Expert Consensus on Self-Reported Physical, Nutritional, and Psychological Screening Tools for Prehabilitation in Gastrointestinal Cancer Surgery: An International Delphi Study

作者：Jack Reeves, Sascha Karunaratne, Kate Alexander, Alexandria Paige Petridis, Sharon Carey, Haryana M. Dhillon, Linda Denehy, Michael Solomon, Bernhard Riedel, Cherry Koh, Kate McBride, Chelsia Gillis, Kate White, Nicholas G. Hirst, Zaid Shadid, Ishraque Rahman, Neil Pillinger, Daniel Steffens, Global (P)rehabilitation Initiative Collaborative Group, Abdalla Mohamed Hadhoud, Abdelatte Ghanam, Abdelilah Ghannam, Abdelmoiz Mohamed, Abdelrahim Ahmed, Abdelrahman Mohamedali, Abdirahman Osman, Abdulaleem A. Esmail, Abdulhamid Shaban, Abdulrahman Mohammed, Abdulzahra Hussain, Abdullah Al-Mehdhar, Abdullah Alyami, Achraf Drissi-El-Bouzaidi, Aeshah Alqathafi, Ahmed Ahmayda, Ahmed Elsayed Tharwat Abdelsalam, Ahmed Ibrahim MohamedMohamed, Ahmed Musbah, Ahmed Shoman, Ahmed A. Wahaballah, Aiman Al-Touny, Aiman Hussien, Akrem Amer, Amina Houmada, Amr Badawy, Andrea B. Maier, Andreas Denys, Andrew Davies, Angel Becerra-Bolaños, Angela Jerath, Anjum Khan Joad, Anthony Ray Absalom, Areej Ahmed Al-Qaidani, Aras Emre Canda, Ashleigh Maske, AshuSara Mathai, Awab Hamid Eltayeb Hamid, Ayah Attallah, Ayten Saracoglu, Badr Aldeen Al-Tayar, Barbara Sinner, Basantha Kumar Rayani, Behiç Girgin, Bernhard Riedel, Bisher Sawaf, Birgitte Brandstrup, Bodil T. Andersson, Brendan John Moran, Brendon H. Roxburgh, Bruno Romanò, Carol Keen, Catarina Tiselius, Chelsia Gillis, Chloe Grimmett, Christian M. Beilstein, Cindy B. Yeoh, Claus Anders Bertelsen, Dario Baratti, Darren Au, David Clark, Declan Dunne, Denny Z H Levett, Despoina Liotiri, Dimitrios Schizas, Dominique A. Engel, Dorian Krsul, Edoardo Virgilio, Ebrahim Ali Mohammed Amrein, Eleni Kitsou, Elharith Abduelfattah Gaber Mohammed, Εlissavet Anestiadou, Emily Traer, Engy Elkoury, Enrique Alday Muñoz, Erik Nordenström, Erdinç Kamer, Eslam Elshenawy, Ewen Munro Harrison, Fabio Ausania, Fadwa Fuad Abdulwahid Mansoor, Fatima Elmobark, Fernando Arduini, Fevzi Cengız, Francesk Mulita, Francesco Mongelli, Francesco Pata, Frank A. Frizelle, Frederik Berrevoet, Gabrielle H. van Ramshorst, Gianluca Pellino, Gráinne Sheill, Gregg Nelson, Hadeer Alsadeg Mohammed, Hande Gurbuz, Hans D. De Boer, Hamid Aslami, Hamza Elhamzaoui, Hashem Abdulaziz Abu Serhan, Haidara Bohsas, Heleen Driessens, Helena Pereira, Helmut Raab, Iacopo Cappellini, Ian M. Randall, Ianthe J. Boden, Ileana Lulić, Ilenia Merlini, Ina Ismiarti Shariffuddin, Jakub Chmelo, J. W. Durrand, Janine Bothe, Jason Park, Jayson M. Moloney, Jenelle M. Loeliger, Jonathan Hardman, Joost Klaase, Jose Ignacio Garcia-Sanchez, Julia A. Dubowitz, Julie Hallet, Junichiro Kawamura, Jyotirmay Kirtania, Kari A. Clifford, Kariem El-Boghdadly, Kate McBride, Khaled M. Abdelwahab, Khalid Osman Mohamed, Kheng‐Seong Ng, Khloud Ali M. Dahan Saeed, Kimberley Bostock, Kilian Brown, Kristy-Lee Raso, Kyrillos Nassim, Kylie N. Hill, Kwong Weng Loh, Lara Edbrooke, Laura Lorenzon, Lewis Matthews, Linda A. Antonucci, Linda Edgar, Lissa M. Spencer, Louise K. Brennan, Magdalena Sielewicz, Magdalena Taube, Mahmoud Abdelnasser Eissa, Majd Chaaban, Malcolm West, Malak Ghemmeid, Malek Balkhi, Manazir Athar, Marc D. Pocard, Marc Van De Velde, Marco Sparavigna, Marcos Gómez Ruiz, Marie‐Louise Lydrup, María García Nebreda, Marta Ubré, Massimo Falconi, Michael Hii, Michael Kelly, Miguel Leon-Arellano, Moataz Maher Emara, Mohamed Al Gharyani, Mohamed Alsori, Mohamed Gamal Elbahnasawy, Mohamed Fouad Abdrabo, Mohamed Ghula, Mohamed Said, Mohamed Sherif Ali Ahmed, Mohammed Abdallah Mohammed Kheer Almotaared, Mohammed Al-Shehari, Mohammed Anass Majbar, Mohammed Izzaldin, Mohammed Omar, Mohammed Sarhan Alkhallatee, Mogahid Ahmed, Momin Majed Yousuf Hilles, Mostafa H. Algabri, Moyasar Awad, Msara Haider, Muhamad Kanjo, Nada Wd Badr, Nader Hanna, Nassila Krita, Natasa Kovac, Neil