PMID- 35522464
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220523
IS  - 1929-0748 (Print)
IS  - 1929-0748 (Electronic)
IS  - 1929-0748 (Linking)
VI  - 11
IP  - 5
DP  - 2022 May 6
TI  - Virtual Prehabilitation in Patients With Cancer Undergoing Surgery During the 
      COVID-19 Pandemic: Protocol for a Prospective Feasibility Study.
PG  - e29936
LID - 10.2196/29936 [doi]
LID - e29936
AB  - BACKGROUND: Since the beginning of the COVID-19 pandemic, preoperative care, also 
      termed prehabilitation, has become increasingly relevant due to the decreasing 
      functional and psychosocial health of patients with cancer, which is a result of 
      the pandemic restrictions. Concurrently, access to telehealth has improved; 
      telehealth comprises all remote care delivery facilitated by information 
      technologies (ie, virtually). OBJECTIVE: The aim of this protocol is to describe 
      the rationale and methodology for a major trial investigating the feasibility and 
      safety of multimodal virtual prehabilitation services (ie, teleprehabilitation). 
      METHODS: This single-arm feasibility trial aims to recruit 100 patients with 
      cancer to receive teleprehabilitation throughout their preoperative period. The 
      inclusion criteria are as follows: (1) 18 years of age or older, (2) scheduled 
      for elective cancer surgery and referred by a surgeon, (3) medically cleared by 
      the referring physician to engage in physical activity, and (4) have a good 
      comprehension of the English or French language. Feasibility will be assessed by 
      documenting recruitment, adherence, and retention rates, in addition to patients' 
      motives for not participating in the trial, low participation, or 
      discontinuation. The secondary outcome of safety will be assessed by reporting 
      program-related adverse events. RESULTS: The Montreal General Hospital Foundation 
      funded the project in August 2020. The protocol was then approved by the Research 
      Ethics Board of the McGill University Health Centre in January 2021 (ID No. 
      2021-6730). The first patient was recruited in March 2021, and recruitment is 
      expected to end in September 2022. As of March 2022, 36 patients have been 
      recruited, including 24 who have completed their participation. No adverse events 
      have been reported. Data collection is expected to conclude in November 2022. 
      Data analysis will be performed, and the results will be published by the 
      beginning of 2023. CONCLUSIONS: This trial will provide guidance on the use of 
      telehealth in the administration of prehabilitation services. The trial will 
      provide a large amount of information that will respond to gaps in the 
      literature, as there are minimal reports on the use of telehealth rehabilitation 
      and prehabilitation services among elderly populations and in acute contexts, 
      such as the preoperative period. TRIAL REGISTRATION: ClinicalTrials.gov 
      NCT0479956; https://clinicaltrials.gov/ct2/show/NCT04799561. INTERNATIONAL 
      REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/29936.
CI  - (c)Genevieve Lambert, Kenneth Drummond, Bhagya Tahasildar, Francesco Carli. 
      Originally published in JMIR Research Protocols 
      (https://www.researchprotocols.org), 06.05.2022.
FAU - Lambert, Genevieve
AU  - Lambert G
AUID- ORCID: 0000-0002-4982-6917
AD  - Department of Experimental Surgery, Faculty of Medicine, McGill University, 
      Montreal, QC, Canada.
AD  - Peri Operative Program, Department of Anesthesia, McGill University Health 
      Center, Montreal, QC, Canada.
FAU - Drummond, Kenneth
AU  - Drummond K
AUID- ORCID: 0000-0002-4561-0131
AD  - Department of Experimental Surgery, Faculty of Medicine, McGill University, 
      Montreal, QC, Canada.
AD  - Peri Operative Program, Department of Anesthesia, McGill University Health 
      Center, Montreal, QC, Canada.
FAU - Tahasildar, Bhagya
AU  - Tahasildar B
AUID- ORCID: 0000-0003-2028-7726
AD  - Peri Operative Program, Department of Anesthesia, McGill University Health 
      Center, Montreal, QC, Canada.
FAU - Carli, Francesco
AU  - Carli F
AUID- ORCID: 0000-0003-0610-4057
AD  - Department of Experimental Surgery, Faculty of Medicine, McGill University, 
      Montreal, QC, Canada.
AD  - Peri Operative Program, Department of Anesthesia, McGill University Health 
      Center, Montreal, QC, Canada.
LA  - eng
SI  - ClinicalTrials.gov/NCT04799561
PT  - Journal Article
DEP - 20220506
PL  - Canada
TA  - JMIR Res Protoc
JT  - JMIR research protocols
JID - 101599504
PMC - PMC9123533
OTO - NOTNLM
OT  - cancer care
OT  - exercise
OT  - functional capacity
OT  - malnutrition
OT  - prehabilitation
OT  - psychosocial support
OT  - telehealth
COIS- Conflicts of Interest: None declared.
EDAT- 2022/05/07 06:00
MHDA- 2022/05/07 06:01
PMCR- 2022/05/06
CRDT- 2022/05/06 11:53
PHST- 2021/04/26 00:00 [received]
PHST- 2022/03/21 00:00 [accepted]
PHST- 2021/12/24 00:00 [revised]
PHST- 2022/05/06 11:53 [entrez]
PHST- 2022/05/07 06:00 [pubmed]
PHST- 2022/05/07 06:01 [medline]
PHST- 2022/05/06 00:00 [pmc-release]
AID - v11i5e29936 [pii]
AID - 10.2196/29936 [doi]
PST - epublish
SO  - JMIR Res Protoc. 2022 May 6;11(5):e29936. doi: 10.2196/29936.