Cancer Prehabilitation in Practice: the Current Evidence

Curr Oncol Rep. 2022 Nov;24(11):1569-1577. doi: 10.1007/s11912-022-01304-1. Epub 2022 Jul 5.

Abstract

Purpose of review: This article serves to describe recent controversies in cancer prehabilitation including efficacy, dose, cost effectiveness, stakeholder input, and international implementation.

Recent findings: Appropriate frequency, type, and timing have yet to be determined, but high intensity exercise is recommended. Costs are favorable when modeled and information on costs of real-world application are forthcoming. Patients are interested in and willing to attend cancer prehabilitation. Cancer prehabilitation research is spreading throughout the world. Cancer prehabilitation includes assessment of a newly diagnosed cancer patient's baseline fitness and targeted interventions to improve their health before surgery, chemotherapy, or radiation. Cancer prehabilitation improves fitness as measured preoperatively and improves outcomes postoperatively.

Keywords: Cardiorespiratory fitness; Exercise; Neoplasms; Prehabilitation; Preoperative rehabilitation; Surgical procedures.

Publication types

  • Review

MeSH terms

  • Cost-Benefit Analysis
  • Exercise
  • Humans
  • Neoplasms* / surgery
  • Postoperative Complications
  • Preoperative Care
  • Preoperative Exercise*