities inform research strategies, provide future directions for prehabilitation research, support resource allocation and enhance the prehabilitation evidence base in cancer patients undergoing surgery.

CITATION EXPORT

Pratik Raichurkar, Linda Denehy, Michael Solomon et al.. Research Priorities in Prehabilitation for Patients Undergoing Cancer Surgery: An International Delphi Study. Annals of Surgical Oncology. (2023). https://doi.org/10.1245/s10434-023-14192-x

AUTHORS

148 · 8 CENTRES

Pratik Raichurkar, Linda Denehy, Michael Solomon, Cherry Koh, Neil Pillinger, Sophie Hogan, Kate McBride, Sharon Carey, Jenna Bartyn, Nicholas Hirst, Daniel Steffens, Jonathan Allen, Kevin Ancog, Eva Angenete, Nabila Ansari, Fabio Ausania, Anna Beaumont, Christian Beilstein, Frederik Berrevoet, Ianthe Boden, Kimberley Bostock, Janine Bothe, Birgitte Brandstrup, Louise Brennan, Kilian Brown, Sorrel Burden, Crystal Burgess, Elaine Burns, Francesco Carli, Vinicius Cavalheri, Wim Ceelen, Tyler Chesney, David Clark, Kari Clifford, Kelcie Cole, Thomas Collyer, Rob Copeland, Roland Croner, Jess Crowe, Ian Daniels, Gerard Danjoux, June Davis, Caitlin Davis, Mayke de Klerk, Tina Decorte, Jan Willem Dekker, Andreas Denys, Liesbeth Desender, Pieter Dries, Declan Dunne, Lara Edbrooke, Linda Edgar, Sabry Eissa, Dominique Engel, Martyn Evans, Rhonda Farrell, Alice Finch, Aisling Fleury, Patrice Forget, Nader Francis, Frank Frizelle, Walter Frontera, Karen Geboes, Hugh Giddings, Chris Gillespie, Chelsia Gillis, Olivier Glehen, Varsha Gorey, Catherine Granger, Diana Greenfield, Ben Griffiths, Chloe Grimmett, Claire Hackett, Travis Hall, Julie Hallet, Craig Harris, Sophie Hatcher, Lizza Hendriks, Mendy Hermans, Carl Ilyas, Hilmy Ismail, John Jenkins, Wilson Jiang, Charlotte Johnstone, Andreas Karakatsanis, Sascha Karunaratne, Simarjit Kaur, Michael Kelly, Joost Klaase, Dorian Kršul, Scott Leslie, Jenelle Loeliger, Marie-Louise Lydrup, Andrea Maier, Piotr Major, Preet Makker, Christopher Mantyh, Stuart McCluskey, Laura McGarrity, Jayson Moloney, Isacco Montroni, Brendan Moran, Paul Morris, Susan Moug, Rajeswari Ms, Sandra Murdoch, Anna Myers, Kheng-Seong Ng, Per J. Nilsson, Peter Noordzij, Mike O’Connor, Gianluca Pellino, Shannon Philp, Marc Pocard, Zudin Puthucheary, Emma Putrus, Aaron Quyn, Thomas Read, William Ricketts, Bernhard Riedel, Harm Rutten, Charissa Sabajo, Rawand Salihi, Tarik Sammour, Charbel Sandroussi, Daniel Santa Mina, Stefan Saric, Raquel Sebio, Doruk Seyfi, Favil Singh, Gerrit Slooter, Neil Smart, Lissa Spencer, Paul Sutton, Hao Ern Tan, David Ten Cate, Akif Turna, Elke Van Daele, Adinda van den Berg, Charlotte van Kessel, Gabrielle van Ramshorst, Emiel Verdaasdonk, Jennifer Vu, Chris Wakeman, Malcolm West, James Wheeler, Duminda Wijeysundera, Hideaki Yano

1https://ror.org/05gpvde20grid.413249.90000 0004 0385 0051Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital (RPAH), Sydney, NSW Australia
2https://ror.org/02a8bt934grid.1055.10000 0004 0397 8434Department of Health Services Research: Allied Health, Peter MacCallum Cancer Centre, Melbourne, VIC Australia
3https://ror.org/01ej9dk98grid.1008.90000 0001 2179 088XDepartment of Physiotherapy, Faculty of Medicine Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC Australia
4https://ror.org/05gpvde20grid.413249.90000 0004 0385 0051Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital (RPAH), Sydney, NSW Australia
5https://ror.org/0384j8v12grid.1013.30000 0004 1936 834XFaculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, NSW Australia
6https://ror.org/05gpvde20grid.413249.90000 0004 0385 0051Colorectal Department, Royal Prince Alfred Hospital (RPAH), Sydney, NSW Australia
7https://ror.org/05gpvde20grid.413249.90000 0004 0385 0051Department of Anaesthetics, Royal Prince Alfred Hospital (RPAH), Sydney, NSW Australia
8https://ror.org/05gpvde20grid.413249.90000 0004 0385 0051Nutrition and Dietetics Department, Royal Prince Alfred Hospital (RPAH), Sydney, NSW Australia