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Page 8 of 10 Mohan et al. Hepatoma Res 2020;6:13 I http://dx.doi.org/10.20517/2394-5079.2019.53

financial counselors aim to allow patients to attain financial security through: inpatient bill estimates to
appropriately plan, advice on available financial schemes, subsidies and aid, payment modalities available.

Anesthesiologist
To conduct pre admission anesthesia risk assessment for patient, these are done through pre-anesthetic
clinics in which all pre-operative testing, specialist consultation, nursing and laboratory reviews are
integrated into a one-stop clinic with minimal repeat visits. This has also been shown to reduce overall
[50]
healthcare costs and manpower wastage due to cancellations .

Case manager
To oversee patient journey and ensure seamless process through the ROSE program, e.g., same day
appointment scheduling, etc.

In conclusion, age itself is not a risk factor for inferior peri-operative outcomes of elderly patient
undergoing liver resection. Co-morbidities should be optimized prior to elective surgery. With an ageing
society, prehabilitation has an important and integral role in surgical care. Structured programs involving
multidisciplinary teams are essential to enhance peri-operative outcomes. To increase compliance and
ensure direct oversight of implementation, resources are needed. Further research into the efficacy of
specific prehabilitation regimes is needed to guide patient selection, define best practices and establish the
value of such initiatives.

DECLARATIONS
Authors’ contributions
Conceived of the presented idea: Shelat VG
Wrote the manuscript (under supervision from Shelat VG): Mohan R
Edited and provided critic to the manuscript: Shelat VG
Provided inputs and contributed to final manuscript: Mohan R, Huey CWT, Junnarkar S, Low JK

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
All authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
Not applicable.

Consent for publication
Not applicable.

Copyright
© The Author(s) 2020.

REFERENCES
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