Patients' and carers' views on research priorities in prehabilitation for cancer surgery
- Author(s)
- Vu, J; Koh, C; Solomon, M; Brown, K; Karunaratne, S; Cole, R; Smith, P; Raichurkar, P; Denehy, L; Riedel, B; Prehabilitation Expert Collaborative; Steffens, D;
- Details
- Publication Year 2024-05-24,Volume 32,Issue #6,Page 378
- Journal Title
- Supportive Care in Cancer
- Publication Type
- Research article
- Abstract
- INTRODUCTION: The views of patients and carers are important for the development of research priorities. This study aimed to determine and compare the top research priorities of cancer patients and carers with those of multidisciplinary clinicians with expertise in prehabilitation. MATERIALS AND METHODS: This cross-sectional study surveyed patients recovering from cancer surgery at a major tertiary hospital in Sydney, Australia, and/or their carers between March and July 2023. Consenting patients and carers were provided a list of research priorities according to clinicians with expertise in prehabilitation, as determined in a recent International Delphi study. Participants were asked to rate the importance of each research priority using a 5-item Likert scale (ranging from 1 = very high research priority to 5 = very low research priority). RESULTS: A total of 101 patients and 50 carers participated in this study. Four areas were identified as research priorities, achieving consensus of highest importance (> 70% rated as "high" or "very high" priority) by patients, carers, and clinical experts. These were "optimal composition of prehabilitation programs" (77% vs. 82% vs. 88%), "effect of prehabilitation on surgical outcomes" (85% vs. 90% vs. 95%), "effect of prehabilitation on functional outcomes" (83% vs. 86% vs. 79%), and "effect of prehabilitation on patient reported outcomes" (78% vs. 84% vs. 79%). Priorities that did not reach consensus of high importance by patients despite reaching consensus of highest importance by experts included "identifying populations most likely to benefit from prehabilitation" (70% vs. 76% vs. 90%) and "defining prehabilitation core outcome measures" (66% vs. 74% vs. 87%). "Prehabilitation during neoadjuvant therapies" reached consensus of high importance by patients but not by experts or carers (81% vs. 68% vs. 69%). CONCLUSION: This study delineated the primary prehabilitation research priorities as determined by patients and carers, against those previously identified by clinicians with expertise in prehabilitation. It is recommended that subsequent high-quality research and resource allocation be directed towards these highlighted areas of importance.
- Publisher
- Springer Nature
- Keywords
- Humans; Cross-Sectional Studies; Female; Male; *Caregivers/psychology; Middle Aged; *Neoplasms/surgery; Aged; Adult; Surveys and Questionnaires; Preoperative Exercise; Australia; Research; Delphi Technique; Aged, 80 and over; Cancer; Outcomes; Prehabilitation; Preoperative; Research priorities; Surgery
- Department(s)
- Health Services Research; Anaesthetics
- Publisher's Version
- https://doi.org/10.1007/s00520-024-08585-1
- Open Access at Publisher's Site
https://doi.org/10.1007/s00520-024-08585-1- Terms of Use/Rights Notice
- Refer to copyright notice on published article.
Creation Date: 2024-07-25 05:42:24
Last Modified: 2024-07-25 05:52:23