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Clin Colon Rectal Surg 2023; 36(03): 184-191
DOI: 10.1055/s-0043-1761151
Review Article

Frailty Assessment and Prehabilitation as Part of a PeRioperative Evaluation and Planning (PREP) Program for Patients Undergoing Colorectal Surgery

Cimarron E. Sharon
1   Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
,
Catherine Strohl
2   Department of Geriatrics, University of Pennsylvania, Philadelphia, Pennsylvania
3   Geriatric Surgery Program, Pennsylvania Hospital, Philadelphia, Pennsylvania
,
Nicole M. Saur
1   Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
3   Geriatric Surgery Program, Pennsylvania Hospital, Philadelphia, Pennsylvania
4   Division of Colon and Rectal Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
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Abstract

Frailty assessment and prehabilitation can be incrementally implemented in a multidisciplinary, multiphase pathway to improve patient care. To start, modifications can be made to a surgeon's practice with existing resources while adapting standard pathways for frail patients. Frailty screening can identify patients in need of additional assessment and optimization. Personalized utilization of frailty data for optimization through prehabilitation can improve postoperative outcomes and identify patients who would benefit from adapted care. Additional utilization of the multidisciplinary team can lead to improved outcomes and a strong business case to add additional members of the team.

Keywords

frailty - prehabilitation - geriatric assessment - functional recovery - optimization


Publication History

Article published online:
03 February 2023

© 2023. Thieme. All rights reserved.

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