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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

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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

References

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    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