European Society of Organ Transplantation (ESOT) Consensus Statement on Prehabilitation for Solid Organ Transplantation Candidates.

Fabienne Dobbels, Diethard Monbaliu, Sharlene Greenwood, Dmytro Koval, Colin White, Victor Lopez-Lopez, Michael Perch, Peter Girman, Anna Mrzljak, Justyna Gołębiewska, Pisana Ferrari, Coby Annema, Christophe Matthys, Maria Jose Perez Saez, Evangelia Kouidi, Sunita Mathur, Tania Janaudis-Ferreira, Joost M Klaase, Yasna Overloop, Ellen M Castle, Stefan De Smet

Journal: Transplant international : official journal of the European Society for Organ Transplantation 2023;36():11564

PMID: 37547750

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Abstract

There is increasingly growing evidence and awareness that prehabilitation in waitlisted solid organ transplant candidates may benefit clinical transplant outcomes and improve the patient's overall health and quality of life. Lifestyle changes, consisting of physical training, dietary management, and psychosocial interventions, aim to optimize the patient's physical and mental health before undergoing surgery, so as to enhance their ability to overcome procedure-associated stress, reduce complications, and accelerate post-operative recovery. Clinical data are promising but few, and evidence-based recommendations are scarce. To address the need for clinical guidelines, The European Society of Organ Transplantation (ESOT) convened a dedicated Working Group "Prehabilitation in Solid Organ Transplant Candidates," comprising experts in physical exercise, nutrition and psychosocial interventions, to review the literature on prehabilitation in this population, and develop recommendations. These were discussed and voted upon during the Consensus Conference in Prague, 13-15 November 2022. A high degree of consensus existed amongst all stakeholders including transplant recipients and their representatives. Ten recommendations were formulated that are a balanced representation of current published evidence and real-world practice. The findings and recommendations of the Working Group on Prehabilitation for solid organ transplant candidates are presented in this article.

Copyright © 2023 Annema, De Smet, Castle, Overloop, Klaase, Janaudis-Ferreira, Mathur, Kouidi, Perez Saez, Matthys, Dobbels, Ferrari, Gołębiewska, Mrzljak, Girman, Perch, Lopez-Lopez, White, Koval, Greenwood and Monbaliu.

Address: Section of Nursing Science, Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.; Group Rehabilitation for Internal Disorders, Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium.; Nephrology and Renal Transplantation, Department of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.; Laboratory of Abdominal Transplantation, Department of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.; Physiotherapy, Department of Health Sciences, College of Health, Medicine and Life Sciences, Brunel University London, London, United Kingdom.; Department of Endocrinology, University Hospitals Leuven, Leuven, Belgium.; Section of Hepatobiliary Surgery & Liver Transplantation, Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.; Respiratory Epidemiology and Clinical Research Unit, Centre for Outcomes Research and Evaluation, Research Institute of McGill University Health Centre, Montreal, QC, Canada.; School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.; School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.; Laboratory of Sports Medicine, Department of Physical Education and Sports Science, Aristotle University of Thessaloniki, Thessaloniki, Greece.; Kidney Transplant Program, Hospital del Mar, Barcelona, Spain.; Clinical and Experimental Endocrinology, Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium.; Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium.; Associazione Italiana Ipertensione Polmonare (AIPI), Bologna, Italy.; Department of Nephrology, Transplantology and Internal Medicine, Medical University of Gdańsk, Gdańsk, Poland.; Liver Transplant Center, University Hospital Center Zagreb, School of Medicine, University of Zagreb, Zagreb, Croatia.; Diabetes Center, Institute for Clinical and Experimental Medicine, Prague, Czechia.; Section of Lung Transplantation, Department of Cardiology, Rigshospitalet, Copenhagen, Denmark.; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.; Department of General, Visceral and Transplant Surgery, Hospital Clínico y Universitario Virgen de La Arrixaca, Murcia, Spain.; Representative of the European Kidney Patients' Federation, Dublin, Ireland.; Ukrainian Transplant Coordination Center, Specialized State Institution, Kiev, Ukraine.; Renal Medicine and Therapies, King's College Hospital NHS Trust, London, United Kingdom.; Centre for Nephrology, Urology and Transplantation, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.; Transplantoux Foundation, Leuven, Belgium.

DOI: 10.3389/ti.2023.11564

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MeSH Terms: Humans, Quality of Life, Preoperative Exercise, Organ Transplantation