To the Editor In the their article in JAMA Surgery, Carli et al1 reported their results of a well-designed and detailed randomized clinical trial on the effect of prehabilitation on postoperative complications in frail patients who underwent resection of colorectal cancer. The study design and interventions were aiming to answer the question to a frequently faced dilemma: whether we can actively improve outcomes of frail older adults undergoing major surgery by increasing their functional and nutritional reserves and therefore having less of a decline and morbidity in the postoperative period. They concluded that in frail patients undergoing predominantly minimally invasive colorectal surgery, a multimodal prehabilitation program was not found to improve postoperative outcomes in the study population. However, there are some points to consider, and the door of prehabilitation in frail older adults who are candidates for major surgery should not be closed yet.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Cooper L, Frain L, Jaklitsch MT. Prehabilitation vs Postoperative Rehabilitation for Frail Patients. JAMA Surg. Published online June 17, 2020. doi:10.1001/jamasurg.2020.1813
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: