Meta-analysis of the impact of prehabilitation on patients undergoing upper gastrointestinal tract tumor surgery

doi:10.5306/wjco.v16.i9.110130

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World Journal of Clinical Oncology

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Meta-Analysis

World J Clin Oncol. Sep 24, 2025; 16(9): 110130
Published online Sep 24, 2025. doi: 10.5306/wjco.v16.i9.110130

Meta-analysis of the impact of prehabilitation on patients undergoing upper gastrointestinal tract tumor surgery

Xiao Shao, Yan-Yan Zhu, Bin Shang, Feng-Juan Cai, Xiao-Yan Wang, Kun Zhou, Cai-Feng Luo

Xiao Shao, Bin Shang, Cai-Feng Luo, School of Medicine, Jiangsu University, Zhenjiang 212000, Jiangsu Province, China

Xiao Shao, Feng-Juan Cai, Endoscopy Center, Jiangsu Province (Suqian) Hospital, Suqian 223800, Jiangsu Province, China

Yan-Yan Zhu, Department of Cerebral Surgery, Affiliated Hospital of Jiangsu University, Zhenjiang 212008, Jiangsu Province, China

Xiao-Yan Wang, Department of Digestive, Jiangsu Province (Suqian) Hospital, Suqian 223800, Jiangsu Province, China

Kun Zhou, Department of Oncology, Nanjing Drum Tower Hospital Group Suqian Hospital, The Affiliated Suqian Hospital of Xuzhou Medical University, Suqian 223800, Jiangsu Province, China

Co-first authors: Xiao Shao and Yan-Yan Zhu.

Author contributions: Shao X, Zhu YY, and Luo CF conceptualized and designed the research study, and drafted the initial manuscript; Shao X and Zhu YY contributed equally to this article, and are co-first authors of this manuscript; Shang B and Cai FJ contributed to data acquisition; Wang XY and Zhou K conducted data analysis and carried out visual processing; and all authors have contributed to the article, reviewed the final manuscript, and collectively take responsibility for all aspects of the research.

Supported by Key Project of Jiangsu Provincial Health (ZD2022052).

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.

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: Cai-Feng Luo, MD, PhD, School of Medicine, Jiangsu University, No. 3 Yizheng Road, Zhenjiang 212000, Jiangsu Province, China. lcf01051@163.com

Received: May 30, 2025
Revised: June 24, 2025
Accepted: August 25, 2025
Published online: September 24, 2025
Processing time: 117 Days and 0.1 Hours

Core Tip

Core Tip: This meta-analysis evaluates the impact of prehabilitation-a multidisciplinary intervention including exercise, nutrition, and psychological support-on patients undergoing upper gastrointestinal cancer surgery. Prehabilitation significantly improved functional status, reduced postoperative complications and mortality, and shortened hospital stays. No significant improvement was observed in nutritional indicators or intensive care unit stay. These findings support integrating prehabilitation into perioperative care for upper gastrointestinal cancer, although further high-quality trials are warranted to refine protocols and assess psychological and nutritional outcomes.