• Robert C Walker, Sowrav Barman, Philip H Pucher, Pritam Singh, Greg Whyte, John Moore, Fiona Huddy, Orla Evans, Gemma Tham, Zainab Noor Z, Juliette Hussey, Malcolm A West, Sandy Jack, Denny Levett, Timothy J Underwood, James A Gossage, Javed Sultan, Nicholas Maynard, Timothy E Miller, GrocottMichael P WMPW0000-0002-9484-7581NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust/University of Southampton, Southampton, UK., Andrew R Davies, and AUGIS/POQI Prehabilitation Consensus Group .
• Guy's & St Thomas' Oesophago-gastric Centre, London, UK.
• Br J Surg. 2024 Oct 1; 111 (10).

BackgroundPrehabilitation is safe, feasible and may improve a range of outcomes in patients with oesophago-gastric cancer (OGC). Recent studies have suggested the potential of prehabilitation to improve body composition, sarcopenia and physical fitness, reduce surgical complications and improve quality of life. Despite this, prehabilitation services are not offered throughout all OGC centres in the UK. Where prehabilitation is offered, delivery and definitions vary significantly, as do funding sources and access.MethodsA professional association endorsed series of consensus meetings were conducted using a modified Delphi process developed by the Peri-Operative Quality Initiative (POQI) to identify and refine consensus statements relating to the development and delivery of prehabilitation services for OGC patients. Participants from a variety of disciplines were identified based on a track record of published studies in the field of prehabilitation and/or practice experience encompassing prehabilitation of OGC patients. Approval from the POQI board was obtained and independent supervision provided by POQI.ResultsA total of 20 statements were developed and agreed by 26 participants over a preliminary meeting and 2 semi-structured formal POQI meetings. Ten research themes were identified. In the case of one statement, consensus was not reached and the statement was recorded and developed into a research theme. A strong recommendation was made for the majority of the consensus statements (17 of 20).DiscussionConsensus statements encompassing the interventions and outcomes of prehabilitation services in oesophago-gastric cancer surgery have been developed to inform the implementation of programmes.© The Author(s) 2024. Published by Oxford University Press on behalf of BJS Foundation Ltd. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.

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