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Surgery Outcomes Improved by One-on-One Prehabilitation Care
A personalized, twice-weekly coached prehabilitation program cut moderate-to-severe post-operative complications from 41% to 15% in Stanford patients, improving physical, cognitive, and immune fitness.
- On Nov. 12, Stanford reported a randomized trial showing personalized prehab reduced moderate-to-severe post-operative complications from 11 of 27 to 4 of 27 patients, compared to standard care; researchers said, `Even though it's recommended by physicians, to actually have patients do it, and have compliance and adherence to these prehabilitation programs, is quite difficult`.
- Because major surgery provokes a strong immune response, physicians have long recommended boosting physical, nutritional and psychological condition before surgery, but variability in prehabilitation programs made their impact unclear, researchers at Stanford said.
- Using sophisticated immune assays, researchers found coached patients showed less immune over-reactivity and lower baseline inflammation, with Gaudilliere saying, `When we started measuring how these interventions change a patient's immune system, that's when things got really exciting.`
- Patients embraced the remote one-on-one coaching, and the personalized program improved adherence, with Cindy Kin, MD saying, `Patients really want a personalized program`; researchers said wider availability requires time and resources.
- The intervention's immune normalization suggests personalized prehab normalized adaptive T cells linked to post-surgical cognitive decline affecting up to half of patients.
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Total News Sources17
Leaning Left2Leaning Right0Center6Last UpdatedBias Distribution75% Center
Bias Distribution
- 75% of the sources are Center
75% Center
L 25%
C 75%
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