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Tytuł pozycji:

Prehabilitation of elderly frail or pre-frail patients prior to elective surgery (PRAEP-GO): study protocol for a randomized, controlled, outcome assessor-blinded trial.

Tytuł:
Prehabilitation of elderly frail or pre-frail patients prior to elective surgery (PRAEP-GO): study protocol for a randomized, controlled, outcome assessor-blinded trial.
Autorzy:
Schaller SJ; Department of Anesthesiology and Operative Intensive Care Medicine (CVK/CCM), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Chariteplatz 1, 10117, Berlin, Germany.
Kiselev J; Department of Anesthesiology and Operative Intensive Care Medicine (CVK/CCM), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Chariteplatz 1, 10117, Berlin, Germany.
Loidl V; Institute for Medical Information Processing, Biometry, and Epidemiology - IBE, Ludwig-Maximilians-Universität München, Munich, Germany.
Quentin W; Department of Health Care Management, Technische Universität Berlin, Berlin, Germany.
Schmidt K; Department of Anesthesiology and Operative Intensive Care Medicine (CVK/CCM), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Chariteplatz 1, 10117, Berlin, Germany.
Mörgeli R; Department of Anesthesiology and Operative Intensive Care Medicine (CVK/CCM), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Chariteplatz 1, 10117, Berlin, Germany.
Rombey T; Department of Health Care Management, Technische Universität Berlin, Berlin, Germany.
Busse R; Department of Health Care Management, Technische Universität Berlin, Berlin, Germany.
Mansmann U; Institute for Medical Information Processing, Biometry, and Epidemiology - IBE, Ludwig-Maximilians-Universität München, Munich, Germany.
Spies C; Department of Anesthesiology and Operative Intensive Care Medicine (CVK/CCM), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Chariteplatz 1, 10117, Berlin, Germany. .
Corporate Authors:
PRAEP-GO consortium,
PRAEP-GO investigators
Źródło:
Trials [Trials] 2022 Jun 06; Vol. 23 (1), pp. 468. Date of Electronic Publication: 2022 Jun 06.
Typ publikacji:
Clinical Trial Protocol; Journal Article
Język:
English
Imprint Name(s):
Original Publication: [London] : BioMed Central, 2006-
MeSH Terms:
Frail Elderly*
Frailty*/diagnosis
Aged ; Elective Surgical Procedures ; Humans ; Multicenter Studies as Topic ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control ; Preoperative Exercise ; Quality of Life ; Randomized Controlled Trials as Topic
References:
Semel ME, Lipsitz SR, Funk LM, Bader AM, Weiser TG, Gawande AA. Rates and patterns of death after surgery in the United States, 1996 and 2006. Surgery. 2012;151:171–82. https://doi.org/10.1016/j.surg.2011.07.021 . (PMID: 10.1016/j.surg.2011.07.02121975292)
Berian JR, Mohanty S, Ko CY, Rosenthal RA, Robinson TN. Association of loss of independence with readmission and death after discharge in older patients after surgical procedures. JAMA Surg. 2016;151:e161689. https://doi.org/10.1001/jamasurg.2016.1689 . (PMID: 10.1001/jamasurg.2016.168927409710)
Saczynski JS, Marcantonio ER, Quach L, Fong TG, Gross A, Inouye SK, et al. Cognitive trajectories after postoperative delirium. N Engl J Med. 2012;367:30–9. https://doi.org/10.1056/NEJMoa1112923 . (PMID: 10.1056/NEJMoa1112923227623163433229)
Govers AC, Buurman BM, Jue P, de Mol BA, Dongelmans DA, de Rooij SE. Functional decline of older patients 1 year after cardiothoracic surgery followed by intensive care admission: a prospective longitudinal cohort study. Age Ageing. 2014;43:575–80. https://doi.org/10.1093/ageing/afu058 . (PMID: 10.1093/ageing/afu05824850542)
