Surgery
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Comparative Study
Patients with poor baseline walking capacity are most likely to improve their functional status with multimodal prehabilitation.
Evidence suggests that multimodal prehabilitation programs comprising interventions directed at physical activity, nutrition, and anxiety coping can improve functional recovery after colorectal cancer operations; however, such programs may be more clinically meaningful and cost-effective if targeted to specific subgroups. This study aimed to estimate the extent to which patients with poor baseline functional capacity improve their functional capacity. ⋯ Patients with lower baseline walking capacity are more likely to experience meaningful improvement in physical function from prehabilitation before and after a colorectal cancer operation.
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Comparative Study
Preoperative antiplatelet use does not increase incidence of bleeding after major operations.
This study examined the outcomes of patients holding or continuing clopidogrel during the preoperative period. ⋯ We did not identify significantly increased adverse patient outcomes in those patients who received preoperative clopidogrel within this population. We assert that it appears to be reasonable and safe to continue antiplatelet therapy with clopidogrel in this population in elective situations and that preoperative clopidogrel use does not increase the risk of bleeding in emergency circumstances.