Comparison of health-related quality of life and exercise capacity according to stages in patients with non-small cell lung cancer

Yılmaz, Elvan; Özalevli, Sevgi; Ersöz, Hasan; Yeğin, Ayşe; Önen, Ahmet; Akkoçlu, Atilla

doi:10.5578/tt.5396

Cited by 17 publications

(11 citation statements)

References 30 publications

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“…18 As one might expect, patients with advanced-stage disease have lower lung function, strength, walking distance, and QoL compared with patients with early-stage disease (stages I and II). 72 Similar to perioperative studies, regimens have been diverse. Quist et al 37 developed a regimen of group training (with a physiotherapist) and home training for patients with advanced NSCLC and extensive stage small-cell lung cancer .…”

Section: Exercise In Advanced Diseasementioning

confidence: 99%

Increasing Physical Activity and Exercise in Lung Cancer: Reviewing Safety, Benefits, and Application

Bade

Thomas

Scott

et al. 2015

Journal of Thoracic Oncology

104

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Lung cancer continues to be a difficult disease frequently diagnosed in late stages with a high mortality and symptom burden. In part because of frequent lung comorbidity, even lung cancer survivors often remain symptomatic and functionally limited. Though targeted therapy continues to increase treatment options for advanced-stage disease, symptom burden remains high with few therapeutic options. In the last several decades, exercise and physical activity have arisen as therapeutic options for obstructive lung disease and lung cancer. To date, exercise has been shown to reduce symptoms, increase exercise tolerance, improve quality of life, and potentially reduce length of stay and postoperative complications. Multiple small trials have been performed in perioperative non-small-cell lung cancer patients, although fewer studies are available for patients with advanced-stage disease. Despite the increased interest in this subject over the last few years, a validated exercise regimen has not been established for perioperative or advanced-stage disease. Clinicians underutilize exercise and pulmonary rehabilitation as a therapy, in part because of the lack of evidence-based consensus as to how and when to implement increasing physical activity. This review summarizes the existing evidence on exercise in lung cancer patients.

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Section: Exercise In Advanced Diseasementioning

confidence: 99%

Increasing Physical Activity and Exercise in Lung Cancer: Reviewing Safety, Benefits, and Application

Bade

Thomas

Scott

et al. 2015

Journal of Thoracic Oncology

104

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“…Since patients with advanced-stage lung cancer have a heavier symptom burden, 27 they may have greater improvements with PA interventions. 28 , 29 However, few studies have implemented PA regimens in patients with advanced-stage lung cancer.…”

Section: Discussionmentioning

confidence: 99%

A Patient-Centered Activity Regimen Improves Participation in Physical Activity Interventions in Advanced-Stage Lung Cancer

et al. 2018

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Introduction: Physical activity (PA) is a potential therapy to improve quality of life in patients with advanced-stage lung cancer (LC), but no PA regimen has been shown to be beneficial, clinically practical, and sustainable. We sought to test the hypothesis that a patient-centered activity regimen (PCAR) will improve patient participation and PA more effectively than weekly phone calls. Methods: In patients with advanced-stage LC, we implemented a walking-based activity regimen and motivated patients via either weekly phone calls (n = 29; FitBit Zip accelerometer) or PCAR (n = 15; FitBit Flex, an educational session, and twice-daily gain-framed text messages). Data collection over a 4-week period was compared, and a repeated-measures, mixed-effects model for activity level was constructed. Results: Subjects receiving PCAR more frequently used the device (100% vs 79%) and less frequently had missing data (11% vs 38%). “More active” and “less active” groups were created based on mean step count in the first week. “Less active” patients in the PCAR group increased their PA level, whereas PA level fell in the “more active” group. Most subjects found PCAR helpful (92%) and would participate in another activity study (85%). Discussion: Compared with weekly phone calls, PCAR has higher patient participation, is more likely to improve PA in “less active” subjects, and has high patient satisfaction. A multifaceted PA regimen may be a more efficacious mechanism to study PA in advanced LC. PCAR should be used in a randomized controlled trial to evaluate for improvements in symptom burden, quality of life, and mood.

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“…In addition, patients with other types of chronic respiratory disease are considered for comprehensive pulmonary rehabilitation programmes, as these patients also seem to benefit [1,98,99]. Indeed, patients with chronic respiratory disease other than COPD also suffer from daily symptoms, muscle weakness, exercise intolerance, impaired mood status, poor quality of life and physical inactivity, despite optimal medical treatment [100][101][102][103][104][105][106]. Most of the new studies confirm the positive effects of exercise-based pulmonary rehabilitation in patients with nonsmall cell lung cancer (pre-/post-lung resection) [107][108][109][110][111][112][113][114][115][116][117], chronic respiratory failure due to kyphoscoliosis [118], pre-/post-lung transplantation [119][120][121][122], cystic fibrosis [123], bronchiectasis [124], severe respiratory failure receiving extracorporeal membrane oxygenation [125,126], interstitial lung disease [6,[127][128][129], and pulmonary arterial hypertension [130][131][132].…”

Section: Pulmonary Rehabilitation In Chronic Respiratory Disease Othementioning

confidence: 99%

Pulmonary rehabilitation

Spruit

2014

European Respiratory Review

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Pulmonary rehabilitation is a comprehensive intervention designed to improve the physical and psychological condition of people with chronic respiratory disease and promote the long-term adherence to health-enhancing behaviours. During the 2013 European Respiratory Society Annual Congress in Barcelona, Spain, a Clinical Year in Review session was held focusing on the latest developments in pulmonary rehabilitation. This review summarises some of the main findings of peer-reviewed articles focusing on pulmonary rehabilitation that were published in the 12 months prior to the 2013 Annual Congress. @ERSpublications Pulmonary rehabilitation is an important part of the integrated care of patients with chronic respiratory diseases

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Comparison of health-related quality of life and exercise capacity according to stages in patients with non-small cell lung cancer

Cited by 17 publications

References 30 publications

Increasing Physical Activity and Exercise in Lung Cancer: Reviewing Safety, Benefits, and Application

Increasing Physical Activity and Exercise in Lung Cancer: Reviewing Safety, Benefits, and Application

A Patient-Centered Activity Regimen Improves Participation in Physical Activity Interventions in Advanced-Stage Lung Cancer

Pulmonary rehabilitation

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