Barriers to Implementation of Prehabilitation.
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Authors
Rampal, Tarannum
Tribe, Shana
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Issue Date
2025-11-07
Type
Journal Article
Review
Review
Language
en
Keywords
cost-effectiveness , digital health technology , implementation science , policy , pre-operative exercise , prehabilitation
Alternative Title
Abstract
As the demographics of global and European countries change, the healthcare systems need to review existing pathways and service models. An ageing population is being offered more complex and invasive surgical procedures. Furthermore, there is an additional risk with this changing population profile, especially due to increasing frailty, sarcopenia, the incidence of cancer is high, and complex co-morbidities. An emerging challenge for the surgical population is the higher prevalence of obesity. These patients, with complex co-morbidities and needs, form the so-defined "high-risk" surgical patients-who account for 12.5% of surgical procedures but 80% of deaths. Prehabilitation is emerging as an important intervention to address the risk to functional capacity and quality of life. Trials have shown reductions of complications, length of stay and readmissions postoperatively. The best impact is arguably when prehabilitation is multimodal (exercise, nutrition, psychological, and lifestyle) and personalised. This article aims to explore the barriers to the availability of prehabilitation in the UK. The authors found the three most significant barriers were cost-effectiveness, workforce shortage and lack of national policy at the time of publication.
Description
Citation
Publisher
License
Journal
British journal of hospital medicine (London, England : 2005)
Volume
86
Issue
11
PubMed ID
DOI
ISSN
1750-8460