AUTHOR=Annema Coby , De Smet Stefan , Castle Ellen M. , Overloop Yasna , Klaase Joost M. , Janaudis-Ferreira Tania , Mathur Sunita , Kouidi Evangelia , Perez Saez Maria Jose , Matthys Christophe , Dobbels Fabienne , Ferrari Pisana , Gołębiewska Justyna , Mrzljak Anna , Girman Peter , Perch Michael , Lopez-Lopez Victor , White Colin , Koval Dmytro , Greenwood Sharlene , Monbaliu Diethard TITLE=European Society of Organ Transplantation (ESOT) Consensus Statement on Prehabilitation for Solid Organ Transplantation Candidates JOURNAL=Transplant International VOLUME=36 YEAR=2023 URL=https://www.frontierspartnerships.org/journals/transplant-international/articles/10.3389/ti.2023.11564 DOI=10.3389/ti.2023.11564 ISSN=1432-2277 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.