BACKGROUND Prehabilitation is safe, feasible and may improve a range of outcomes in patients with oesophago-gastric cancer (OGC). Recent studies have suggested the potential of prehabilitation to improve body composition, sarcopenia and physical fitness, reduce surgical complications and improve quality of life. Despite this, prehabilitation services are not offered throughout all OGC centres in the UK. Where prehabilitation is offered, delivery and definitions vary significantly, as do funding sources and access. METHODS A professional association endorsed series of consensus meetings were conducted using a modified Delphi process developed by the Peri-Operative Quality Initiative (POQI) to identify and refine consensus statements relating to the development and delivery of prehabilitation services for OGC patients. Participants from a variety of disciplines were identified based on a track record of published studies in the field of prehabilitation and/or practice experience encompassing prehabilitation of OGC patients. Approval from the POQI board was obtained and independent supervision provided by POQI. RESULTS A total of 20 statements were developed and agreed by 26 participants over a preliminary meeting and 2 semi-structured formal POQI meetings. Ten research themes were identified. In the case of one statement, consensus was not reached and the statement was recorded and developed into a research theme. A strong recommendation was made for the majority of the consensus statements (17 of 20). DISCUSSION Consensus statements encompassing the interventions and outcomes of prehabilitation services in oesophago-gastric cancer surgery have been developed to inform the implementation of programmes.

中文翻译：

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大不列颠和爱尔兰上消化道外科协会 （AUGIS）/围手术期质量倡议 （POQI） 关于食管胃手术预康复的共识声明。


背景 预康复是安全、可行的，并且可能改善食管胃癌 （OGC） 患者的一系列结局。最近的研究表明，预康复有可能改善身体成分、肌肉减少症和身体健康，减少手术并发症和提高生活质量。尽管如此，英国并非所有 OGC 中心都提供预康复服务。在提供预康复的地方，交付和定义差异很大，资金来源和获取也是如此。方法 使用围手术期质量倡议 （POQI） 开发的改良 Delphi 流程进行一系列专业协会认可的共识会议，以确定和完善与为 OGC 患者开发和提供预康复服务相关的共识声明。根据预康复领域已发表的研究记录和/或包括 OGC 患者预康复的实践经验，确定了来自不同学科的参与者。已获得 POQI 董事会的批准，并由 POQI 提供独立监督。结果 在一次初步会议和 2 次半结构化正式 POQI 会议中，共有 20 份声明由 26 名参与者制定并同意。确定了 10 个研究主题。在一项声明的情况下，没有达成共识，该声明被记录下来并发展成一个研究主题。对大多数共识声明提出了强烈建议（20 项中的 17 项）。讨论 已经制定了包含食管胃癌手术中预康复服务的干预措施和结果的共识声明，以指导计划的实施。