What are the barriers to the completion of a home-based rehabilitation programme for patients awaiting surgery for lung cancer: a prospective observational study

Catho, Héloïse; Guigard, Sébastien; Toffart, Anne‐Claire; Frey, Gil; Chollier, Thibaut; Brichon, Pierre-Yves; Roux, Jean‐François; Sakhri, L.; Bertrand, Dominique; Aguirre, Charles; Gorain, Sandy; Wuyam, Bernard; Arbib, François; Borel, Jean Christian

doi:10.1136/bmjopen-2020-041907

Cited by 3 publications

(1 citation statement)

References 35 publications

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“…Further studies are needed to investigate the impact of health care non-take-up on initial PAP refusal and early PAP termination. Secondly, the present results did not consider comorbidities and polypharmacy that may be associated with healthcare non-take-up and PAP adherence (38). Finally, our study allowed to compare the healthcare nontake-up profile between the CFR and OSAS population using an explanatory exploratory approach.…”

Section: Discussionmentioning

confidence: 97%

Impact of Healthcare Non-Take-Up on Adherence to Long-Term Positive Airway Pressure Therapy

Daabek

Tamisier

Foote

et al. 2021

Front. Public Health

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Background: The effectiveness of positive airway pressure therapies (PAP) is contingent on treatment adherence. We hypothesized that forgoing healthcare may be a determinant of adherence to PAP therapy.Research Question: The objectives were: (i) to assess the impact of forgoing healthcare on adherence to PAP in patients with Chronic Respiratory Failure (CRF) and patients with Obstructive Sleep Apnea Syndrome (OSAS); (ii) to compare forgoing healthcare patterns in these two chronic conditions.Study design and methods: Prospective cohort of patients with OSAS or CRF, treated with PAP therapies at home for at least 12 months. At inclusion, patients were asked to fill-in questionnaires investigating (i) healthcare forgone, (ii) deprivation (EPICES score), (iii) socio-professional and familial status. Characteristics at inclusion were extracted from medical records. PAP adherence was collected from the device's built-in time counters. Multivariable logistic regression models were used to assess the associations between healthcare forgone and the risk of being non-adherent to CPAP treatment.Results: Among 298 patients included (294 analyzed); 33.7% reported forgoing healthcare. Deprivation (EPICES score > 30) was independently associated with the risk of non-adherence (OR = 3.57, 95%CI [1.12; 11.37]). Forgoing healthcare had an additional effect on the risk of non-adherence among deprived patients (OR = 7.74, 95%CI [2.59; 23.12]). OSAS patients mainly forwent healthcare for financial reasons (49% vs. 12.5% in CRF group), whereas CRF patients forwent healthcare due to lack of mobility (25%, vs. 5.9 % in OSAS group).Interpretation: Forgoing healthcare contributes to the risk of PAP non-adherence particularly among deprived patients. Measures tailored to tackle forgoing healthcare may improve the overall quality of care in PAP therapies.Clinical Trial Registration: The study protocol was registered in ClinicalTrials.gov, identifier: NCT03591250.

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Section: Discussionmentioning

confidence: 97%

Impact of Healthcare Non-Take-Up on Adherence to Long-Term Positive Airway Pressure Therapy

Daabek

Tamisier

Foote

et al. 2021

Front. Public Health

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Access, acceptance and adherence to cancer prehabilitation: a mixed-methods systematic review

Watts,

Courtier,

Fry

et al. 2024

J Cancer Surviv

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Purpose The purpose of this systematic review is to better understand access to, acceptance of and adherence to cancer prehabilitation. Methods MEDLINE, CINAHL, PsychINFO, Embase, Physiotherapy Evidence Database, ProQuest Medical Library, Cochrane Library, Web of Science and grey literature were systematically searched for quantitative, qualitative and mixed-methods studies published in English between January 2017 and June 2023. Screening, data extraction and critical appraisal were conducted by two reviewers independently using Covidence™ systematic review software. Data were analysed and synthesised thematically to address the question ‘What do we know about access, acceptance and adherence to cancer prehabilitation, particularly among socially deprived and minority ethnic groups?’ The protocol is published on PROSPERO CRD42023403776 Results Searches identified 11,715 records, and 56 studies of variable methodological quality were included: 32 quantitative, 15 qualitative and nine mixed-methods. Analysis identified facilitators and barriers at individual and structural levels, and with interpersonal connections important for prehabilitation access, acceptance and adherence. No study reported analysis of facilitators and barriers to prehabilitation specific to people from ethnic minority communities. One study described health literacy as a barrier to access for people from socioeconomically deprived communities. Conclusions There is limited empirical research of barriers and facilitators to inform improvement in equity of access to cancer prehabilitation. Implications for Cancer Survivors To enhance the inclusivity of cancer prehabilitation, adjustments may be needed to accommodate individual characteristics and attention given to structural factors, such as staff training. Interpersonal connections are proposed as a fundamental ingredient for successful prehabilitation.

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Current Insights in Nutrition Assessment and Intervention for Malnutrition or Muscle Loss in People with Lung Cancer: A Narrative Review

Kiss

Curtis

2022

Advances in Nutrition

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Up to 70% of people with lung cancer may be affected by cancer-related malnutrition or muscle loss, depending on treatment modality and disease stage. This narrative review explores recent studies on malnutrition and muscle loss as well as nutritional and multimodal interventions to treat these conditions in the context of the changing treatment landscape in lung cancer. Various types of interventions including individualized counselling, protein and other specific nutrient supplementation, as well as multimodal interventions to treat malnutrition and muscle loss have been investigated. Overall, individualized dietary counselling, increasing protein intake and supplementation with omega-3 fatty acids appear to be beneficial for some, albeit varying, patient outcomes. Multimodal interventions, generally including a nutrition and exercise component, show promising results, however the impact on patient outcomes are mixed. A key finding of this review is a lack of large, randomised trials to guide nutrition intervention specifically in people with lung cancer. Despite the high prevalence of malnutrition and muscle loss in people with lung cancer and the known adverse outcomes, current evidence for nutrition intervention is limited. A targeted effort is required to improve the quality of evidence for nutrition intervention in this population to provide support for clinicians to deliver effective nutrition care.

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What are the barriers to the completion of a home-based rehabilitation programme for patients awaiting surgery for lung cancer: a prospective observational study

Cited by 3 publications

References 35 publications

Impact of Healthcare Non-Take-Up on Adherence to Long-Term Positive Airway Pressure Therapy

Impact of Healthcare Non-Take-Up on Adherence to Long-Term Positive Airway Pressure Therapy

Access, acceptance and adherence to cancer prehabilitation: a mixed-methods systematic review

Current Insights in Nutrition Assessment and Intervention for Malnutrition or Muscle Loss in People with Lung Cancer: A Narrative Review

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