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Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 108345
Country Singapore
Category Surgery
Manuscript Type Retrospective Study
Article Title Postoperative outcomes following prehabilitation vs no prehabilitation in elective colorectal surgery: A 2:1 propensity score-matched analysis
Manuscript Source Invited Manuscript
All Author List Kai Siang Chan, Priscilla Ng, Lynn Tan, Rachel E-Jing Soh, Boon Theng Tan, Yu Jing Ong, Joon Lan Chong, Surendra Kumar Mantoo, Yao Zong Lee, Kok-Yang Tan and Daniel Jin Keat Lee
Funding Agency and Grant Number
Corresponding Author Kai Siang Chan, Researcher, Department of General Surgery, Khoo Teck Puat Hospital, No. 90 Yishun Central, Singapore 768828, Singapore. kchan023@e.ntu.edu.sg
Key Words Colorectal surgery; Elderly; Enhanced recovery after surgery; Frailty; Hemicolectomy; Prehabilitation
Core Tip Ageing is associated with frailty, increased co-morbidities and worse post-operative outcomes. Some studies on prehabilitation showed its potential in improving post-operative outcomes for elective colorectal surgery but selection criteria and prehabilitation protocols are heterogeneous. Through propensity score matching, this study showed that prehabilitation in non-frail older patients (≥ 65 years) did not improve short-term outcomes and 1-year mortality. Open surgery was an independent predictor of 1-year mortality. Consideration should be made to modify and stratify the selection criteria for prehabilitation based on frailty scores and co-morbidity burden to identify the group of patients who will best benefit given finite resources.
Citation Chan KS, Ng P, Tan L, Soh REJ, Tan BT, Ong YJ, Chong JL, Mantoo SK, Lee YZ, Tan KY, Lee DJK. Postoperative outcomes following prehabilitation vs no prehabilitation in elective colorectal surgery: A 2:1 propensity score-matched analysis. World J Gastrointest Surg 2025; In press
Received
2025-04-14 03:42
Peer-Review Started
2025-04-14 03:42
To Make the First Decision
Return for Revision
2025-05-21 21:21
Revised
2025-06-20 02:51
Second Decision
2025-09-19 02:40
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-09-19 03:58
Articles in Press
2025-09-19 03:58
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Edit the Manuscript by Language Editor
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ISSN 1948-9366 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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