PP108 - THE SOS PREHAB CODE: A NEW TRIAGE TOOL INTEGRATING NUTRITION, BODY COMPOSITION, AND LIFESTYLE HABITS FOR BREAST CANCER PATIENTS UNDERGOING SURGERY

PP108

THE SOS PREHAB CODE: A NEW TRIAGE TOOL INTEGRATING NUTRITION, BODY COMPOSITION, AND LIFESTYLE HABITS FOR BREAST CANCER PATIENTS UNDERGOING SURGERY

S. Magno¹, M. M. Rossi^1,*, C. Rossi¹, A. Filippone¹, L. Bizzarri¹, C. Maggiore¹, A. Di Micco¹, L. Forcina¹, G. Franceschini¹

¹Department of women and children health sciences, Fondazione Policlinico A. Gemelli IRCCSGemelli, Rome, Italy

Rationale: Lifestyle habits, including physical activity (PA) and adherence to the Mediterranean Diet (MD), alongside body composition, play a protective role against perioperative complications, recurrence rates, and quality of life in early breast cancer (BC) patients. Unfortunately, these factors are rarely investigated before surgery on a routine basis and a comprehensive risk score is lacking. We propose the “Surgical Overall Score for PREHABilitation” (SOS PREHAB) to address this gap in oncological practice.

Methods: Between March 2023 and December 2025, 1108 non-metastatic BC patients awaiting for surgery at Fondazione Policlinico Gemelli were routinely assessed through questionnaires, anthropometric measurements and bioelectrical impedance analysis (BIA). The SOS PREHAB score (4-9) is calculated by assigning a numerical value to each of the following parameters: comorbidities, body fat mass (FM), body cellular mass/fat free mass ratio (BCM/FFM), PA levels and adherence to MD. Based on the results, we divided patients into three risk classes: CLASS A (scores 4-5); CLASS B (6-8) and CLASS C (9).

Results: According to MEDI-Lite questionnaire, 16% showed low adherence to MD (0-9 Medi-lite score). As regards BIA, the median FM was over the healthy range (36%), while the median BCM/FFM ratio was under the cut-off recommended (45%). According to SOS PREHAB code, 85% resulted in CLASS B that could benefit from a prehabilitation program and 2% in CLASS C (specialistic referral required).

Conclusion: The SOS PREHAB scores indicate that fewer than 15% of patients do not require prehabilitation. Despite this score needs to be validated, it is a promising tool that combines information about patient’s body weight, composition and behaviors, and could represent a valid help in the management of early BC patients.

Disclosure of Interest: None declared