Pisani MA, Albuquerque A, Marcantonio ER, Jones RN, Gou RY, Fong TG, et al. Association between hospital readmission and acute and sustained delays in functional recovery during 18 months after elective surgery: the successful aging after elective surgery study. J Am Geriatr Soc. 2017;65:51–8. https://doi.org/10.1111/jgs.14549 . (PMID: 10.1111/jgs.1454927898172)
Martin ET, Kaye KS, Knott C, Nguyen H, Santarossa M, Evans R, et al. Diabetes and risk of surgical site infection: a systematic review and meta-analysis. Infect Control Hosp Epidemiol. 2016;37:88–99. https://doi.org/10.1017/ice.2015.249 . (PMID: 10.1017/ice.2015.24926503187)
Sibia US, Weltz AS, MacDonald JH, King PJ. Insulin-dependent diabetes is an independent risk factor for complications and readmissions after total joint replacements. J Surg Orthop Adv. 2018;27:294–8. (PMID: 30777829)
Smilowitz NR, Gupta N, Guo Y, Beckman JA, Bangalore S, Berger JS. Trends in cardiovascular risk factor and disease prevalence in patients undergoing non-cardiac surgery. Heart. 2018;104:1180–6. https://doi.org/10.1136/heartjnl-2017-312391 . (PMID: 10.1136/heartjnl-2017-31239129305561)
Watt J, Tricco AC, Talbot-Hamon C, Pham B, Rios P, Grudniewicz A, et al. Identifying older adults at risk of harm following elective surgery: a systematic review and meta-analysis. BMC Med. 2018;16:2. https://doi.org/10.1186/s12916-017-0986-2 . (PMID: 10.1186/s12916-017-0986-2293255675765656)
Birkelbach O, Morgeli R, Spies C, Olbert M, Weiss B, Brauner M, et al. Routine frailty assessment predicts postoperative complications in elderly patients across surgical disciplines - a retrospective observational study. BMC Anesthesiol. 2019;19:204. https://doi.org/10.1186/s12871-019-0880-x . (PMID: 10.1186/s12871-019-0880-x316990336839249)
Sepehri A, Beggs T, Hassan A, Rigatto C, Shaw-Daigle C, Tangri N, et al. The impact of frailty on outcomes after cardiac surgery: a systematic review. J Thorac Cardiovasc Surg. 2014;148:3110–7. https://doi.org/10.1016/j.jtcvs.2014.07.087 . (PMID: 10.1016/j.jtcvs.2014.07.08725199821)
Lin HS, Watts JN, Peel NM, Hubbard RE. Frailty and post-operative outcomes in older surgical patients: a systematic review. BMC Geriatr. 2016;16:157. https://doi.org/10.1186/s12877-016-0329-8 . (PMID: 10.1186/s12877-016-0329-8275809475007853)
Leung JM, Tsai TL, Sands LP. Brief report: preoperative frailty in older surgical patients is associated with early postoperative delirium. Anesth Analg. 2011;112:1199–201. https://doi.org/10.1213/ANE.0b013e31820c7c06 . (PMID: 10.1213/ANE.0b013e31820c7c06213722783081949)
Kim SW, Han HS, Jung HW, Kim KI, Hwang DW, Kang SB, et al. Multidimensional frailty score for the prediction of postoperative mortality risk. JAMA Surg. 2014;149:633–40. https://doi.org/10.1001/jamasurg.2014.241 . (PMID: 10.1001/jamasurg.2014.24124804971)
Rana MV, Bonasera LK, Bordelon GJ. Pharmacologic considerations of anesthetic agents in geriatric patients. Anesthesiol Clin. 2017;35:259–71. https://doi.org/10.1016/j.anclin.2017.01.011 . (PMID: 10.1016/j.anclin.2017.01.01128526147)
Santos-Eggimann B, Cuenoud P, Spagnoli J, Junod J. Prevalence of frailty in middle-aged and older community-dwelling Europeans living in 10 countries. J Gerontol A Biol Sci Med Sci. 2009;64:675–81. https://doi.org/10.1093/gerona/glp012 . (PMID: 10.1093/gerona/glp01219276189)
