Which patient will weather surgery better, and why?
The patient on the right will have a better outcome!
Based on the images above, the patient on the right likely has a higher BMI but has larger and better quality core muscles. Conversely, the patient on the left, while thinner, is lacking muscle and thus physical reserve to withstand the insult of surgery.
Why is "training" for surgery important?
While not yet a universally embraced concept, prehabilitation activities aim to strengthen and enhance a patient's ability to endure surgery, while also assisting in recovery, thereby lessening length of hospital stay and ultimately reducing costs. MSHOP focuses on moving, relaxing, eating well, and breathing in order to universally prepare patients for surgery!
Four Areas for Improvement = Patient Empowerment!
- Move: Increasing physical activity
- Breathe: Breathing exercise/Smoking cessation
- Eat: Healthy eating before surgery
- Relax: Stress reduction
Does prehabilitation have an impact?
After a successful MSHOP pilot at the University of Michigan Health System, outcomes analysis indicated that there were in fact reductions in both costs and lengths of stay in the MSHOP group versus the control group.
Want to Know More?
While the MSHOP program is focused on delivering a prehabilitation program augmented by cutting-edge technology, under the demonstration grant, Morphomics Analysis will be piloted in the Risk Assessment Tool on a limited set of patients.
Analytic Morphomics was developed at the University of Michigan by Dr. Stewart Wang, and its impact on surgical outcomes has been studied extensively by Dr. Michael Englesbe. By using CT scans to take quantitative measurements of the human body, researchers are able to better predict surgical outcomes. The ultimate goal of this research is to compare these measurements to how well patients perform while undergoing different procedures.
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The project described was supported by Grant Number 1C1CMS331340 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies.