Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Jun 12;23(1):e0170.
doi: 10.1097/CLD.0000000000000170. eCollection 2024 Jan-Jun.

Getting your transplant center ready for prime time: Health care system obstacles to prehabilitation

Athidi Earasi  1 , Matthew Kappus  1
Affiliations
Review

Getting your transplant center ready for prime time: Health care system obstacles to prehabilitation

Athidi Earasi et al. Clin Liver Dis (Hoboken). .

Abstract

1_i4s1nhjfKaltura.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts to report.

Figures

FIGURE 1
FIGURE 1
Prehabilitation has multiple benefits in patients undergoing solid organ transplants.
FIGURE 2
FIGURE 2
Prehabilitation should ideally adopt a multidisciplinary strategy, incorporating physical, psychosocial, and nutritional interventions to optimize patient preparation for transplant.
FIGURE 3
FIGURE 3
Ideally structured to optimize health outcomes, the timeline for patients undergoing solid organ transplants encompasses a 4–8-week prehabilitation phase, inpatient surgery, and subsequent rehabilitation, culminating in long-term posttransplant care.
FIGURE 4
FIGURE 4
Transplant centers encounter a myriad of health care system challenges, spanning logistical constraints to resource allocation, which influence the execution of prehabilitation programs.
FIGURE 5
FIGURE 5
Crafting a lobbying agenda involves strategically advocating for the establishment of prehabilitation programs at transplant centers through a series of deliberate steps as illustrated in this figure.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Pesce de Souza F, Massierer D, Anand Raje U, Tansey CM, Boruff J, Janaudis-Ferreira T. Exercise interventions in solid organ transplant candidates: A systematic review. Clin Transplant. 2020;34:e13900. - PubMed
    1. Quint EE, Ferreira M, van Munster BC, Nieuwenhuijs-Moeke G, Te Velde-Keyzer C, Bakker SJL, et al. . Prehabilitation in adult solid organ transplant candidates. Curr Transplant Rep. 2023;10:70–82. - PMC - PubMed
    1. Lin FP, Visina JM, Bloomer PM, Dunn MA, Josbeno DA, Zhang X, et al. . Prehabilitation-driven changes in frailty metrics predict mortality in patients with advanced liver disease. Am J Gastroenterol. 2021;116:2105–17. - PubMed
    1. Cox-Flaherty K, Moutchia J, Krowka MJ, Al-Naamani N, Fallon MB, DuBrock H, et al. . Six-minute walk distance predicts outcomes in liver transplant candidates. Liver Transpl. 2023;29:521–30. - PMC - PubMed
    1. Puchades L, Herreras J, Ibañez A, Reyes É, Crespo G, Rodríguez-Perálvarez M, et al. . Waiting time dictates impact of frailty: A Spanish multicenter prospective study. JHEP Rep. 2023;5:100840. - PMC - PubMed