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Table 3 Characteristics of the prehabilitation programmes evaluated in the completed economic evaluations

From: Cost-effectiveness of prehabilitation prior to elective surgery: a systematic review of economic evaluations

Study ID, main reference

Type and modalities

Involved health care professionals

Setting

Overall duration, frequency and duration per sessiona

Intensity of exercise trainingb

Evidence-based programme

Programme costs in EUR (2020)

AlShewaier 2016 [37]

Unimodal: exercise (resistance, proprioception and balance)

Physiotherapists

Outpatient—hospital

4 weeks, 3x/week, for 45 min

High

Yes

838

Barberan-Garcia 2019 [38]

Multimodal: counselling/education, exercise (endurance), promotion of physical activity

Specialised physiotherapist

Outpatient—hospital

Individual, but min 4 weeks, 1–3x/week, individual session duration

High

Yes

457

Beaupre 2004 [39]

Multimodal: counselling/education, exercise (resistance)

Physiotherapists

Outpatient—community

4 weeks, 3x/week, individual and progressing session duration

High

No

225

Chen 2022 [40]

Multimodal: exercise (endurance, resistance, disease-specific), nutrition (counselling, supplements), psychosocial (stress management), smoking cessation

Kinesiologist or certified exercise physiologist, dietitian, psychologist

Outpatient—hospital (FBP group), home (HBP group)

Individual; min 2 weeks, 2x/week (FBP), 3–5x/week (HBP), for 60 min

Moderate

Yes

798

Dholakia 2021 [41]

Various (model): smoking cessation, stabilising diseases, nutrition (counselling, supplements), exercise (endurance, resistance, inspiratory muscles), psychosocial (stress management), counselling/education, other (social/financial support)

Variable (model)

Variable (model)

Variable (model)

Not applicable

No

Variable (model)

Englesbe 2017 [29]

Multimodal: promotion of physical activity, exercise (inspiratory muscles), nutrition (counselling), psychosocial (stress management), planning of care, smoking cessation

Not reported

Home

Individual; min 2 weeks, 3-7x/week, individual session duration

Not reported

No

80

Fernandes 2017 [42]

Multimodal: exercise (resistance, proprioception and balance)

Physiotherapists

Outpatient—hospital

Not reported but ‘An attendance of 12 sessions or more was considered good compliance’, implying ≥ 6 weeks, 2x/week, for 60 min

Not reported

No

351 (824 when including patient expenses)

Gao 2015 [43]

Multimodal: exercise (inspiratory muscles, endurance)

Professional therapists

Inpatient

3–7 days, 2x/day, for 50–60 min

Not reported

No

246

Gränicher 2020 [44]

Multimodal: exercise (endurance, stretching and flexibility, resistance; individual exercises when indicated), counselling/education

Physiotherapists

Outpatient—hospital

3–4 weeks, 1.25–3x/week, individual session duration

Low to moderate

No

283

Howard 2019 [30]

Multimodal: promotion of physical activity, exercise (inspiratory muscles), nutrition (counselling), psychosocial (stress management), planning of care, smoking cessation

Not reported

Home

Individual; min 2 weeks, 3–7x/week, individual session duration

Not reported

No

80

Huang 2012 [45]

Multimodal: exercise (resistance), counselling/education

Physiotherapists

Home

4 weeks, 7x/week, for 40 min (first session); remaining sessions individual

Not reported

No

20

Koh 2021 [46]

Multimodal: nutrition (supplements), exercise (resistance), counselling/education, drug evaluation, stabilising diseases

Dieticians, physiotherapists

Outpatient—community, hospitalc

3 weeks, frequency not reported, individual session duration

Not reported

No

Not calculable

Lai 2017 [32]

Multimodal: exercise (inspiratory muscles, endurance)

 

Inpatient

1 week, 3 + 2 + 1/day, for 45–60 min plus breathing exercises

Not reported

No

Not calculable

Lai 2019 [33]

Multimodal: exercise (inspiratory muscles, endurance)

Specialised nurses, physical therapists

Inpatient

1 week, 3 + 1/day, for 30 min plus breathing exercises

Not reported

No

Not calculable

McGregor 2004 [47]

Unimodal: counselling/education, exercise (not specified)

Not reported

Home

1–3 weeksc, unclear frequency, individual session duration

Not reported

No

22

Mouch 2019 [31]

Multimodal: promotion of physical activity, exercise (inspiratory muscles), nutrition (counselling), psychosocial (stress management), planning of care, smoking cessation

Not reported

Home

Individual; min 2 weeks, 3-7x/week, individual session duration

Not reported

No

54

Nguyen 2022 [48]

Multimodal: counselling/education, nutrition (counselling), psychosocial (stress management, anxiety reduction), exercise (resistance, stretching and flexibility, endurance, proprioception and balance)

Physiotherapist, instructor in physical activity, social worker, dietician, psychologist, occupational therapist

Outpatient—hospital, home

8 weeks, 2x/week, for 60 min

Low

Yes

60

Pham 2016 [49]

Multimodal: exercise (stretching and flexibility, resistance, endurance, proprioception and balance), counselling/education

Kinesiologist and/or Human Kinetics graduate student

Outpatient—community

12 weeks, 3x/week, for 40–60 min

Moderate to high

Yes

103

Ploussard 2020 [50]

Multimodal: counselling/education, planning of care, exercise (disease-specific), promotion of physical activity, stabilising diseases, psychological (other), nutrition (counselling, supplements)

Urology nurse, physiotherapist, nurse anaesthetist, oncology nurse specialist, cardiologist (if needed), pneumologist (if needed), psychologist, dietician, urologist

Home

2 weeksc, 2–3x/day, for 1 full day, then individual session duration

Not reported

No

231

Risco 2022 [51]

Multimodal: counselling/education, promotion of physical activity, exercise (endurance, resistance), nutrition (counselling, supplements), psychosocial (anxiety reduction, stress management, other)

Anaesthesiologists, physiotherapists, dietitians, psychologists and nurses

Outpatient—hospital

Min 4 weeks, 2-3x/week, for 47 min (endurance) and individual session duration (strength, physical activity)

High (endurance), moderate (strength)

Yes

445

Tew 2017 [52]

Unimodal: exercise (endurance)

Research nurse, physiotherapist

Outpatient—hospital

4 weeks, 3x/week, for 45 min (after first 3 sessions option to do it in 37 min)

High

Yes

1341

Tveter 2020 [53]

Multimodal: counselling/education, other (assistive devices, orthoses), exercise (stretching and flexibility, resistance)

Occupational therapist

Home

12 weeks, 3x/week, individual session duration

Moderate to high

Yes

Not reported

Van Wijk 2020 [54]

Various (model): not reported, but assumedly: exercisec, promotion of physical activity, nutrition, stabilizing diseases, alcohol cessation, smoking cessation

Variable (model)

Not reported

Variable (model)

Not reported

No information

1446

Wang 2020 [55]

Multimodal: exercise (inspiratory muscles), nutrition (counselling, supplements), counselling/education, planning of care, other (financial/social support)

Physiotherapist, dietician, case manager

Not reported

2–4 weeks, 5x/week, for 30 min plus breathing exercises

Not reported

No

Not reported

Zhou 2017 [34]

Multimodal: exercise (inspiratory muscles, endurance)

Lung cancer nurse specialists, physiotherapists

Inpatient

1 week, 2 + 3 + 1x/day, for 65–70 min

Not reported

No

Not calculable

  1. FBP facility-based prehabilitation, HBP home-based prehabilitation
  2. a Referring to exercise element if multiple modalities
  3. b As judged by an experienced physiotherapist
  4. c Information obtained through author contact