McIsaac DI, Taljaard M, Bryson GL, Beaule PE, Gagne S, Hamilton G, et al. Frailty as a predictor of death or new disability after surgery: a prospective cohort study. Ann Surg. 2020;271:283–9. https://doi.org/10.1097/SLA.0000000000002967 . (PMID: 10.1097/SLA.000000000000296730048320)
Santa Mina D, Clarke H, Ritvo P, Leung YW, Matthew AG, Katz J, et al. Effect of total-body prehabilitation on postoperative outcomes: a systematic review and meta-analysis. Physiotherapy. 2014;100:196–207. https://doi.org/10.1016/j.physio.2013.08.008 . (PMID: 10.1016/j.physio.2013.08.00824439570)
Sanchez-Lorente D, Navarro-Ripoll R, Guzman R, Moises J, Gimeno E, Boada M, et al. Prehabilitation in thoracic surgery. J Thorac Dis. 2018;10:S2593–600. https://doi.org/10.21037/jtd.2018.08.18 . (PMID: 10.21037/jtd.2018.08.18303450966178292)
Gillis C, Buhler K, Bresee L, Carli F, Gramlich L, Culos-Reed N, et al. Effects of nutritional prehabilitation, with and without exercise, on outcomes of patients who undergo colorectal surgery: a systematic review and meta-analysis. Gastroenterology. 2018;155(391-410):e394. https://doi.org/10.1053/j.gastro.2018.05.012 . (PMID: 10.1053/j.gastro.2018.05.012)
Jahic D, Omerovic D, Tanovic AT, Dzankovic F, Campara MT. The effect of prehabilitation on postoperative outcome in patients following primary total knee arthroplasty. Med Arch. 2018;72:439–43. https://doi.org/10.5455/medarh.2018.72.439-443 . (PMID: 10.5455/medarh.2018.72.439-443308147776340623)
Moyce Z, Rodseth RN, Biccard BM. The efficacy of peri-operative interventions to decrease postoperative delirium in non-cardiac surgery: a systematic review and meta-analysis. Anaesthesia. 2014;69:259–69. https://doi.org/10.1111/anae.12539 . (PMID: 10.1111/anae.1253924382294)
Deschodt M, Braes T, Flamaing J, Detroyer E, Broos P, Haentjens P, et al. Preventing delirium in older adults with recent hip fracture through multidisciplinary geriatric consultation. J Am Geriatr Soc. 2012;60:733–9. https://doi.org/10.1111/j.1532-5415.2012.03899.x . (PMID: 10.1111/j.1532-5415.2012.03899.x22429099)
Gustafson Y, Brannstrom B, Berggren D, Ragnarsson JI, Sigaard J, Bucht G, et al. A geriatric-anesthesiologic program to reduce acute confusional states in elderly patients treated for femoral neck fractures. J Am Geriatr Soc. 1991;39:655–62. https://doi.org/10.1111/j.1532-5415.1991.tb03618.x . (PMID: 10.1111/j.1532-5415.1991.tb03618.x2061530)
Friedman SM, Mendelson DA, Bingham KW, Kates SL. Impact of a comanaged geriatric fracture center on short-term hip fracture outcomes. Arch Intern Med. 2009;169:1712–7. https://doi.org/10.1001/archinternmed.2009.321 . (PMID: 10.1001/archinternmed.2009.32119822829)
Chen H, Li S, Ruan T, Liu L, Fang L. Is it necessary to perform prehabilitation exercise for patients undergoing total knee arthroplasty: meta-analysis of randomized controlled trials. Phys Sportsmed. 2018;46:36–43. https://doi.org/10.1080/00913847.2018.1403274 . (PMID: 10.1080/00913847.2018.140327429125384)
McIsaac DI, Gill M, Boland L, Hutton B, Branje K, Shaw J, et al. Prehabilitation in adult patients undergoing surgery: an umbrella review of systematic reviews. Br J Anaesth. 2022;128:244–57. https://doi.org/10.1016/j.bja.2021.11.014 . (PMID: 10.1016/j.bja.2021.11.01434922735)
PRÄPGO. https://www.praep-go.de/ . Accessed 01 May 2022.
ClinicalTrials Page of PRÄP-GO. https://clinicaltrials.gov/ct2/show/NCT04418271 . Accessed 06 May 2022.
