From Theory to Practice: An International Approach to Establishing Prehabilitation Programmes.

Autor:	Davis JF; Macmillan Cancer Support, 89, Albert Embankment, London SE1 7UQ Vauxhall, UK.; Allied Health Solutions, Hadlow, Kent UK., van Rooijen SJ; Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands., Grimmett C; School of Health Sciences, University of Southampton, Southampton, UK., West MA; University Hospitals Southampton NHS Foundation Trust, Southampton, UK.; Academic Unit of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.; Anaesthesia and Critical Care Research Area, NIHR Biomedical Research Centre, University of Southampton, Southampton, UK.; Department of Surgery, St. Mark's Hospital, Middlesex, UK., Campbell AM; School of Applied Sciences, Edinburgh Napier University, Edinburgh, UK., Awasthi R; Department of Anaesthesia, McGill University, Montreal General Hospital, Montreal, QC Canada., Slooter GD; Maxima Medical Center, Veldhoven, The Netherlands., Grocott MP; Anaesthesia and Critical Care Research Unit, University Hospital Southampton NHS Foundation Trust, Southampton, UK.; Critical Care Research Area, NIHR Respiratory Biomedical Research Unit, University Hospital Southampton NHS Foundation Trust, Southampton, UK.; Integrative Physiology and Critical Illness Group, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.; GICU, University Hospital Southampton NHS Foundation Trust, Southampton, UK.; NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK., Carli F; Department of Anaesthesia, McGill University, Montreal General Hospital, Montreal, QC Canada., Jack S; Academic Unit of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.; Anaesthesia and Critical Care Research Unit, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Jazyk:	angličtina
Zdroj:	Current anesthesiology reports [Curr Anesthesiol Rep] 2022; Vol. 12 (1), pp. 129-137. Date of Electronic Publication: 2022 Feb 18.
DOI:	10.1007/s40140-022-00516-2
Abstrakt:	Purpose: This article focuses on the following:The importance of prehabilitation in people with cancer and the known and hypothesised benefits.Exploration of the principles that can be used when developing services in the absence of a single accepted model of how these services could be established or configured.Description of approaches and learning in the development and implementation of prehabilitation across three different countries: Canada, the Netherlands and the United Kingdom, based on the authors' experiences and perspectives. Recent Findings: Practical tips and suggestions are shared by the authors to assist others when implementing prehabilitation programmes. These include experience from three different approaches with similar lessons.Important elements include the following: (i) starting with a small identified clinical group of patients to refine and test the delivery model and demonstrate proof of concept; (ii) systematic data collection with clearly identified target outcomes from the outset; (iii) collaboration with a wide range of stakeholders including those who will be designing, developing, delivering, funding and using the prehabilitation services; (iv) adapting the model to fit local situations; (v) project leaders who can bring together and motivate a team; (vi) recognition and acknowledgement of the value that each member of a diverse multidisciplinary team brings; (vii) involvement of the whole team in prehabilitation prescription including identification of patients' levels of risk through appropriate assessment and need-based interventions; (viii) persistence and determination in the development of the business case for sustainable funding; (ix) working with patients ambassadors to develop and advocate for the case for support; and (x) working closely with commissioners of healthcare. Summary: Principles for the implementation of prehabilitation have been set out by sharing the experiences across three countries. These principles should be considered a framework for those wishing to design and develop prehabilitation services in their own areas to maximise success, effectiveness and sustainability. Competing Interests: Conflict of InterestThe authors declare that the article was written in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© The Author(s) 2022.)
Databáze:	MEDLINE
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