This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Critical appraisal on the impact of preoperative rehabilitation and outcomes after major abdominal and cardiothoracic surgery: a systematic review and meta-analysis. Surgery 2020; 167: 540-549.

Published: 25th August 2020

Authors: Kamarajah SK, Bundred J, Weblin J, Tan BHL

Conclusion

The analysis included 61 studies involving 5,921 procedures. Patients who had prehabilitation before major abdominal surgery had reduced rates of overall complications (odds ratio 0.61, 95 per cent confidence interval 0.43 to 0.86, P=0.005), pulmonary complications (0.41, 0.25 to 0.67) and cardiac complications (0.46, 0.22 to 0.96).

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