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56:M146–56. https://doi.org/10.1093/gerona/56.3.m146 . (PMID: 10.1093/gerona/56.3.m14611253156)
Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39:1423–34. https://doi.org/10.1249/mss.0b013e3180616b27 . (PMID: 10.1249/mss.0b013e3180616b2717762377)
Stiggelbout AM, Pieterse AH, De Haes JC. Shared decision making: concepts, evidence, and practice. Patient Educ Couns. 2015;98:1172–9. https://doi.org/10.1016/j.pec.2015.06.022 . (PMID: 10.1016/j.pec.2015.06.02226215573)
Kiselev J, Suija K, Oona M, Mellenthin E, Steinhagen-Thiessen E. Patient involvement in geriatric care - results and experiences from a mixed models design study within Project INTEGRATE. Int J Integr Care. 2018;18:12. https://doi.org/10.5334/ijic.2517 . (PMID: 10.5334/ijic.2517295886465853849)
Pel-Littel RE, Snaterse M, Teppich NM, Buurman BM, van Etten-Jamaludin FS, van Weert JCM, et al. Scholte Op Reimer WJM: Barriers and facilitators for shared decision making in older patients with multiple chronic conditions: a systematic review. BMC Geriatr. 2021;21:112. https://doi.org/10.1186/s12877-021-02050-y . (PMID: 10.1186/s12877-021-02050-y335490597866443)
Legare F, Stacey D, Pouliot S, Gauvin FP, Desroches S, Kryworuchko J, et al. Interprofessionalism and shared decision-making in primary care: a stepwise approach towards a new model. J Interprof Care. 2011;25:18–25. https://doi.org/10.3109/13561820.2010.490502 . (PMID: 10.3109/13561820.2010.49050220795835)
Elwyn G, Durand MA, Song J, Aarts J, Barr PJ, Berger Z, et al. A three-talk model for shared decision making: multistage consultation process. BMJ. 2017;359:j4891. https://doi.org/10.1136/bmj.j4891 . (PMID: 10.1136/bmj.j4891291090795683042)
Elwyn G, Frosch D, Thomson R, Joseph-Williams N, Lloyd A, Kinnersley P, et al. Shared decision making: a model for clinical practice. J Gen Intern Med. 2012;27:1361–7. https://doi.org/10.1007/s11606-012-2077-6 . (PMID: 10.1007/s11606-012-2077-6226185813445676)
American College of Sports M, Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, et al. American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009;41:1510–30. https://doi.org/10.1249/MSS.0b013e3181a0c95c . (PMID: 10.1249/MSS.0b013e3181a0c95c)
Izquierdo M, Duque G, Morley JE. Physical activity guidelines for older people: knowledge gaps and future directions. Lancet Healthy Longevity. 2021;2:e380–3. https://doi.org/10.1016/S2666-7568(21)00079-9 . (PMID: 10.1016/S2666-7568(21)00079-936098146)
Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC, et al. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39:1435–45. https://doi.org/10.1249/mss.0b013e3180616aa2 . (PMID: 10.1249/mss.0b013e3180616aa217762378)
Thomas S, Mackintosh S, Halbert J. Does the ‘Otago exercise programme’ reduce mortality and falls in older adults?: a systematic review and meta-analysis. Age Ageing. 2010;39:681–7. https://doi.org/10.1093/ageing/afq102 . (PMID: 10.1093/ageing/afq10220817938)
Gschwind YJ, Pfenninger B: Training zur Sturzprävention - Manual für Kraft- und Gleichgewichtstraining zur Sturzprävention im Alter. bfu - Beratungsstelle zur Unfallverhütung. 2016. https://gesundheitsfoerderung.ch/assets/public/documents/de/5-grundlagen/publikationen/gfia/tools/bfu-Fachdokumentation_Training_zur_Sturzpraevention.pdf . Accessed 01 May 2022.
Wingenfeld K, Büscher A, Gansweid B. Das neue Begutachtungsassessment zur Feststellung von Pflegebedürftigkeit: Institut für Pflegewissenschaft an der Universität Bielefeld (IPW)/Medizinischer Dienst der Krankenversicherung Westfalen-Lippe (MDK WL); 2008. https://www.uni-bielefeld.de/gesundhw/ag6/downloads/Abschlussbericht_IPW_MDKWL_25.03.08.pdf . Accessed 01 May 2022.
Wingenfeld K, Büschner A, Gansweid B. Das neue Begutachtungsinstrument zur Feststellung von Pflegebedürftigkeit: GKV-Spitzenverband; 2011. https://www.gkv-spitzenverband.de/media/dokumente/service_1/publikationen/schriftenreihe/GKV-Schriftenreihe_Pflege_Band_2_18962.pdf . Accessed 01 May 2022.
