Implementing univerSal TeleprehabiliTation into cAnceR caRe pathwayS (STTARRS Trial): protocol for a hybrid type 1 multi-centre randomised controlled trial and nested sub study

L Denehy; JL Waterland; B Riedel; H Ismail; I Boden; T Spelman; CL Granger; C Hackett; E Laing; A Heriot; H Frawley; C Sinton; S Berney; S Deij; G Chen; V Cavalheri; J Mackney; H O’Shea; T Rollinson; L Shaw; G Prior; T O’Donoghue; L Edbrooke; Ruby Blucher; Annie Collidge; Danielle Dunlop; Hayley Edwards; Sharyn Furze; Paul Gittings; Kirstie Harrison; Gerald Yeo; Sally Rose; Helen Dickson; Stephanie Versaci; Phillip Antippa; Stephen Barnett; Greg Best; David Highton; Ross Kerridge; Maggie Keys; Nika Marcussen; Leena Nagappan; Christopher Slattery

Journal article

Implementing univerSal TeleprehabiliTation into cAnceR caRe pathwayS (STTARRS Trial): protocol for a hybrid type 1 multi-centre randomised controlled trial and nested sub study

L Denehy, JL Waterland, B Riedel, H Ismail, I Boden, T Spelman, CL Granger, C Hackett, E Laing, A Heriot, H Frawley, C Sinton, S Berney, S Deij, G Chen, V Cavalheri, J Mackney, H O’Shea, T Rollinson, L Shaw Show all

BMC Cancer | Springer Science and Business Media LLC | Published : 2026

DOI: 10.1186/s12885-026-16906-2

Open access

Abstract

Abstract Background Postoperative complications are common after major cancer surgeries, occurring in 25–50% of patients. They delay recovery and adversely affect both cancer-free and overall survival. Intervention to optimise patients’ physical and psychological wellbeing before major cancer surgery to improve postoperative outcomes, or prehabilitation, is growing internationally. Patient education is recommended in guidelines to be included in ‘universal prehabilitation’ for all patients. “Surgery School” is a method to deliver patient education, including deep breathing, exercise and healthy eating, but the inclusion and content o..

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