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Correspondence  |   June 2015
Prehabilitation versus Rehabilitation
Author Notes
  • Sainte Anne Military Teaching Hospital, Toulon, France (J.B.). bordes.julien@neuf.fr
  • (Accepted for publication February 21, 2015.)
    (Accepted for publication February 21, 2015.)×
Article Information
Correspondence
Correspondence   |   June 2015
Prehabilitation versus Rehabilitation
Anesthesiology 6 2015, Vol.122, 1438. doi:10.1097/ALN.0000000000000661
Anesthesiology 6 2015, Vol.122, 1438. doi:10.1097/ALN.0000000000000661
To the Editor:
We read with a great interest the article of Gillis et al.1  In this study, 77 patients undergoing colorectal resection for cancer were randomized to receive either prehabilitation or rehabilitation. Prehabilitation group was able to walk significantly further in 6 min, showing that a prehabilitation program could improve postoperative functional exercise capacity.
Rigorously, the authors scheduled in the study design to measure patients’ compliance to the postoperative rehabilitation program. This program was based on exercise, nutrition, and psychological interventions. It was reported in the study that the compliance to this trimodal rehabilitation program from surgery to 4-week period was significantly higher in the prehabilitation group than in the rehabilitation group (53 vs. 31%, respectively, P < 0.001). As a result, we could hypothesize that the enhance in exercise capacity observed in the prehabilitation group could be the result of a greater compliance to the postoperative program rather than the usefulness of a prehabilitation program.
We would like to know how the authors dealt with this problem.
Competing Interests
The authors declare no competing interests.
Julien Bordes, M.D., Mickaël Cardinal, M.D., Eric Kaiser, M.D. Sainte Anne Military Teaching Hospital, Toulon, France (J.B.). bordes.julien@neuf.fr
Reference
Reference
Gillis, C, Li, C, Lee, L, Awasthi, R, Augustin, B, Gamsa, A, Liberman, AS, Stein, B, Charlebois, P, Feldman, LS, Carli, F Prehabilitation versus rehabilitation: A randomized control trial in patients undergoing colorectal resection for cancer.. Anesthesiology. (2014). 121 937–47 [Article] [PubMed]