Overview
The purpose of this pilot study is to assess the feasibility of delivering a multicomponent prehabilitation and measuring patient-centered outcomes in older adults undergoing major surgery.
Description
We will assess the feasibility of delivering a multicomponent prehabilitation, which consists of exercise (supervised by physical therapist), nutritional intervention (nutritional supplement and group education), meditation (group class), and cognitive behavioral intervention over 3-4 weeks before major elective abdominal, gynecological oncologic, urologic surgery, and cardiovascular procedures. We will also measure patient-centered outcomes (Patient-Reported Outcomes Measurement Information System) at 30 and 90 days after surgery. The target enrollment is 30 patients.
Eligibility
Inclusion Criteria:
- Patient is scheduled to have a gastrointestinal, gynecological oncologic, urologic, and cardiovascular procedure
- Patient's frailty index is ≥0.25
- Patient provides an informed e-consent or remote consent
Exclusion Criteria:
- Surgery is scheduled less than 21 days
- Patient is considered an inappropriate candidate per the surgeon's assessment
- Non-English speaking
- Patient has a major cognitive impairment confirmed by telephone Montreal Cognitive Assessment (MoCA) <18 or Brief Capacity Assessment Questionnaire
- Patients with chronic kidney disease stage 3 or higher will be excluded from nutrition intervention of the Prehabilitation intervention bundle.