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Review
. 2021 Jan 11:10:598425.
doi: 10.3389/fonc.2020.598425. eCollection 2020.

Multiphasic Prehabilitation Across the Cancer Continuum: A Narrative Review and Conceptual Framework

Daniel Santa Mina  1   2   3 , Stefanus J van Rooijen  4 , Enrico M Minnella  5   6 , Shabbir M H Alibhai  3 , Priya Brahmbhatt  1   2 , Susanne O Dalton  7   8 , Chelsia Gillis  9 , Michael P W Grocott  10   11 , Doris Howell  12 , Ian M Randall  2   3 , Catherine M Sabiston  1 , Julie K Silver  13 , Gerrit Slooter  4 , Malcolm West  10   14 , Sandy Jack  10   14 , Franco Carli  5
Affiliations
Review

Multiphasic Prehabilitation Across the Cancer Continuum: A Narrative Review and Conceptual Framework

Daniel Santa Mina et al. Front Oncol. .

Abstract

The field of cancer survivorship has significantly advanced person-centered care throughout the cancer continuum. Within cancer survivorship, the last decade has seen remarkable growth in the investigation of prehabilitation comprising pre-treatment interventions to prevent or attenuate the burden of oncologic therapies. While the majority of evidence remains in the surgical setting, prehabilitation is being adapted to target modifiable risk factors that predict poor treatment outcomes in patients receiving other systemic and localized anti-tumor treatments. Here, we propose a multiphasic approach for prehabilitation across the cancer continuum, as a conceptual framework, to encompass the variability in cancer treatment experiences while adopting the most inclusive definition of the cancer survivor.

Keywords: cancer; conceptual framework; continuum of care; enhanced recovery after surgery; oncology; prehabilitation; rehabilitation; survivorship.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Example of coordinated rehabilitation and prehabilitation between two treatments.
Figure 2
Figure 2
Prehabilitation within the Cancer Continuum (Including Recurrence or New Primary Cancers).
Figure 3
Figure 3
Prehabilitation Across the Cancer Continuum.
See this image and copyright information in PMC

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