Integrating multimodal prehabilitation into enhanced recovery after surgery programs (MPhERAS) for elderly patients: a systematic review and meta-analysis of randomized controlled trials and cohort studies.

ABSTRACT:

Background

Enhanced recovery after surgery (ERAS) protocols and multimodal prehabilitation are interventions used to improve outcomes after surgery. However, their integration is not well studied and is a subject of ongoing debate. The aim of the study was to evaluate the effectiveness of multimodal prehabilitation within ERAS for elderly patients undergoing elective colorectal surgery.

Methods

Studies that used prehabilitation modalities, such as exercise, nutrition, psychology, and spirituality, compared with two control groups-ERAS alone or ERAS with postoperative rehabilitation-were systematically reviewed and reported according to the PRISMA guidelines. Meta-analysis was performed on outcomes such as length of stay (LOS), 6-min walk test (6MWT), postoperative complicati

SUBMITTER: Srinivasan A 

PROVIDER: S-EPMC12855354 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature