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Record W4417196679 · doi:10.1503/cjs.010425

Personalized prehabilitation: a health promotion tool to improve surgical outcomes

2025· review· en· W4417196679 on OpenAlexaffvenue
Hamnah Majeed, Ella Sahlas, Nikita Kalashnikov, Francesco Carli

Bibliographic record

VenueCanadian Journal of Surgery · 2025
Typereview
Languageen
FieldMedicine
TopicEnhanced Recovery After Surgery
Canadian institutionsMcGill University Health Centre
Fundersnot available
KeywordsPrehabilitationPerioperativeHealth careMEDLINEPromotion (chess)Health promotionRelevance (law)Perioperative medicine

Abstract

fetched live from OpenAlex

SummaryAdvances in the care of surgical patients emphasize the impact of social determinants of health (e.g., age, gender, income, education) on clinical outcomes and the relevance of personalized perioperative care, which can accelerate recovery and reduce complications. The importance of implementing patient-specific health promotion strategies preoperatively is discussed here, and a personalized prehabilitation paradigm that builds on perioperative practices designed to reduce complications and accelerate recovery within the Enhanced Recovery After Surgery (ERAS) approach is proposed. The selected actionable domains of health determinants in this paradigm highlight strategies to optimize surgical patients' health and well-being, by identifying medical and nonmedical vulnerabilities, with the goal of improving surgical outcomes. This discussion will help centre perioperative optimization through health promotion as a core tenet of surgical care.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.942
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0050.003
Bibliometrics0.0020.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.060
GPT teacher head0.357
Teacher spread0.296 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes2
Has abstractyes

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