Prehabilitation as a practitioner and a patient | Prehabilitation / EBPOM 2023
Here John Koncelik, Regional Medical Director HCA Healthcare Physician Services Group, West Florida comes to the TopMedTalk table to share his thoughts on the need for prehabilitaiton and the way in which it relates to the wider question of “population health management”. He also chooses to share his recent experiences as a patient in the healthcare system, how that has changed his view and why he’s so proud to work in the industry. If you enjoyed this piece it may interest you to know that John will be sharing more of his personal story with us at the forthcoming Evidence Based Perioperative Medicine (EBPOM) Dingle Conference, tickets are available now: https://ebpom.org/product/ebpom-ireland-2023/
Prehabilitation – evidence over hype | Prehabilitation / EBPOM 2023
The World Congress of Prehabilitation Medicine preceded this year’s Evidence Based Perioperative Medicine (EBPOM). TopMedTalk had an open table and this podcast contains two of the conversations we recorded in between presentations and live streaming. We mention two trials: https://bmjopen.bmj.com/content/13/1/e065992 And: https://clinicaltrials.gov/study/NCT05756283 We hear from, Heather Gill, a vascular surgeon at McGill University and Research Chair for the Canadian Society of vascular surgery, President elect about the wide applicability of prehabilitation balanced against the evidence and Professor Enoch Akowuah, Chair of cardiac surgery at Newcastle University and a consultant cardiac surgeon and at South Tees Hospitals NHS Foundation Trust in the UK.
The International Prehabilitation and Perioperative Exercise Testing Society – IPOETTS | EBPOM World Conference
This podcast is part of the historic meeting which officially announed the merging of the Perioperative Exercise Testing and Training Society (POETTS) and International Prehabilitation Society (IPS) to promote the professional practice of prehabilitatation and exercise testing. Hear how and why the society is moving forward with an international focus and an unmatched passion for prehabilitation. IPOETTS is here: https://ipoetts.org/ This piece is chaired by Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS), Gerrit Slooter, Surgical Oncologist, Maxima Medical Centre, The Netherlands and Gerard Danjoux, consultant in Anaesthesia and Sleep Medicine at South Tees Hospitals NHS Trust, Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton, with questions and comments from the audience. — Denny is a popular name here on TopMedTalk, if you liked this piece why not delve into our extensive free archive – with more presentations here: POETTS – Nutrition and patient living with and beyond cancer – the Macmillan Trust | EBPOM 2021 https://www.topmedtalk.com/poetts-nutrition-and-patient-living-with-and-beyond-cancer-the-macmillan-trust-ebpom-2021/ EBPOM 2020 London | Fit for surgery with Denny Levett https://www.topmedtalk.com/ebpom-2020-london-fit-for-surgery-with-denny-levett-2/
Cognitive Prehabilitation – panel discussion | EBPOM Chicago
This vital discussion brings to the fore the realities of cognitive prehabilitation, what is possible, how do we do it right and why does it work? Linking back to a presentation which we’ve heard earlier on TopMedTalk – https://topmedtalk.libsyn.com/cognitive-prehabilitation-ebpom-chicago?_ga=2.222682203.1756392790.1657624918-966310048.1569589661 – the panel add context and experience to the picture. If you’d like to attend an Evidence Based Perioperative Medicine (EBPOM) conference please follow this link to their site here: www.ebpom.org Chaired by Feyce M. Peralta, obstetrical anesthesiologist, Program Director for the Obstetric Anesthesiology Fellowship and Director of Faculty Development for the Department of Anesthesiology at Northwestern University Feinberg School of Medicine with guest speaker, Michelle Humeidan, Associate Professor, Neuroanesthesiology, Associate Faculty, Institute for Behavioural Medicine Research, Medical Director, Enhanced Surgical Recovery and panelists; Charles Hogue, Professor and Chair of Anesthesiology at Northwestern University in Chicago, Sol Aronson, Professor Emeritus, Duke University, Durham, North Carolina and additional contributions from Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton, Desiree Chappell VP Clinical Quality for NorthStar Anesthesia and Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care.
Cognitive Prehabilitation | EBPOM Chicago
This piece goes over some cognitive risk factors for post op delirium alongside a look at cognitive prehabilitation and a review of the results from an aerobics trial. What are the next steps for future research? This piece was followed by a panel discussion which will be released soon here on TopMedTalk. For more information about Evidence Based Perioperative Medicine (EBPOM) go here www.ebpom.org Presented by Michelle Humeidan, Associate Professor, Neuroanesthesiology, Associate Faculty, Institute for Behavioural Medicine Research, Medical Director, Enhanced Surgical Recovery.
Models of Prehabilitation | EBPOM 2020
This piece is an informative conversation about the models of prehabilitation from a number of different angles. Questions come in from an online audience as our panelists tackle the topic from their respective areas. What are the risks and how are they mitigated? Where does your funding come from and why? How safe is iron for cancer patients? The link to Safe Fit self referal is here: https://www.macmillan.org.uk/cancer-information-and-support/get-help/physical-help/safefit%20#refer_yourself_to_this_service Presented by Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton and Gerard Danjoux, consultant in Anaesthesia and Sleep Medicine at South Tees Hospitals NHS Foundation Trust with their guests John Moore, Clinical Director for Intensive Care at Manchester Royal Infirmary and Medical Lead for Enhanced Recovery After Surgery, Professor Sandy Jack, PhD, Consultant Clinician Scientist in The Anaesthesia and Critical Care Research Unit at University Hospital Southampton NHS Foundation Trust, Honorary Senior Lecturer at the University of Liverpool, University of Southampton and University College London and Rachel Barlow, National Lead, Enhanced Recovery, Prehabilitation and Optimisation, at Cardiff and Vale health board, Wales.
