A systematic review of exercise and psychosocial rehabilitation interventions to improve health-related outcomes in patients with bladder cancer undergoing radical cystectomy

Abstract

The evidence relating to the effects of exercise in bladder cancer is very limited and is even less for psychosocial interventions.

Supportive interventions to improve physiological and psychological health outcomes among patients undergoing cystectomy: a systematic review

“…Review findings suggest that integrating exercise therapy into the pre- or postoperative care of cystectomy patients could have clinically important benefits for bowel function, physical function, strength/power, mobilisation and QOL but is not always feasible for patients. The findings align with other reviews demonstrating the positive effects of exercise for bladder cancer patients [ 32 ]. Exercise can be challenging for cancer patients and requires careful consideration with respect to patient age and comorbidities [ 18 , 33 ].…”

“…Such outcomes are likely to benefit QOL and positive adjustments with clinical relevance [ 13 ], but are likely to require a longer and more individualised approach than those implemented in the studies included in this review. The findings are consistent with a previous systematic review of exercise and psychosocial rehabilitation interventions to improve health-related outcomes in patients with bladder cancer undergoing radical cystectomy, which found limited evidence for beneficial effects of psychosocial interventions [ 32 ]. Given that poor preoperative mental health has been associated with complications after cystectomy [ 34 ] and postoperative problems can have a significant impact on QOL [ 5 ], assessing perioperative psychological health status could help identify those patients who may be in need of extra support.…”

The most effective physical exercise to reduce burnout syndrome in university students

“…The practice of regular physical exercise has beneficial effects for the integral health of the human being, in the physical sphere (Comin et al, 2018;Liu et al, 2018;Foright et al, 2018;Wiklund, 2016), mental (Colledge et al, 2018;Alonso-Patiño et al, 2013;Revnic et al, 2013) and socio-affective (Baillot et al, 2018;Rammant et al, 2017;Womble et al, 2014).…”

Optimizing cystectomy outcomes

“…According to a meta‐analysis by Tyson and Chang, ERAS protocols have reduced lengths of stay, improved postoperative bowel function, and reduced some (low‐grade) complications, but they have not reduced readmission rates; this confirms the findings of many published single‐institution series around the world. On the heels of ERAS, an explosion of interventions to further reduce complications and prevent readmission have followed: identifying and reducing malnutrition, improving fitness through exercise, targeting mental health and anxiety, and comprehensive programs that target multiple domains (prehabilitation) . Unfortunately, each of these interventions (including ERAS) entail additional information and education on top of an overload of preoperative education that Smith et al have identified as overwhelming for patients.…”