Feasibility of a novel exercise prehabilitation programme in patients scheduled for elective colorectal surgery: a feasibility randomised controlled trial
| Autor: | Leigh A. Madden, Matthew Northgraves, Philip Marshall, John MacFie, John E. Hartley, Lakshmanan Arunachalam, Rebecca V. Vince |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Prehabilitation Timed Up and Go test 030230 surgery law.invention 03 medical and health sciences Postoperative Complications 0302 clinical medicine Quality of life Randomized controlled trial Colorectal surgery law Exercise programme Preoperative Care medicine Humans In patient Postoperative Period Prospective Studies Digestive System Surgical Procedures Aged Aged 80 and over business.industry Length of Stay Middle Aged Combined Modality Therapy Exercise Therapy Test (assessment) Oncology Walk test 030220 oncology & carcinogenesis Quality of Life Physical therapy Feasibility Studies Patient Compliance Original Article Female Colorectal Neoplasms business |
| Zdroj: | Supportive Care in Cancer |
| ISSN: | 1433-7339 0941-4355 |
| DOI: | 10.1007/s00520-019-05098-0 |
| Popis: | Background and objectives To investigate the feasibility of delivering a functional exercise-based prehabilitation intervention and its effects on postoperative length of hospital stay, preoperative physical functioning and health-related quality of life in elective colorectal surgery. Materials and methods In this randomised controlled feasibility trial, 22 elective colorectal surgery patients were randomly assigned to exercise prehabilitation (n = 11) or standard care (n = 11). Feasibility of delivering the intervention was assessed based on recruitment and compliance to the intervention. Impact on postoperative length of hospital stay and complications, preoperative physical functioning (timed up and go test, five times sit to stand, stair climb test, handgrip dynamometry and 6-min walk test) and health-related quality of life were also assessed. Results Over 42% of patients (84/198) screened were deemed ineligible for prehabilitation due to insufficient time existing prior to scheduled surgery. Of those who were eligible, approximately 18% consented to the trial. Median length of hospital stay was 8 [range 6–27] and 10 [range 5–12] days respectively for the standard care and prehabilitation groups. Patterns towards preoperative improvements for the timed up and go test, stair climb test and 6-min walk test were observed for all participants receiving prehabilitation but not standard care. Conclusions Despite prehabilitation appearing to convey positive benefits on physical functioning, short surgical wait times and patient engagement represent major obstacles to implementing exercise prehabilitation programmes in colorectal cancer patients. |
| Databáze: | OpenAIRE |
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