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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Jan 27, 2026; 18(1): 114880
Published online Jan 27, 2026. doi: 10.4254/wjh.v18.i1.114880
Published online Jan 27, 2026. doi: 10.4254/wjh.v18.i1.114880
Remote telerehabilitation for frailty management in liver transplant candidates: A feasible yet underutilized strategy
Xu Cui, Department of Pediatric Surgery, Fujian Children’s Hospital (Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gy
Bing-Qian Yin, Liu Chen, Department of Pediatric Surgery, Fujian Children’s Hospital (Fujian Branch of Shanghai Children’s Medical Center), Fuzhou 350001, Fujian Province, China
Co-corresponding authors: Xu Cui and Liu Chen.
Author contributions: Cui X contributed to conceptualization, literature review, writing the original draft, and revising the manuscript; responsible for correspondence; Yin BQ contributed to provided clinical nursing expertise, contributed insights on rehabilitation feasibility and patient adherence, and reviewed the manuscript; Chen L contributed to supervised the study design, critically revised the manuscript for intellectual content, and coordinated correspondence; all authors read and approved the final manuscript. Both Cui X and Chen L are responsible for the academic content and conclusions of this letter.
Supported by Fujian Provincial Science and Technology Innovation Joint Fund Project, No. 2024Y9555; and Fujian Provincial Medical Project for Creating Dual High-Quality Development (High Level and High Standard), No. ETK2025004.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xu Cui, PhD, Department of Pediatric Surgery, Fujian Children’s Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, No. 18 Daoshan Road, Fuzhou 350014, Fujian Province, China. 16802937@qq.com
Received: September 30, 2025
Revised: November 14, 2025
Accepted: December 26, 2025
Published online: January 27, 2026
Processing time: 119 Days and 1.3 Hours
Revised: November 14, 2025
Accepted: December 26, 2025
Published online: January 27, 2026
Processing time: 119 Days and 1.3 Hours
Core Tip
Core Tip: This letter commends Loschi et al’s tele-rehabilitation study for frail cirrhotic transplant candidates (low-resource focus, low-tech cost-effectiveness, adherent patient improvements) while noting key challenges (high attrition, unaddressed frailty heterogeneity, lack of real-time biomarkers). It proposes artificial intelligence-driven personalization, wearable applications, and a three-tiered intervention, urging advancement of telehealth to precision care.