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Perioperative physical exercise interventions for patients undergoing lung cancer surgery: What is the evidence?

Surgical resection appears to be the most effective treatment for early-stage non-small cell lung cancer. Recent studies suggest that perioperative pulmonary rehabilitation improves functional capacity, reduces mortality and postoperative complications and enhances recovery and quality of life in op...

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Autores principales: Mainini, Carlotta, Rebelo, Patrícia FS, Bardelli, Roberta, Kopliku, Besa, Tenconi, Sara, Costi, Stefania, Tedeschi, Claudio, Fugazzaro, Stefania
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5077072/
https://www.ncbi.nlm.nih.gov/pubmed/27803808
http://dx.doi.org/10.1177/2050312116673855
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author Mainini, Carlotta
Rebelo, Patrícia FS
Bardelli, Roberta
Kopliku, Besa
Tenconi, Sara
Costi, Stefania
Tedeschi, Claudio
Fugazzaro, Stefania
author_facet Mainini, Carlotta
Rebelo, Patrícia FS
Bardelli, Roberta
Kopliku, Besa
Tenconi, Sara
Costi, Stefania
Tedeschi, Claudio
Fugazzaro, Stefania
author_sort Mainini, Carlotta
collection PubMed
description Surgical resection appears to be the most effective treatment for early-stage non-small cell lung cancer. Recent studies suggest that perioperative pulmonary rehabilitation improves functional capacity, reduces mortality and postoperative complications and enhances recovery and quality of life in operated patients. Our aim is to analyse and identify the most recent evidence-based physical exercise interventions, performed before or after surgery. We searched in MEDLINE, EMBASE, CINAHL, Cochrane Library and PsycINFO. We included randomised controlled trials aimed at assessing efficacy of exercise-training programmes; physical therapy interventions had to be described in detail in order to be reproducible. Characteristics of studies and programmes, results and outcome data were extracted. Six studies were included, one describing preoperative rehabilitation and three assessing postoperative intervention. It seems that the best preoperative physical therapy training should include aerobic and strength training with a duration of 2–4 weeks. Although results showed improvement in exercise performance after preoperative pulmonary rehabilitation, it was not possible to identify the best preoperative intervention due to paucity of clinical trials in this area. Physical training programmes differed in every postoperative study with conflicting results, so comparison is difficult. Current literature shows inconsistent results regarding preoperative or postoperative physical exercise in patients undergoing lung resection. Even though few randomised trials were retrieved, treatment protocols were difficult to compare due to variability in design and implementation. Further studies with larger samples and better methodological quality are urgently needed to assess efficacy of both preoperative and postoperative exercise programmes.
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spelling pubmed-50770722016-11-01 Perioperative physical exercise interventions for patients undergoing lung cancer surgery: What is the evidence? Mainini, Carlotta Rebelo, Patrícia FS Bardelli, Roberta Kopliku, Besa Tenconi, Sara Costi, Stefania Tedeschi, Claudio Fugazzaro, Stefania SAGE Open Med Systematic Review Surgical resection appears to be the most effective treatment for early-stage non-small cell lung cancer. Recent studies suggest that perioperative pulmonary rehabilitation improves functional capacity, reduces mortality and postoperative complications and enhances recovery and quality of life in operated patients. Our aim is to analyse and identify the most recent evidence-based physical exercise interventions, performed before or after surgery. We searched in MEDLINE, EMBASE, CINAHL, Cochrane Library and PsycINFO. We included randomised controlled trials aimed at assessing efficacy of exercise-training programmes; physical therapy interventions had to be described in detail in order to be reproducible. Characteristics of studies and programmes, results and outcome data were extracted. Six studies were included, one describing preoperative rehabilitation and three assessing postoperative intervention. It seems that the best preoperative physical therapy training should include aerobic and strength training with a duration of 2–4 weeks. Although results showed improvement in exercise performance after preoperative pulmonary rehabilitation, it was not possible to identify the best preoperative intervention due to paucity of clinical trials in this area. Physical training programmes differed in every postoperative study with conflicting results, so comparison is difficult. Current literature shows inconsistent results regarding preoperative or postoperative physical exercise in patients undergoing lung resection. Even though few randomised trials were retrieved, treatment protocols were difficult to compare due to variability in design and implementation. Further studies with larger samples and better methodological quality are urgently needed to assess efficacy of both preoperative and postoperative exercise programmes. SAGE Publications 2016-10-19 /pmc/articles/PMC5077072/ /pubmed/27803808 http://dx.doi.org/10.1177/2050312116673855 Text en © The Author(s) 2016 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Systematic Review
Mainini, Carlotta
Rebelo, Patrícia FS
Bardelli, Roberta
Kopliku, Besa
Tenconi, Sara
Costi, Stefania
Tedeschi, Claudio
Fugazzaro, Stefania
Perioperative physical exercise interventions for patients undergoing lung cancer surgery: What is the evidence?
title Perioperative physical exercise interventions for patients undergoing lung cancer surgery: What is the evidence?
title_full Perioperative physical exercise interventions for patients undergoing lung cancer surgery: What is the evidence?
title_fullStr Perioperative physical exercise interventions for patients undergoing lung cancer surgery: What is the evidence?
title_full_unstemmed Perioperative physical exercise interventions for patients undergoing lung cancer surgery: What is the evidence?
title_short Perioperative physical exercise interventions for patients undergoing lung cancer surgery: What is the evidence?
title_sort perioperative physical exercise interventions for patients undergoing lung cancer surgery: what is the evidence?
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5077072/
https://www.ncbi.nlm.nih.gov/pubmed/27803808
http://dx.doi.org/10.1177/2050312116673855
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