The Business Case for Prehabilitation | EBPOM London
“It was successful early on within the National Health Service.. [because] you could eliminate the cost of some unhelpful, unnecessary tests… referrals to other “-ologists”… in our system that works, because more work is just more work. It’s not more money.” Is the business case for prehabilitation a “slam dunk”, as some enthusiasts claim? If so how do you measure value versus volume, is value always a subjective term and can the balance between the two be addressed? How does the NHS’s “internal market” compare to the US’s fee for service environment? Furthermore, where are the sensible limits of prehabilitation, how far do we take it before we move forward to an operation? This piece has been available to EBPOM London attendees since it was first recorded in the earlier part of the year. For exclusive access to other similar pieces now and in the future please visit www.ebpom.org Presented by Monty Mythen and Kay Mitchell, Senior Research Manager for critical care research, NIHR Biomedical Research Centre, University Hospital Southampton, UK, with their guests, David Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC), Sol Aronson, tenured Professor, Duke University and Jeff Vender, Emeritus, Harris Family Foundation Chairman of the Department of Anesthesiology at NorthShore University Health System, Evanston, Illinois and Clinical Professor at the University Of Chicago Pritzker School Of Medicine in Chicago, Illinois
The Future of Prehabilitation “Standardisation of definitions and outcomes” | EBPOM 2020 London
“The main challenge around the variability in the perioperative period is nomenclature, definitions and standardized endpoints. Well designed and well conducted randomized control trials determine effectiveness to an unbiased comparison of outcomes, events, or endpoints between intervention groups”. If data is destiny it is to this that we must look if we want to understand what the future may hold for prehabilitation. This piece takes a pragmatic approach toward the task of ensuring information and datasets are widely applicable, as free from bias as possible and ultimately standardised by consistent definitions and terminology alongside a methodology which produces clear outcomes. Find out more about the Comet Initiative here: https://www.comet-initiative.org/ Find more about the ‘Standardised Endpoints in Perioperative Medicine-Core Outcome Measures in Perioperative and Anaesthetic Care (StEP-COMPAC) Group’ here: https://www.comet-initiative.org/Studies/Details/1317 Presented by Malcolm West NIHR funded Clinical Lecturer in Surgery and Honorary colorectal surgical specialist registrar at the University of Southampton.
Models of Prehabilitation in Greater Manchester | EBPOM 2020 London
It’s widely understood that high value care during, before and immediately after surgery is optimal whereas poor quality care in the perioperative period produces long term difficulties which are compounded by the acute stresses produced during and immediately after a procedure. This talk covers three main areas; surgical care for patients in Greater Manchester, “ERAS+”; prehabilitation for cancer, for the population of Greater Manchester; how Manchester has supported patients during the time of COVID19. This piece is mentioned in the introduction and serves as a useful compliment to the talk, “Implementing a system-wide cancer prehabilitation programme: The journey of Greater Manchester’s ‘Prehab4cancer’”: https://www.ejso.com/article/S0748-7983(20)30438-8/fulltext Find out more about the work in Greater Manchester here: https://gmcancer.org.uk/our-areas-of-work/prehab4cancer-2/ Also the Perioperative Quality Improvement Programme is here: https://pqip.org.uk/content/home Presented by Dr. John Moore, Clinical Director for Intensive Care at Manchester Royal Infirmary and Medical Lead for Enhanced Recovery After Surgery.
Guidance on prehabilitation for cancer | EBPOM London 2020
This piece looks at the most recent guidance regarding prehabilitation for cancer, developed and published in 2009 by Macmillan Cancer Care. Extremely well received across the UK, and internationally, here we look at the details and some context in terms of UK national policy. From an NHS England point of view the desire is to ensure that all patients and participants have personalized care embedded into everyday NHS services. Work around streamlining multidisciplinary team meetings for cancer include the opportunity to discuss the needs of people with cancer and the importance of preparing people in advance and during treatment. Furthermore you will hear elements of the principles of rehabilitation, as well as the importance of earlier and faster diagnosis, the importance of perioperative medicine and prehabilitation before surgery. Further reading here “Principles and guidance for prehabilitation”: https://www.macmillan.org.uk/about-us/health-professionals/resources/practical-tools-for-professionals/prehabilitation.html Originally part of the hugely successful EBPOM Live from London 2020 conference this piece is nicely complimented by the panel discussion which TopMedTalk has also released free of charge here: https://www.topmedtalk.com/ebpom-london-2020-prehabilitation-update/ Presented by June Davis, Director of Allied Health Solutions, Allied Health Professions Advisor (part time) for Macmillan Cancer Support and a professional advisor to the Care Quality Commission.