Abstract:
OBJECTIVE:Prehabilitation is increasingly being used to mitigate treatment-related complications and enhance recovery. An individual's state of health at diagnosis, including obesity, physical fitness and comorbidities, are influencing factors for the occurrence of adverse effects. This review explores whether prehabilitation works in improving health outcomes at or beyond the initial 30 days post-treatment and considers the utility of prehabilitation before cancer treatment. METHODS:A database search was conducted for articles published with prehabilitation as a pre-cancer treatment intervention between 2009 and 2017. Studies with no 30 days post-treatment data were excluded. Outcomes post-prehabilitation were extracted for physical function, nutrition and patient-reported outcomes. RESULTS:Sixteen randomised controlled trials with a combined 2017 participants and six observational studies with 289 participants were included. Prehabilitation interventions provided multi-modality components including exercise, nutrition and psychoeducational aspects. Prehabilitation improved gait, cardiopulmonary function, urinary continence, lung function and mood 30 days post-treatment but was not consistent across studies. CONCLUSION:When combined with rehabilitation, greater benefits were seen in 30-day gait and physical functioning compared to prehabilitation alone. Large-scale randomised studies are required to translate what is already known from feasibility studies to improve overall health and increase long-term cancer patient outcomes.
journal_name
Eur J Cancer Care (Engl)journal_title
European journal of cancer careauthors
Faithfull S,Turner L,Poole K,Joy M,Manders R,Weprin J,Winters-Stone K,Saxton Jdoi
10.1111/ecc.13023subject
Has Abstractpub_date
2019-07-01 00:00:00pages
e13023issue
4eissn
0961-5423issn
1365-2354journal_volume
28pub_type
杂志文章abstract:OBJECTIVE:About 14% of cancer patients live with dependent children. Healthcare professionals are well placed to help patients support their children as part of a patient-centred practice. Children tend to appreciate open communication during the course of illness, but patients often find this difficult. However, resea...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.12991
更新日期:2019-03-01 00:00:00
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journal_title:European journal of cancer care
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journal_title:European journal of cancer care
pub_type: 杂志文章,随机对照试验
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journal_title:European journal of cancer care
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doi:10.1111/j.1365-2354.2006.00746.x
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journal_title:European journal of cancer care
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pub_type: 杂志文章,随机对照试验
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