Bohannon RW, Crouch RH. Two-minute step test of exercise capacity: systematic review of procedures, performance, and clinimetric properties. J Geriatr Phys Ther. 2019;42:105–12. https://doi.org/10.1519/JPT.0000000000000164 . (PMID: 10.1519/JPT.000000000000016429210933)
Roberts MH, Mapel DW. Limited lung function: impact of reduced peak expiratory flow on health status, health-care utilization, and expected survival in older adults. Am J Epidemiol. 2012;176:127–34. https://doi.org/10.1093/aje/kwr503 . (PMID: 10.1093/aje/kwr503227597223493194)
Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper C, et al. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011;40:423–9. https://doi.org/10.1093/ageing/afr051 . (PMID: 10.1093/ageing/afr05121624928)
Bohannon RW, Wang YC. Four-meter gait speed: normative values and reliability determined for adults participating in the NIH Toolbox Study. Arch Phys Med Rehabil. 2019;100:509–13. https://doi.org/10.1016/j.apmr.2018.06.031 . (PMID: 10.1016/j.apmr.2018.06.03130092204)
Hinman MR, O’Connell JK, Dorr M, Hardin R, Tumlinson AB, Varner B. Functional predictors of stair-climbing speed in older adults. J Geriatr Phys Ther. 2014;37:1–6. https://doi.org/10.1519/JPT.0b013e318298969f . (PMID: 10.1519/JPT.0b013e318298969f23835772)
Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142–8. (PMID: 10.1111/j.1532-5415.1991.tb01616.x1991946)
Taylor JK, Buchan IE, van der Veer SN. Assessing life-space mobility for a more holistic view on wellbeing in geriatric research and clinical practice. Aging Clin Exp Res. 2019;31:439–45. https://doi.org/10.1007/s40520-018-0999-5 . (PMID: 10.1007/s40520-018-0999-530078096)
Kroenke K, Spitzer RL, Williams JB, Lowe B. The patient health questionnaire somatic, anxiety, and depressive symptom scales: a systematic review. Gen Hosp Psychiatry. 2010;32:345–59. https://doi.org/10.1016/j.genhosppsych.2010.03.006 . (PMID: 10.1016/j.genhosppsych.2010.03.00620633738)
Lowe B, Decker O, Muller S, Brahler E, Schellberg D, Herzog W, et al. Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population. Med Care. 2008;46:266–74. https://doi.org/10.1097/MLR.0b013e318160d093 . (PMID: 10.1097/MLR.0b013e318160d09318388841)
Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179–86. (PMID: 10.1093/geront/9.3_Part_1.1795349366)
Seidl H, Bowles D, Bock JO, Brettschneider C, Greiner W, Konig HH, et al. FIMA--questionnaire for health-related resource use in an elderly population: development and pilot study. Gesundheitswesen. 2015;77:46–52. https://doi.org/10.1055/s-0034-1372618 . (PMID: 10.1055/s-0034-137261824806594)
Seidl H, Hein L, Scholz S, Bowles D, Greiner W, Brettschneider C, et al. Validation of the FIMA Questionnaire for health-related resource use against medical claims data: the role played by length of recall period. Gesundheitswesen. 2021;83:66–74. https://doi.org/10.1055/a-1010-6315 . (PMID: 10.1055/a-1010-631531698476)
Masnoon N, Shakib S, Kalisch-Ellett L, Caughey GE. What is polypharmacy? A systematic review of definitions. BMC Geriatr. 2017;17:230. https://doi.org/10.1186/s12877-017-0621-2 . (PMID: 10.1186/s12877-017-0621-2290174485635569)
Charlson M, Wells MT, Ullman R, King F, Shmukler C. The Charlson Comorbidity Index can be used prospectively to identify patients who will incur high future costs. PLoS One. 2014;9:e112479. https://doi.org/10.1371/journal.pone.0112479 . (PMID: 10.1371/journal.pone.0112479254699874254512)
Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J. 1965;14:61–5. (PMID: 14258950)
Brodowski H, Andres N, Gumny M, Eicher C, Steinhagen-Thiessen E, Tannen A, et al. Reliability of stair-climbing speed in two cohorts of older adults. Int J Ther Rehabil. 2021;28:1–15. https://doi.org/10.12968/ijtr.2020.0137 . (PMID: 10.12968/ijtr.2020.0137)
Schepens S, Goldberg A, Wallace M. The short version of the Activities-specific Balance Confidence (ABC) Scale: its validity, reliability, and relationship to balance impairment and falls in older adults. Arch Gerontol Geriatr. 2010;51:9–12. https://doi.org/10.1016/j.archger.2009.06.003 . (PMID: 10.1016/j.archger.2009.06.00319615762)
