The preoperative level of physical activity is associated to the postoperative recovery after elective cholecystectomy – A cohort study

Onerup, Aron; Angerås, Ulf; Bock, David; Börjesson, Mats; Olsén, Monika Fagevik; Gellerstedt, Martin; Nilsson, Hanna; Haglind, Eva

doi:10.1016/j.ijsu.2015.05.023

Cited by 25 publications

(31 citation statements)

References 31 publications

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“…Interestingly, we found the same results (faster self-assessed physical recovery) in the study of breast cancer patients [33]. In the study on patients with cholecystectomy, we found that regularly active individuals had a higher chance of leaving hospital within 1 day, returning to work within 3 weeks and feeling highly mentally recovered 3 weeks postoperatively, but not of feeling highly physically recovered postoperatively [34]. The lack of difference in mental recovery in cancer patients with different activity habits, as seen in our studies, is interesting.…”

Section: Discussionsupporting

confidence: 77%

“…In two parallel studies on patients planned for elective cholecystectomy and breast cancer surgery, the same questionnaires were used [33,34]. Interestingly, we found the same results (faster self-assessed physical recovery) in the study of breast cancer patients [33].…”

Section: Discussionsupporting

confidence: 67%

“…The answers were dichotomized into highly recovered (75-100 %) and incompletely recovered (0-50 %) for physical and mental recovery, respectively. This question has been used in our parallel studies [33,34].…”

Section: Physical and Mental Recoverymentioning

confidence: 99%

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Is preoperative physical activity related to post-surgery recovery?—a cohort study of colorectal cancer patients

Onerup

Bock

Börjesson

et al. 2016

Int J Colorectal Dis

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Section: Discussionsupporting

confidence: 77%

Section: Discussionsupporting

confidence: 67%

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Is preoperative physical activity related to post-surgery recovery?—a cohort study of colorectal cancer patients

Onerup

Bock

Börjesson

et al. 2016

Int J Colorectal Dis

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“…Answering categories are 0%, 25%, 50%, 75% and 100%. This question has been validated face-to-face and has previously been used in several cohort studies [28–30]. …”

Section: Methodsmentioning

confidence: 99%

“…Patient-reported experienced mental recovery 4 weeks and 12 months post-operatively, used in previous observational cohort studies [28–30]…”

Section: Methodsmentioning

confidence: 99%

The effect of pre- and post-operative physical activity on recovery after colorectal cancer surgery (PHYSSURG-C): study protocol for a randomised controlled trial

Onerup

Angenete

Bock

et al. 2017

Trials

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BackgroundSurgery for colorectal cancer is associated with a high risk of post-operative adverse events, re-operations and a prolonged post-operative recovery. Previously, the effect of prehabilitation (pre-operative physical activity) has been studied for different types of surgery, including colorectal surgery. However, the trials on colorectal surgery have been of limited methodological quality and size. The aim of this trial is to compare the effect of a combined pre- and post-operative intervention of moderate aerobic physical activity and inspiratory muscle training (IMT) with standard care on post-operative recovery after surgery for colorectal cancer.Methods/designWe are conducting a randomised, controlled, parallel-group, open-label, multi-centre trial with physical recovery within 4 weeks after cancer surgery as the primary endpoint. Some 640 patients planned for surgery for colorectal cancer will be enrolled. The intervention consists of pre- and post-operative physical activity with increased daily aerobic activity of moderate intensity as well as IMT. In the control group, patients will be advised to continue their normal daily exercise routine. The primary outcome is patient-reported physical recovery 4 weeks post-operatively. Secondary outcomes are length of sick leave, complication rate and severity, length of hospital stay, re-admittances, re-operations, post-operative mental recovery, quality of life and mortality, as well as changes in insulin-like growth factor 1 and insulin-like growth factor-binding protein 3, perception of pain and a health economic analysis.DiscussionAn increase in moderate-intensity aerobic physical activity is a safe, cheap and feasible intervention that would be possible to implement in standard care for patients with colorectal cancer. If shown to be effective, this lifestyle intervention could be a clinical parallel to pre-operative smoke cessation that has already been implemented with good clinical results.Trial registrationClinicalTrials.gov identifier: NCT02299596. Registered on 17 November 2014.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-1949-9) contains supplementary material, which is available to authorized users.

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Low Preoperative Mental and Physical Health is Associated with Poorer Postoperative Recovery in Patients Undergoing Day Surgery: A Secondary Analysis from a Randomized Controlled Study

2019

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Background Day surgical procedures are increasing both in Sweden and internationally. Day surgery patients prepare for and handle their recovery on their own at home. The aim of this study was to investigate patients' preoperative mental and physical health and its association with the quality of their recovery after day surgery. Method This was a secondary analysis of a randomized controlled trial. Data were collected at four-day surgery units in Sweden. Health-related quality of life was measured using the Short Form 36 (SF-36) Health Survey, and postoperative recovery was assessed using the Swedish web version of the Quality of Recovery (SwQoR) scale. Result This study included 756-day surgery patients. A low, compared with a high, preoperative mental component score was associated with poorer recovery as shown by responses to 21/24 and 22/24 SwQoR items, respectively, on postoperative days (PODs) 7 and 14. A low compared with a high preoperative physical component score was associated with poorer recovery in 18/24 SwQoR items on POD 7 and 13/24 on POD 14. Conclusion A clear message from this study is for surgeons, anaesthetists and nurses to consider the fact that postoperative recovery largely depends on patients' preoperative mental and psychical status. A serious attempt must be made, as a part of the routine preoperative assessment, to assess and document not only the physical but also the mental status of patients undergoing anaesthesia and surgery. Trial registration Clinicaltrials.gov Identifier: NCT0249219.

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The preoperative level of physical activity is associated to the postoperative recovery after elective cholecystectomy – A cohort study

Cited by 25 publications

References 31 publications

Is preoperative physical activity related to post-surgery recovery?—a cohort study of colorectal cancer patients

Is preoperative physical activity related to post-surgery recovery?—a cohort study of colorectal cancer patients

The effect of pre- and post-operative physical activity on recovery after colorectal cancer surgery (PHYSSURG-C): study protocol for a randomised controlled trial

Low Preoperative Mental and Physical Health is Associated with Poorer Postoperative Recovery in Patients Undergoing Day Surgery: A Secondary Analysis from a Randomized Controlled Study

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