SETTING UP A CANCER PREHABILITATION FRAMEWORK IN SINGAPORE

Cancer prehabilitation defined by Silver and Baima (2013) as “a process on the cancer continuum of care that occurs between the time of cancer diagnosis and the beginning of acute treatment”, includes physical and psychological assessments, targeted interventions with objective outcome measures, and...

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Main Authors: Tay San San, Kwok Kah Meng
Format: Article
Language:English
Published: Edisciences 2021-03-01
Series:Journal of Cancer Rehabilitation
Subjects:
Online Access:https://www.edisciences.org/scheda-j022
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author Tay San San
Kwok Kah Meng
author_facet Tay San San
Kwok Kah Meng
author_sort Tay San San
collection DOAJ
description Cancer prehabilitation defined by Silver and Baima (2013) as “a process on the cancer continuum of care that occurs between the time of cancer diagnosis and the beginning of acute treatment”, includes physical and psychological assessments, targeted interventions with objective outcome measures, and is also most commonly described as the process of enhancing a patient’s ability to cope after surgery.1,2 Prehabilitation was thought to benefit geriatric patients more in some studies.3 However, it is found that the high risk surgical patient is found to be not only older, but one who has multiple comorbidities and is frail.4 Furthermore, it is increasingly recognized that sarcopenia and frailty exists in many chronic diseases including diabetes,5 heart diseases,6 renal disease7and pulmonary disease,8 and is not confined to the elderly. Although prehabilitation is commonly applied to cancer patients, such as in colorectal cancer,9,10 breast cancer,11 urologic cancers,12 it could also be considered in a broader context, for example in chronic kidney disease. Prehabilitation in Singapore currently is diagnosis-based, and includes primarily surgical patients with the involvement of surgeons and/or anesthetists. Prehabilitation may benefit not only pre-surgical patients but also patients who are awaiting other systemic or localized anti-tumor treatments. This paper will focus on and review the various condition groups that can benefit from cancer prehabilitation and discuss how a prehabilitation framework was set up in our acute hospital.
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spelling doaj.art-faa37e20785748d396ee1769dc81cf942022-12-21T22:44:46ZengEdisciencesJournal of Cancer Rehabilitation2704-64942021-03-01411610.48252/JCR5SETTING UP A CANCER PREHABILITATION FRAMEWORK IN SINGAPORETay San San0Kwok Kah Meng1MD, Department of Rehabilitation Medicine, Changi General Hospital, SingaporeMD, Consultant, MBBS, MMed (Int Med), MRCP (UK) Department of Rehabilitation Medicine, Changi General Hospital, SingaporeCancer prehabilitation defined by Silver and Baima (2013) as “a process on the cancer continuum of care that occurs between the time of cancer diagnosis and the beginning of acute treatment”, includes physical and psychological assessments, targeted interventions with objective outcome measures, and is also most commonly described as the process of enhancing a patient’s ability to cope after surgery.1,2 Prehabilitation was thought to benefit geriatric patients more in some studies.3 However, it is found that the high risk surgical patient is found to be not only older, but one who has multiple comorbidities and is frail.4 Furthermore, it is increasingly recognized that sarcopenia and frailty exists in many chronic diseases including diabetes,5 heart diseases,6 renal disease7and pulmonary disease,8 and is not confined to the elderly. Although prehabilitation is commonly applied to cancer patients, such as in colorectal cancer,9,10 breast cancer,11 urologic cancers,12 it could also be considered in a broader context, for example in chronic kidney disease. Prehabilitation in Singapore currently is diagnosis-based, and includes primarily surgical patients with the involvement of surgeons and/or anesthetists. Prehabilitation may benefit not only pre-surgical patients but also patients who are awaiting other systemic or localized anti-tumor treatments. This paper will focus on and review the various condition groups that can benefit from cancer prehabilitation and discuss how a prehabilitation framework was set up in our acute hospital.https://www.edisciences.org/scheda-j022cancerprehabilitationframeworksurgeryadjuvantsingaporecovid-19
spellingShingle Tay San San
Kwok Kah Meng
SETTING UP A CANCER PREHABILITATION FRAMEWORK IN SINGAPORE
Journal of Cancer Rehabilitation
cancer
prehabilitation
framework
surgery
adjuvant
singapore
covid-19
title SETTING UP A CANCER PREHABILITATION FRAMEWORK IN SINGAPORE
title_full SETTING UP A CANCER PREHABILITATION FRAMEWORK IN SINGAPORE
title_fullStr SETTING UP A CANCER PREHABILITATION FRAMEWORK IN SINGAPORE
title_full_unstemmed SETTING UP A CANCER PREHABILITATION FRAMEWORK IN SINGAPORE
title_short SETTING UP A CANCER PREHABILITATION FRAMEWORK IN SINGAPORE
title_sort setting up a cancer prehabilitation framework in singapore
topic cancer
prehabilitation
framework
surgery
adjuvant
singapore
covid-19
url https://www.edisciences.org/scheda-j022
work_keys_str_mv AT taysansan settingupacancerprehabilitationframeworkinsingapore
AT kwokkahmeng settingupacancerprehabilitationframeworkinsingapore