The usefulness of preoperative exercise therapy in patients scheduled for lung cancer surgery;
| Autor: | Sjaak Pouwels, Ghada M. Shahin, Joost F. ter Woorst, Martijn A. Spruit, Frank W.J.M. Smeenk, Besir Topal, Marc P. Buise |
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| Přispěvatelé: | Pulmonologie, RS: NUTRIM - R3 - Respiratory & Age-related Health, Onderwijsontw & Onderwijsresearch, RS: SHE - R1 - Research (OvO), Onderwijs instituut FHML |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Lung Neoplasms RESECTION Pain medicine Physical fitness Preconditioning 03 medical and health sciences 0302 clinical medicine Quality of life QUALITY-OF-LIFE Surveys and Questionnaires Preoperative Care Humans Medicine 030212 general & internal medicine Preoperative exercise therapy Survey Exercise Pulmonologists Neoplasm Staging Netherlands Surgeons Response rate (survey) ABDOMINAL AORTIC-ANEURYSM RISK REPAIR Lung cancer surgery OUTCOMES business.industry Nursing research MORTALITY Thoracic Surgery Neoadjuvant Therapy Exercise Therapy Oncology 030220 oncology & carcinogenesis Quality of Life Physical therapy Female business Risk assessment PULMONARY REHABILITATION |
| Zdroj: | Supportive Care in Cancer, 28(4), 1983-1989. Springer, Cham |
| ISSN: | 1433-7339 0941-4355 |
| Popis: | Background Preoperative exercise training (PET) studies show promising results in various patient populations. However, the lack of standardised programmes and uniformity in practice guidelines are barriers for implementation. Aim of this study was to assess the current opinions of pulmonologists and cardiothoracic surgeons on the clinical applicability of PET in patients scheduled for lung cancer surgery. Methods Dutch pulmonologists and cardiothoracic surgeons were asked to complete a 29-question survey regarding PET as an additional option to further optimise the health status of patients scheduled for lung cancer surgery. Results In total, 47 respondents (63% response rate), including 30 pulmonologists and 11 cardiothoracic surgeons and 6 residents in training completed the survey. A vast majority of the respondents had a positive attitude towards PET. Home-based exercise was considered less useful, as well as unsupervised exercise. Patient's motivation, improvements in physical capacity and quality of life, and lifestyle adjustments are important factors for the success of PET. The programme should at least contain inspiratory muscle training (95.7%), lifestyle interventions (95.7%), and supervised exercise training (91.5%). Cardiac and pulmonary risk assessment and medication assessment and optimisation were found less important. Conclusion Among pulmonologists and cardiothoracic surgeons, there is a tendency that PET can be a valuable addition to the perioperative care of lung surgery patients. Points of discussion are the contents of PET programmes, and there seems to be a lack of awareness among chest physicians. |
| Databáze: | OpenAIRE |
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