Standards for reporting research methods, interventions, and Outcomes in Surgical Prehabilitation studies (SOS-Prehab).

IF 9.4 1区医学 Q1 SURGERY

British Journal of Surgery Pub Date : 2026-03-04 DOI:10.1093/bjs/znaf302

Chelsia Gillis,Daniel I McIsaac,Daniel Santa Mina,Stéphanie Chevalier,Gabriele Baldini,Francesco Carli,Celena Scheede-Bergdahl,Linda Edgar,Vanessa Smrk,Leah Avery,Amal Bessissow,Miquel Coca Martinez,Robert Copeland,Susanne Oksbjerg Dalton,Gerad Danjoux,Linda Denehy,Dominique Engel,Chloe Grimmett,Michael P Grocott,Heather L Gill,Sandy Jack,Bente Thoft Jensen,Denny Levett,Graciela Martinez-Palli,Zoe Merchant,John Moore,Nicolò Pecorelli,Ian Randall,Bernhard Riedel,Geoff Schierbeck,Gerrit Slooter,Malcolm West,Julio F Fiore,

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引用次数: 0

Abstract

BACKGROUND Prehabilitation, a process of building physiological reserve before surgery to improve postoperative outcomes, is a complex, multimodal intervention that requires rigorous evaluation in clinical trials. Incomplete reporting by such trials obscures essential intervention components and delivery contexts, hindering comparability and interpretability. This, in turn, limits clinical implementation and the replication or refinement of interventions by researchers. The aim of this study was to develop a reporting checklist for RCTs of prehabilitation. METHODS A modified two-round Delphi process using the EQUATOR framework with 53 international experts across exercise, nutrition, psychological, and perioperative care disciplines was conducted. An initial checklist of candidate items was adapted from existing reporting standards, contextualized for prehabilitation, and iteratively refined through expert voting. Items rated eight to nine on a nine-point scale by ≥70% of participants in round two were classified as 'essential' and those rated seven were considered 'important'. RESULTS The final checklist comprised 40 items. Sixteen items were classified as 'essential' and 24 items were classified as 'important' for guiding comprehensive reporting of prehabilitation interventions. These items span key domains including intervention components, delivery methods, adherence, participant characteristics, and outcome measures. High agreement among experts underscores the checklist's relevance and usability. CONCLUSION Adoption of Standards for reporting research methods, interventions, and Outcomes in Surgical Prehabilitation studies (SOS-Prehab), alongside methodological and outcome-reporting items of CONSORT could improve transparency, completeness, and interpretability of prehabilitation trials. This could enable better reproducibility, robust evidence synthesis, and accelerate translation into clinical practice and policy.

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手术预康复研究（SOS-Prehab）的研究方法、干预措施和结果报告标准。

术前康复是在手术前建立生理储备以改善术后预后的过程，是一项复杂的多模式干预措施，需要在临床试验中进行严格的评估。这些试验的不完整报告模糊了基本干预成分和提供环境，妨碍了可比性和可解释性。这反过来又限制了临床实施以及研究人员对干预措施的复制或改进。本研究的目的是为康复前的随机对照试验制定一份报告清单。方法采用EQUATOR框架，与53名来自运动、营养、心理和围手术期护理学科的国际专家进行改进的两轮德尔菲过程。候选项目的初始清单是根据现有的报告标准改编的，为预康复设定了背景，并通过专家投票进行了迭代改进。在第二轮测试中，有70%以上的参与者将评分为8到9分的项目归类为“必要”，而评分为7分的项目被认为是“重要”。结果最终的检查表包括40个项目。16个项目被归类为“基本”，24个项目被归类为“重要”，以指导康复干预措施的综合报告。这些项目跨越关键领域，包括干预成分、交付方法、依从性、参与者特征和结果测量。专家之间的高度一致强调了检查表的相关性和可用性。结论采用外科预康复研究的研究方法、干预措施和结果报告标准（SOS-Prehab），以及CONSORT的方法学和结果报告项目，可以提高预康复试验的透明度、完整性和可解释性。这可以实现更好的可重复性，可靠的证据合成，并加速转化为临床实践和政策。

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来源期刊

British Journal of Surgery 医学-外科

CiteScore

12.70

自引率

7.30%

发文量

1102

审稿时长

1.5 months

期刊介绍： The British Journal of Surgery (BJS), incorporating the European Journal of Surgery, stands as Europe's leading peer-reviewed surgical journal. It serves as an invaluable platform for presenting high-quality clinical and laboratory-based research across a wide range of surgical topics. In addition to providing a comprehensive coverage of traditional surgical practices, BJS also showcases emerging areas in the field, such as minimally invasive therapy and interventional radiology. While the journal appeals to general surgeons, it also holds relevance for specialty surgeons and professionals working in closely related fields. By presenting cutting-edge research and advancements, BJS aims to revolutionize the way surgical knowledge is shared and contribute to the ongoing progress of the surgical community.