000131482 001__ 131482
000131482 005__ 20241125101139.0
000131482 0247_ $$2doi$$a10.1007/s00520-023-08140-4
000131482 0248_ $$2sideral$$a136893
000131482 037__ $$aART-2023-136893
000131482 041__ $$aeng
000131482 100__ $$aTriguero-Cánovas, Daniel
000131482 245__ $$aHome-based prehabilitation improves physical conditions measured by ergospirometry and 6MWT in colorectal cancer patients: a randomized controlled pilot study
000131482 260__ $$c2023
000131482 5203_ $$aPurpose/background: Prehabilitation aims to improve physical condition in the preoperative period and, therefore, decrease the loss of cardiopulmonary capacity postoperatively, with the aim of reducing complications and promoting an early recovery. This study aims to evaluate the impact of home-based prehabilitation on the physical condition of patients treated surgically for colorectal cancer. Methods: A prospective and randomized clinical study was conducted on 60 patients during two periods from October 2018 to February 2019 and from September 2019 to September 2020, in a single university hospital. Patients were randomized into two study groups (30 per group): prehabilitation vs. standard care. Changes in physical condition, measured at diagnosis, the day before surgery, and at 6–8 weeks after surgery using the cardiopulmonary exercise testing (CPET) and the 6-minute walk test (6MWT) were evaluated. Results: Prehabilitation reduced postoperative complications (17.4% vs. 33.3%, p = 0.22) and hospital stay (5.74 vs. 6.67 days, p = 0.30). 6MWT showed a significant improvement in the prehabilitation group (+78.9 m). Six weeks after surgery, prehabilitation showed a significant improvement in the 6MWT (+68.9 m vs. −27.2 m, p = 0.01). Significant differences were also observed in the ergospirometry between the diagnosis and postoperative study (+0.79 METs vs. −0.84 METs, p = 0.001). A strong correlation was observed between CPET and 6MWT (0.767 (p < 0.001)). Conclusion: Home prehabilitation achieved lower overall postoperative complications than standard care and reached significant improvements in 6MWT and CET. A strong correlation was observed between CET and 6MWT, which allows validation of 6MWT as a valid and reliable measure of functional exercise capacity in colorectal patients when other, more specific and expensive tests are not available.
000131482 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000131482 590__ $$a2.8$$b2023
000131482 592__ $$a1.007$$b2023
000131482 591__ $$aREHABILITATION$$b16 / 170 = 0.094$$c2023$$dQ1$$eT1
000131482 593__ $$aOncology (nursing)$$c2023$$dQ1
000131482 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b57 / 174 = 0.328$$c2023$$dQ2$$eT1
000131482 593__ $$aRehabilitation$$c2023$$dQ1
000131482 591__ $$aONCOLOGY$$b157 / 322 = 0.488$$c2023$$dQ2$$eT2
000131482 593__ $$aOncology$$c2023$$dQ2
000131482 594__ $$a5.7$$b2023
000131482 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000131482 700__ $$aLópez-Rodríguez-Arias, Francisco
000131482 700__ $$aGómez-Martínez, Manuel
000131482 700__ $$aSánchez-Guillén, Luis
000131482 700__ $$aPeris-Castelló, Franc
000131482 700__ $$aAlcaide-Quirós, María José
000131482 700__ $$aMorillas-Blasco, Pedro
000131482 700__ $$aArroyo, Antonio
000131482 700__ $$0(orcid)0000-0001-7964-1166$$aRamírez, José Manuel$$uUniversidad de Zaragoza
000131482 7102_ $$11013$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Cirugía
000131482 773__ $$g31 (2023), 673 [9 pp.]$$pSupport. care cancer$$tSUPPORTIVE CARE IN CANCER$$x0941-4355
000131482 8564_ $$s848811$$uhttps://zaguan.unizar.es/record/131482/files/texto_completo.pdf$$yPostprint
000131482 8564_ $$s2413188$$uhttps://zaguan.unizar.es/record/131482/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000131482 909CO $$ooai:zaguan.unizar.es:131482$$particulos$$pdriver
000131482 951__ $$a2024-11-22-12:02:11
000131482 980__ $$aARTICLE