Effects of preoperative combined aerobic and resistance exercise training in cancer patients undergoing tumour resection surgery: A systematic review of randomised trials

Piraux, Elise; Caty, Gilles; Reychler, Grégory

doi:10.1016/j.suronc.2018.07.007

Cited by 76 publications

(65 citation statements)

References 51 publications

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“…Clinician-patient communication has shown to have positive effects on outcomes such as patient knowledge and understanding, adherence and better self-care abilities [32]. Prehabilitation is an emerging area of research globally, and several studies have reported positive results on preoperative physical capacity [3,4] and some on postoperative outcomes [1,2]. Recently, suggestions on clinical pathways within the area have been proposed [5,30].…”

Section: Discussionmentioning

confidence: 99%

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Older patients’ attitudes towards, and perceptions of, preoperative physical activity and exercise prior to colorectal cancer surgery—a gap between awareness and action

Karlsson

Dahl

Rydwik

et al. 2019

Support Care Cancer

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Purpose Time for preoperative optimisation prior to colorectal cancer surgery is limited and older people tend to decline exercise interventions. This study sought to describe attitudes towards, and perceptions of, preoperative physical activity and exercise in older people prior to colorectal cancer surgery. Methods This is a qualitative interview study, analysed with inductive content analysis. Seventeen participants scheduled for colorectal surgery were recruited as a purposeful sample from two hospitals in Stockholm, Sweden. Individual semistructured interviews were conducted, face-to-face (n = 8) or by telephone (n = 9). Results Nine participants were male, median age was 75 years (range 70-91). The theme, 'a gap between awareness and action', was identified based on two main categories: 'Attitudes towards preoperative physical exercise have a multifactorial base' and 'Preoperative physical exercise is possible with a push in the right direction'. The material described a gap between awareness of the benefits of physical activity and reports of performing physical activity. The reasons for the gap between thoughts and action in this respect seem to be multifactorial. Support from others emerged as an important possibility for overcoming the gap. Conclusions A gap between the patients' awareness and action appeared in our material. Understanding this can guide healthcare professionals (HCPs) as to the support needed preoperatively. Advice on physical exercise before surgery should be specific, and individually tailored support for action should be offered. This support should also consider the individual's current physical activity and preoperative attitude towards physical exercise.

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Section: Discussionmentioning

confidence: 99%

“…Research indicates that an optimisation of physical capacity prior to surgery might decrease the risk of postoperative complications and functional decline [1][2][3][4][5]. Nevertheless, older people often tend to decline participation and have poor compliance with interventions involving physical exercise [6,7].…”

Section: Introductionmentioning

confidence: 99%

Older patients’ attitudes towards, and perceptions of, preoperative physical activity and exercise prior to colorectal cancer surgery—a gap between awareness and action

Karlsson

Dahl

Rydwik

et al. 2019

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“…Lastly, with improving outcomes of patients diagnosed with lung cancer (in earlier stages through lung cancer screening programmes), rehabilitation programmes in this patient population may need to be further developed. Exercise training can play a role in pre‐operative work‐up (prehabilitation), but particularly after thoracic surgery exercise tolerance and skeletal muscle function are impaired and these patients may benefit from exercise training programmes . While research in these other respiratory conditions is still in its early days, progress can be made rapidly building on the knowledge obtained over decades in COPD.…”

Section: The Future Of Pulmonary Rehabilitationmentioning

confidence: 99%

The past, present and future of pulmonary rehabilitation

et al. 2019

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Abundant evidence supports the use of pulmonary rehabilitation as a treatment for stable and exacerbated chronic obstructive pulmonary disease. Several questions around the science base of rehabilitation in other patient groups as well as the role of rehabilitation as a component in other comprehensive care trajectories remain to be addressed. The impact of a rehabilitation programme could also perhaps be enhanced if clear guidance would be available on how to individualize the components of a rehabilitation programme in individual patients. The rehabilitation community, in an attempt to increase access to programmes, has developed less rigorous interventions. These may serve specific patients (e.g. less severe patients or may be used as a maintenance programme), but in order to have conceptual clarity they should not be called substitutes for rehabilitation if they do not meet the definition of rehabilitation. Reaching clarity on the best format for maintenance programmes in order to achieve long-lasting health benefits for patients is another challenge. Furthermore, as many patients as possible should be referred to adequate rehabilitation programmes within their reach with fair reimbursement. Programmes should take into account the burden of the disease of a patient, the required components to tackle the problems, adequate assessment to document the outcome and the patient's preference. In summary, pulmonary rehabilitation is one of the most potent evidence-based therapies for patients with respiratory diseases. Researchers should continue to fine tune the interventions, get clarity on terminology as well as the ultimate outcomes for rehabilitation to ensure sustainable health effects.

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“…The major interest on this topic of high clinical importance is clearly illustrated by seven very recent systematic reviews and meta-analyses [22,[27][28][29][30][31][32]. Summarizing these results there is significant heterogeneity between studies.…”

Section: Prehabilitationmentioning

confidence: 99%

Is there a rationale for perioperative nutrition therapy in the times of ERAS?

Weimann

2019

Innovative Surgical Sciences

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In order to increase patient compliance in Enhanced Recovery after Surgery (ERAS) programs, assessment and monitoring of functional and nutritional status should be routinely performed. Sarcopenic obesity is frequently underestimated and has been shown to be a significant risk factor for the development of postoperative complications. With special regard to gastrointestinal cancer patients undergoing neoadjuvant treatment, nutritional deficiencies may develop stepwise and increase during therapy. In the case of proven deficits, recent strategies including "prehabilitation" focus on making the patient fit for an ERAS program. Evidence-based guidelines for perioperative nutrition therapy have been available. Zusammenfassung: Auch in Zeiten von ERAS wird die präoperative Erfassung von Ernährungsstatus und Funktionalität mit dem Ziel empfohlen, die Patientencompliance im Programm zu verbessern. Gerade die sarkopene Adipositas wird häufig unterschätzt, hat sich aber als signifikanter Risikofaktor für das Entstehen postoperativer Komplikationen erwiesen. Beim gastrointestinalen Karzinompatienten können sich im Rahmen einer multimodalen Therapie Defizite weiter verstärken, bei deren Vorliegen eine präoperative "Prähabilitation" zu erwägen ist. Unter Einschluss einer Ernährungsintervention zielt die multimodale Prähabilitation auf die Konditionierung für ein ERAS Programm. Evidenz basierte Leitlinien für die perioperative Ernährungstherapie dieser Patienten liegen vor.

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Effects of preoperative combined aerobic and resistance exercise training in cancer patients undergoing tumour resection surgery: A systematic review of randomised trials

Cited by 76 publications

References 51 publications

Older patients’ attitudes towards, and perceptions of, preoperative physical activity and exercise prior to colorectal cancer surgery—a gap between awareness and action

Older patients’ attitudes towards, and perceptions of, preoperative physical activity and exercise prior to colorectal cancer surgery—a gap between awareness and action

The past, present and future of pulmonary rehabilitation

Is there a rationale for perioperative nutrition therapy in the times of ERAS?

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