Summary of best evidence for preoperative pre-rehabilitation strategy for patients with colorectal cancer
PANG Chenchen
ZHANG Yuan
WANG Mengni
LI Mei
ZHAO Qian
FENG Zhengzheng
Abstract：Objective To summarize the relevant evidence of preoperative pre-habilitation management of patients undergoing colorectal cancer surgery,so as to provide references for clinical practice.Methods According to the＂6 S＂pyramid evidence model,the preoperative pre-habilitation management of patients undergoing colorectal cancer surgery was systematically searched in domestic and foreign databases and related professional websites,with the time setting between January 1,2012 to June 30,2022.Evidence evaluation and extraction were conducted by two independent researchers.Results Twenty-one articles were found,including 6 guidelines,2 evidence summaries,1 recommended practice,3 clinical decisions,4 systematic reviews,3 expert consensuses,and 2 randomized controlled trials.A total of 26 pieces of best evidence were integrated into six dimensions of preoperative risk assessment,nutritional management,anemia management,rehabilitation training,preventive antithrombotic therapy and psychological intervention.Conclusion This study summarized the evidence of preoperative pre-rehabilitation strategies for patients with colorectal cancer,aiming to optimize their preoperative functional status,reduce the occurrence of postoperative complications,and promote their postoperative rehabilitation.It is recommended to establish a pre-operation rehabilitation management system for such patients considering the clinical environment and the feasibility and suitability of each piece of evidence.
Keywords：Colorectal cancerOperationPre-rehabilitationEvidence summaryEvidence-based nursing
Publication Date：2024-03-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 181-187 )