Borson S, Scanlan J, Brush M, Vitaliano P, Dokmak A. The mini-cog: a cognitive ‘vital signs’ measure for dementia screening in multi-lingual elderly. Int J Geriatr Psychiatry. 2000;15:1021–7. (PMID: 10.1002/1099-1166(200011)15:11<1021::AID-GPS234>3.0.CO;2-611113982)
Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53:695–9. https://doi.org/10.1111/j.1532-5415.2005.53221.x . (PMID: 10.1111/j.1532-5415.2005.53221.x15817019)
Llinas-Regla J, Vilalta-Franch J, Lopez-Pousa S, Calvo-Perxas L, Torrents Rodas D, Garre-Olmo J. The trail making test. Assessment. 2017;24:183–96. https://doi.org/10.1177/1073191115602552 . (PMID: 10.1177/107319111560255226318386)
Hughes ME, Waite LJ, Hawkley LC, Cacioppo JT. A short scale for measuring loneliness in large surveys: results from two population-based studies. Res Aging. 2004;26:655–72. https://doi.org/10.1177/0164027504268574 . (PMID: 10.1177/0164027504268574185045062394670)
Garin O, Ayuso-Mateos JL, Almansa J, Nieto M, Chatterji S, Vilagut G, et al. Validation of the “World Health Organization Disability Assessment Schedule, WHODAS-2” in patients with chronic diseases. Health Qual Life Outcomes. 2010;8:51. https://doi.org/10.1186/1477-7525-8-51 . (PMID: 10.1186/1477-7525-8-51204828532893517)
Nikolaus T, Specht-Leible N, Bach M, Oster P, Schlierf G. Social aspects in diagnosis and therapy of very elderly patients. Initial experiences with a newly developed questionnaire within the scope of geriatric assessment. Z Gerontol. 1994;27:240–5. (PMID: 7975814)
Janssen MF, Pickard AS, Golicki D, Gudex C, Niewada M, Scalone L, et al. Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L across eight patient groups: a multi-country study. Qual Life Res. 2013;22:1717–27. https://doi.org/10.1007/s11136-012-0322-4 . (PMID: 10.1007/s11136-012-0322-423184421)
Nease RF Jr, Brooks WB. Patient desire for information and decision making in health care decisions: the Autonomy Preference Index and the Health Opinion Survey. J Gen Intern Med. 1995;10:593–600. https://doi.org/10.1007/BF02602742 . (PMID: 10.1007/BF026027428583261)
Doherr H, Christalle E, Kriston L, Harter M, Scholl I. Use of the 9-item Shared Decision Making Questionnaire (SDM-Q-9 and SDM-Q-Doc) in intervention studies-a systematic review. PLoS One. 2017;12:e0173904. https://doi.org/10.1371/journal.pone.0173904 . (PMID: 10.1371/journal.pone.0173904283588645373562)
Whaley MH, Brubaker PH, Kaminsky LA, Miller CR. Validity of rating of perceived exertion during graded exercise testing in apparently healthy adults and cardiac patients. J Cardpulm Rehabil. 1997;17:261–7. https://doi.org/10.1097/00008483-199707000-00007 . (PMID: 10.1097/00008483-199707000-00007)
Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42:377–81. https://doi.org/10.1016/j.jbi.2008.08.010 . (PMID: 10.1016/j.jbi.2008.08.01018929686)
Müller-Mai CM, Schulze Raestrup US, Kostuj T, Dahlhoff G, Günster C, Smektala R. One-year outcomes for proximal femoral fractures: posthospital analysis of mortality and care levels based on health insurance data. Unfallchirurg. 2015;118:780–94. https://doi.org/10.1007/s00113-013-2534-7 . (PMID: 10.1007/s00113-013-2534-724352202)
Kolassa JE. A comparison of size and power calculations for the Wilcoxon statistic for ordered categorical data. Stat Med. 1995;14:1577–81. (PMID: 10.1002/sim.47801414087481194)
Hirk R, Hornik K, Vana L. mvord: An R package for fitting multivariate ordinal regression models: Wirtschaftsuniversität Wien; 2017. https://cran.r-project.org/web/packages/mvord/vignettes/vignette_mvord.pdf . Accessed 01 May 2022.
Bock JO, Brettschneider C, Seidl H, Bowles D, Holle R, Greiner W, et al. Calculation of standardised unit costs from a societal perspective for health economic evaluation. Gesundheitswesen. 2015;77:53–61. https://doi.org/10.1055/s-0034-1374621 . (PMID: 10.1055/s-0034-137462125025287)
Defining the role of authors and contributors. http://www.icmje.org/recommendations/browse/roles-and-responsibilities/defining-the-role-of-authors-and-contributors.html . Accessed 23 Mar 2022.
