LÓPEZ-RODRÍGUEZ-ARIAS, 2021[11] | Adults, elective surgery for colon or rectal neoplasm | 10/10 | A 30-d trimodal prehabilitation program with recommendations on physical exercise, nutritional supplementation, and relaxation exercises to be performed at home before surgery and the first 30 d after hospital discharge | Standard care | 12 weeks postoper-ative | ①②⑥ |
BARBERAN-GARCIA, 2018[12] | Adults, elective major abdominal surgery with high risk | 62/63 | A personalized prehabilitation program based on their health conditions and social circumstances which encompassed 3 major steps: motivational interview to assess the patients′ adherence profile and to codesign the characteristics of the physical activity program with the patient; personalized program to promote daily physical activity; supervised high-intensity endurance exercise training program | Standard care | Before discharge | ①②③ ④⑤⑥ |
BOUSQUET-DION, 2018[13] | Adults, elective surgery for colon or rectal neoplasm | 37/26 | A 4-week multi-modal home-based exercise program with once-weekly supervision consisted of exercise intervention, nutritional intervention and anxiety-reduction strategies | Standard care | 8 weeks postoper-ative | ①②③ ④⑥⑦ |
OMMUNDSEN, 2018[14] | >65 years, elective colorectal cancer surgery and fulfilling predefined criteria for frailty | 53/63 | A 3-week pragmatic tailored intervention based on the results of the geriatric assessment | Standard care | 3 months postoper-ative | ①②⑤ ⑥ |
BURDEN, 2017[15] | Adults, elective colorectal cancer surgery with preoperative weight loss>1 kg per 3‒6 months | 55/45 | Oral supplementation (10.1 KJ, 0.096 g of protein per mL) at a dose of 250 mL daily for a minimum of 5 d before the operation | Bottled water | 30 days postoper-ative | ①②⑥ ⑦ |
GILLIS, 2016[16] | Adults, elective surgery for colon or rectal neoplasm | 22/21 | A whey protein supplement was provided in a quantity that matched the patient′s need according to the estimated deficit in dietary protein intake for approximately 4 weeks leading up to the surgery | Placebo | 4 weeks postoper-ative | ③⑥ |
GILLIS, 2014[17] | Adults, elective surgery for colon or rectal neoplasm | 38/39 | A 4-week trimodal prehabilitation program at home included exercise intervention, nutrition intervention, and coping strategies to reduce anxiety | Standard care | 8 weeks postoper-ative | ①③④ ⑥ |
FUJITANI, 2012[18] | ≤80 years, elective total gastrectomy, body weight loss of 10 percent or less within 6 months before entry | 127/117 | Preoperative oral supplementation of 1 000 mL/d in the form of an immunonutrient-enriched enteral feed added to normal diet for 5 d consecutively before the surgery | Normal diet | Before discharge | ①②⑥ |
BURDEN, 2011[19] | Adults, elective surgery for colon or rectal neoplasm | 54/62 | Oral supplementary drink of 400 mL daily, and dietary advice for 10 d before the operation | Dietary advice only | Before discharge | ①②⑥ |
SMEDLEY, 2004[20] | Adults, elective moderate to severe lower gastrointestinal surgery | 48/50 | Oral nutritional supplement in small, frequent quantities between meals for 7 d before the operation, the volume consumed was recorded | Normal diet | Before discharge | ①②⑥ ⑦ |
GIANOTTI, 2002[21] | Adults, major elective surgery for malignancy of the gastrointestinal tract | 102/102 | Oral nutritional supplement (1 000 mL/d) of a formula enriched with arginine, ω-3 fatty acids, and RNA for 5 d before the operation | Standard care | 30 d after discharge | ①②⑤ ⑥ |
BRAGA, 2002[22] | Adults, elective surgery for gastroin-testinal neoplasm, body weight loss of 10% or more within 6 months before entry | 50/50 | Oral nutritional supplement (1 000 mL/d) added to normal diet for 7 d consecutively before the surgery | Normal diet | 30 d after discharge | ①②⑤ ⑥ |
KABATA, 2015[23] | Adults, elective, radical gastroin-testinal and abdominal cancer surgery | 54/48 | Oral nutritional supplement (400 mL/d) added to normal diet for 14 d consecutively before the surgery | Normal diet | 30 d postoper-ative | ①⑤⑥ |
BARKER, 2013[24] | Adults, elective upper and lower gastrointestinal surgery | 46/49 | Three packs of 237 mL of oral nutritional supplement per day for 5 d before the surgery | Standard care | 30 d postoper-ative | ①②⑤ ⑥ |
BERKEL, 2022[25] | ≥60 years, elective surgery for colon or rectal neoplasm | 28/29 | A personalized 3-week (3 sessions per week, 9 sessions in total) supervised exercise program | Standard care | 90 d postoper-ative | ①②⑥ |
HUANG, 2014[26] | Adults, elective, radical gastroin-testinal, cancer surgery | 41/41 | Oral nutritional supplement (25 mL/kg) for 7 d before the surgery | Normal diet | Before discharge | ①②⑥ |