Prehabilitation-rehabilitation : pour qui? comment?

摘要

Prehabilitation and Enhanced Rehabilitation After Surgery (ERAS) are combined to allow an optimal multimo-dal anticancer treatment. Those clinical pathways are based on the participation of several specialists (nutritionist, physiotherapist, psychologist and nurse coordinator) and require patient's involvement in this care program. The patient's clinical pathway is orchestrated by a nurse coordinator. The main objective of these programs is to improve the patient's functional capacities to ensure that they are maintained post-operatively. Prehabilitation decreases postoperative complications. Enhanced rehabilitation involves a series of perio-perative measures that mark a break with previous surgical and anesthetic habits. The greater the number of measures complied with, the shorter the length of stay, without increasing the readmission rate. The impact of these measures on the oncologic prognosis is currently unknown.