Wynter-Blyth V, Moorthy K. Prehabilitation: preparing patients for surgery. BMJ. 2017;358:j3702. https://doi.org/10.1136/bmj.j3702 . (PMID: 10.1136/bmj.j370228790033)
Le Roy B, Selvy M, Slim K. The concept of prehabilitation: what the surgeon needs to know? J Visc Surg. 2016;153:109–12. https://doi.org/10.1016/j.jviscsurg.2016.01.001 . (PMID: 10.1016/j.jviscsurg.2016.01.00126851994)
Hughes MJ, Hackney RJ, Lamb PJ, Wigmore SJ, Christopher Deans DA, Skipworth RJE. Prehabilitation before major abdominal surgery: a systematic review and meta-analysis. World J Surg. 2019;43:1661–8. https://doi.org/10.1007/s00268-019-04950-y . (PMID: 10.1007/s00268-019-04950-y30788536)
Hijazi Y, Gondal U, Aziz O. A systematic review of prehabilitation programs in abdominal cancer surgery. Int J Surg. 2017;39:156–62. https://doi.org/10.1016/j.ijsu.2017.01.111 . (PMID: 10.1016/j.ijsu.2017.01.11128161527)
Moran J, Guinan E, McCormick P, Larkin J, Mockler D, Hussey J, et al. The ability of prehabilitation to influence postoperative outcome after intra-abdominal operation: a systematic review and meta-analysis. Surgery. 2016;160:1189–201. https://doi.org/10.1016/j.surg.2016.05.014 . (PMID: 10.1016/j.surg.2016.05.01427397681)
Gometz A, Maislen D, Youtz C, Kary E, Gometz EL, Sobotka S, et al. The effectiveness of prehabilitation (prehab) in both functional and economic outcomes following spinal surgery: a systematic review. Cureus. 2018;10:e2675. https://doi.org/10.7759/cureus.2675 . (PMID: 10.7759/cureus.2675300507306059529)
Wallis JA, Taylor NF. Pre-operative interventions (non-surgical and non-pharmacological) for patients with hip or knee osteoarthritis awaiting joint replacement surgery--a systematic review and meta-analysis. Osteoarthr Cartil. 2011;19:1381–95. https://doi.org/10.1016/j.joca.2011.09.001 . (PMID: 10.1016/j.joca.2011.09.001)
Vasta S, Papalia R, Torre G, Vorini F, Papalia G, Zampogna B, et al. The influence of preoperative physical activity on postoperative outcomes of knee and hip arthroplasty surgery in the elderly: a systematic review. J Clin Med. 2020;9. https://doi.org/10.3390/jcm9040969 .
Milder DA, Pillinger NL, Kam PCA. The role of prehabilitation in frail surgical patients: a systematic review. Acta Anaesthesiol Scand. 2018;62:1356–66. https://doi.org/10.1111/aas.13239 . (PMID: 10.1111/aas.1323930094821)
Baimas-George M, Watson M, Elhage S, Parala-Metz A, Vrochides D, Davis BR. Prehabilitation in frail surgical patients: a systematic review. World J Surg. 2020;44:3668–78. https://doi.org/10.1007/s00268-020-05658-0 . (PMID: 10.1007/s00268-020-05658-032656590)
van de Pol MHJ, Fluit C, Lagro J, Slaats Y, Olde Rikkert MGM, Lagro-Janssen ALM. Shared decision making with frail older patients: proposed teaching framework and practice recommendations. Gerontol Geriatr Educ. 2017;38:482–95. https://doi.org/10.1080/02701960.2016.1276014 . (PMID: 10.1080/02701960.2016.127601428027017)
Thomson S, Busse R, Crivelli L, van de Ven W, Van de Voorde C. Statutory health insurance competition in Europe: a four-country comparison. Health Policy. 2013;109:209–25. https://doi.org/10.1016/j.healthpol.2013.01.005 . (PMID: 10.1016/j.healthpol.2013.01.00523395277)
Developments ACotAo, System itHC: Coordination and quality in the health care system. Report 2005. Abridged Version. 2005. https://www.svr-gesundheit.de/fileadmin/Gutachten/Gutachten_2005/Kurzfassung_engl_2005.pdf . Accessed 01 May 2022.
Kimmel A, Reif K, Schiebelhut O, Kowalski I, Brucker U, Breuninger K, et al. Praktikabilitätsstudie zur Einführung des Neuen Begutachtungsassessments zur Feststellung der Pflegebedürftigkeit nach dem SGB XI: Medizinischer Dienst des Spitzenverbandes Bund der Krankenkassen e.V. (MDS); 2015. https://www.gkv-spitzenverband.de/media/dokumente/pflegeversicherung/pflegebeduerftigkeitbegriff/150413_Pflegebegriff_Abschlussbericht_Praktikabilitaetsstudie_Final.pdf . Accessed 01 May 2022.
