Prehabilitation-A Simple Approach for Complex Patients: The Results of a Single-Center Study on Prehabilitation in Patients with Ovarian Cancer Before Cytoreductive Surgery

被引:0
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作者
Zebalski, Marcin Adam [1 ]
Krzywon, Aleksandra [2 ]
Nowosielski, Krzysztof [1 ]
机构
[1] Med Univ Silesia, Univ Clin Ctr, Dept Gynecol Obstet & Gynecol Oncol, PL-40752 Katowice, Poland
[2] Maria Sklodowska Curie Natl Res Inst Oncol, Dept Biostat & Bioinformat, Gliwice Branch, PL-44102 Gliwice, Poland
关键词
prehabilitation; ovarian cancer; gynecological oncology; MAJOR ABDOMINAL-SURGERY; HIGH-RISK PATIENTS; MULTIMODAL PREHABILITATION; PULMONARY COMPLICATIONS; COLORECTAL-CANCER; MALNUTRITION; OUTCOMES;
D O I
10.3390/cancers16234032
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background/Objectives: Prehabilitation is a low-cost, safe procedure with no side effects, and it may have a positive impact on postoperative outcomes. However, it is not widely implemented. Our study aimed to assess the impact of prehabilitation on postoperative outcomes in patients with ovarian cancer within the field of gynecological oncology. Methods: We analyzed 110 patients with ovarian cancer who participated in a prehabilitation program before cytoreductive surgery. Based on the results of a 6-min walk test (6MWT), patients were divided into two groups: Group A (patients who improved their 6MWT results) and Group B (patients who did not improve their 6MWT results). Results: Patients in Group A demonstrated better postoperative outcomes. The length of hospital stay was significantly shorter in Group A compared to Group B (median 7 [5, 9] vs. 9 [6, 17], p = 0.032). Group A also had a lower overall number of complications and also fewer complications, as summarized by the Clavien-Dindo classification, compared to Group B. Conclusions: Patient adherence to prehabilitation recommendations was adequate. Prehabilitation was associated with improved postoperative outcomes, including shorter hospital stays and fewer complications. These benefits were more pronounced with higher patient compliance with the prehabilitation program and improvements were recorded in preoperative physical capacity.
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页数:15
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