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Prehabilitation Before Surgery: A (Social) Prescription for Change

      The assessment of fitness for and the prediction of good outcomes after cardiovascular surgery have been long held aspirations of the surgeon. Although many value the “end of the bed test”, frailty is often difficult to quantify. If objective assessments could be performed and recorded more routinely, they would facilitate lasting improvements in surgical decision making. And if poor fitness could be improved before surgery, surgical outcomes would definitely benefit. To date, literature surrounding prehabilitation of patients before aneurysm surgery has been heterogeneous and, despite a number of trials, has failed to show the unequivocal benefit that many believe it can provide. This makes funding and global adoption of prehabilitation programmes difficult to rationalise.
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