Yamato TP, Maher CG, Saragiotto BT, Hoffmann TC, Moseley AM. How completely are physiotherapy interventions described in reports of randomised trials? Physiotherapy. 2016;102:121–6. https://doi.org/10.1016/j.physio.2016.03.001 . (PMID: 10.1016/j.physio.2016.03.00127033780)
Hariohm K, Jeyanthi S, Kumar JS, Prakash V. Description of interventions is under-reported in physical therapy clinical trials. Braz J Phys Ther. 2017;21:281–6. https://doi.org/10.1016/j.bjpt.2017.05.006 . (PMID: 10.1016/j.bjpt.2017.05.006285790125537478)
McCambridge AB, Nasser AM, Mehta P, Stubbs PW, Verhagen AP. Has reporting on physical therapy interventions improved in 2 decades? An analysis of 140 trials reporting on 225 interventions. J Orthop Sports Phys Ther. 2021;51:503–9. https://doi.org/10.2519/jospt.2021.10642 . (PMID: 10.2519/jospt.2021.1064234592833)
Grant Information:
01NVF18024 Gemeinsame Bundesausschuss
Contributed Indexing:
Investigator: C Spies; U Marschall; R Eckardt-Felmberg; I Landgraf; U Schwantes; R Busse; U Mansmann; F Borchers; R Mörgeli; E Schönenberger; P Klassen; B Kleikamp; P Brandhorst; AH Spiegel; B Papenfuß; J Dowideit; C Oefele; V Gebhardt; K Zappel; M Gövercin; T König; C Chesi; A Reißhauer; A Rosada; U Müller-Werdan; A Heymann; M Hanke; J Leymann; T Saller; AC Bischof; A Reisner; WL Albrecht; J Wojciechowski; M Schuldt; M Baum; D Brnabic; B von Pickardt; A Deutschmann; C Scholz; L May; R Eckardt-Felmberg; I Wenghöfer; M Blobner; S Sattari; M Dummert; C Nau; M Otto; U Voß-Lümers; D Lang; D Wiggert
Keywords: Decision-making, Shared; Frail elderly; Frailty; Health services research; Perioperative care; Preoperative exercise; Randomized controlled trial
Molecular Sequence:
ClinicalTrials.gov NCT04418271
Entry Date(s):
Date Created: 20220606 Date Completed: 20220608 Latest Revision: 20230629
Update Code:
20240105
PubMed Central ID:
PMC9167908
DOI:
10.1186/s13063-022-06401-x
PMID:
35668532
Czasopismo naukowe
Background: Frailty is expressed by a reduction in physical capacity, mobility, muscle strength, and endurance. (Pre-)frailty is present in up to 42% of the older surgical population, with an increased risk for peri- and postoperative complications. Consequently, these patients often suffer from a delayed or limited recovery, loss of autonomy and quality of life, and a decrease in functional and cognitive capacities. Since frailty is modifiable, prehabilitation may improve the physiological reserves of patients and reduce the care dependency 12 months after surgery.
Methods: Patients ≥ 70 years old scheduled for elective surgery or intervention will be recruited in this multicenter, randomized controlled study, with a target of 1400 participants with an allocation ratio of 1:1. The intervention consists of (1) a shared decision-making process with the patient, relatives, and an interdisciplinary and interprofessional team and (2) a 3-week multimodal, individualized prehabilitation program including exercise therapy, nutritional intervention, mobility or balance training, and psychosocial interventions and medical assessment. The frequency of the supervised prehabilitation is 5 times/week for 3 weeks. The primary endpoint is defined as the level of care dependency 12 months after surgery or intervention.
Discussion: Prehabilitation has been proven to be effective for different populations, including colorectal, transplant, and cardiac surgery patients. In contrast, evidence for prehabilitation in older, frail patients has not been clearly established. To the best of our knowledge, this is currently the largest prehabilitation study on older people with frailty undergoing general elective surgery.
Trial Registration: ClinicalTrials.gov NCT04418271 . Registered on 5 June 2020. Universal Trial Number (UTN): U1111-1253-4820.
(© 2022. The Author(s).)
Erratum in: Trials. 2023 Feb 14;24(1):111. (PMID: 36788584)
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