Pillinger, Nermina Rizvanović, Nivedhyaa Srinivasaraghavan, Nurhilal Kiziltoprak, Orestis Ioannidis, Omar Ahmed Abdelwahab, Osman Osman, Oumayma Lahnaoui, Pankaj Roy, Pamela N. Klassen, Patrice Forget, Patricia A. Sylla, Paul Anthony Sutton, Paweł Kabata, Paweł Mroczkowski, Per Johan Nilsson, Petra Bor, Peter M. Ihnat, Peter G. Noordzij, Peter Paal, Philip H. Pucher, Piotr Major, Qiang Wang, Rafat Muharam, Raquel Alvarez, Rasha Shrayyef, Rashed Alweshah, Reham Atef Zaki Mohamed, Rhonda Farrell, Riccardo Caruso, Riyadh Ramadhan Ikreedeegh, Robert Arnold, Roberto Falz, Rohan Miegel, Rosalia Navarro-Perez, Ross Dean Dolan, Safia Adem, Saleem Ahmed, Sami Sannoufa, Sandra Auld, Sara S. Elsheikh, Sarah Abdelmohsen, Sarah Braungart, Saša Rajšić, Sawsan Ismail, Semra Demirli Atici, Seymanur Altintas Filizoglu, Shannon Philp, Sharon Carey, Shelby D. Yaceczko, Simone Manfredelli, Sorrel T. Burden, Sophie Hogan, Stefano Mancin, Styliani Apostolaki, Susana González-Suárez, Talat Ahmed Abu Salem, Tania Triantafyllou, Tarik Sammour, Tim Bright, Tom Parkington, V.B. Gorey, Vasileios Mousafeiris, Varut Lohsiriwat, Victor Zaydfudim, Walter R. Frontera, Walid Ibrahim, Waled Aljbali, Wilton A. van Klei, Yasemin Yıldırıms, Yousef Abo Alsoud, Zakaria Houssain Belkhadir, Abdurrahman Haddud, Abubkr Elbushary, Ahmed Mohieldin Ahmed Abdalla, Alessio Biagio Filippo Giordano, Alexander G. Heriot, Alexander W. Phillips, Alexey Ovezov, Alfredo Annicchiarico, Algazali Abdelrahman Ahmed Jadalla, Ali Elhadidy, Alice Jay, Alison Jackson, Almu’atasim Khamees, Amanh Hussien, Amine Souadka, Amr Al Hammoud, André Torbey, Anton Burlaka, Aurélien Venara, Bashir Albakosh, Brahim El Ahamdi, Cillian Clancy, Claire Hackett, Cristina Petrisor, Daniel Santa Mina, Evgenia Mela, Hajer Alsadeg Mohammed, Ian Daniels, Julio Mayol, June Davis, Kelcie Cole, Kemal Tolga Saracoglu, Ker‐Kan Tan, Khabab Abbasher Hussien Mohamed Ahmed, Liane Feldman, Mohamed Attia Elfadali, Mohammad Badr Almoshantaf, Mohammed Babikir, Moise Alida, Osama Mohamed, Padraig Buggy, Pierre‐Grégoire Guinot, Ragdah Mohammed, Rajeswari Alagirimunuswamy, Rand AlShrbaji, Rayan Wedatalla, Selman Sökmen, Shady Abdo Saad Ramadan, Sohaib Hasan Abdullah Ezzi, Soumia Bechka, Stephanie Castagnini, Wafaa Abdel-Elsalam · 发表于：Annals of Surgical Oncology · 年份：2026 · DOI：10.1245/s10434-026-19356-z · 被引用次数：3 · 研究领域：Enhanced Recovery After Surgery、Nutrition and Health in Aging、Stoma care and complications

BACKGROUND: Prehabilitation can decrease postoperative complications and enhance recovery for people with gastrointestinal cancer. Preoperative screening may identify individuals at highest risk of poor postoperative outcomes, enabling targeted and tailored interventions. Despite this, optimal tools for screening patients before surgery remain unclear. This Delphi study sought to achieve international consensus on appropriate screening tools to identify patients at increased risk of postoperative complications before undergoing gastrointestinal cancer surgery. METHODS: A three-round iterative Delphi survey was distributed to a global multidisciplinary network of prehabilitation experts. Respondents were asked to rate screening tools, identified through a scoping review, on a 5-point Likert scale based on the appropriateness of their use for adult patients undergoing gastrointestinal cancer surgery. The screening tools were categorized as evaluating either physical, nutritional, or psychological domains. A consensus criterion was applied in the second and third rounds, which required ≥ 70% of respondents to rate a given tool as ≥ 4 for it to proceed to future rounds. RESULTS: Overall, 308 self-nominated prehabilitation experts rated the screening tools. Of 26 screening tools (including 9 physical, 7 nutritional, and 10 psychological), consensus was achieved for three physical, three nutritional, and four psychological tools. CONCLUSION: Based on Delphi consensus of global preh...