Home-based prehabilitation improves physical conditions measured by ergospirometry and 6MWT in colorectal cancer patients: a randomized controlled pilot study

Purpose/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...

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Autores: Triguero-Cánovas, D, López-Rodrgíuez-Arias, F, Gómez-Martínez, M, Sánchez-Guillén, L, Peris-Castelló, F, Alcaide-Quirós, MJ, Morillas-Blasco, P, Arroyo, A, Ramírez, JM
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p16062
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/16062
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85175819574&doi=10.1007%2fs00520-023-08140-4&partnerID=40&md5=8d5ce17632237bcd13b5579f3f51837f
Access Level:acceso abierto
Palabra clave:Colorectal cancer
Prehabilitation
Home-based
Ergospirometry/Cardiopulmonary exercise testing
6-minute walk test
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spelling Home-based prehabilitation improves physical conditions measured by ergospirometry and 6MWT in colorectal cancer patients: a randomized controlled pilot studyTriguero-Cánovas, DLópez-Rodrgíuez-Arias, FGómez-Martínez, MSánchez-Guillén, LPeris-Castelló, FAlcaide-Quirós, MJMorillas-Blasco, PArroyo, ARamírez, JMColorectal cancerPrehabilitationHome-basedErgospirometry/Cardiopulmonary exercise testing6-minute walk testPurpose/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.SPRINGER2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/16062https://www.scopus.com/inward/record.uri?eid=2-s2.0-85175819574&doi=10.1007%2fs00520-023-08140-4&partnerID=40&md5=8d5ce17632237bcd13b5579f3f51837fSUPPORTIVE CARE IN CANCERISSN: 09414355ISSNe: 14337339reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p160622026-06-11T12:45:17Z
dc.title.none.fl_str_mv Home-based prehabilitation improves physical conditions measured by ergospirometry and 6MWT in colorectal cancer patients: a randomized controlled pilot study
title Home-based prehabilitation improves physical conditions measured by ergospirometry and 6MWT in colorectal cancer patients: a randomized controlled pilot study
spellingShingle Home-based prehabilitation improves physical conditions measured by ergospirometry and 6MWT in colorectal cancer patients: a randomized controlled pilot study
Triguero-Cánovas, D
Colorectal cancer
Prehabilitation
Home-based
Ergospirometry/Cardiopulmonary exercise testing
6-minute walk test
title_short Home-based prehabilitation improves physical conditions measured by ergospirometry and 6MWT in colorectal cancer patients: a randomized controlled pilot study
title_full Home-based prehabilitation improves physical conditions measured by ergospirometry and 6MWT in colorectal cancer patients: a randomized controlled pilot study
title_fullStr Home-based prehabilitation improves physical conditions measured by ergospirometry and 6MWT in colorectal cancer patients: a randomized controlled pilot study
title_full_unstemmed Home-based prehabilitation improves physical conditions measured by ergospirometry and 6MWT in colorectal cancer patients: a randomized controlled pilot study
title_sort Home-based prehabilitation improves physical conditions measured by ergospirometry and 6MWT in colorectal cancer patients: a randomized controlled pilot study
dc.creator.none.fl_str_mv Triguero-Cánovas, D
López-Rodrgíuez-Arias, F
Gómez-Martínez, M
Sánchez-Guillén, L
Peris-Castelló, F
Alcaide-Quirós, MJ
Morillas-Blasco, P
Arroyo, A
Ramírez, JM
author Triguero-Cánovas, D
author_facet Triguero-Cánovas, D
López-Rodrgíuez-Arias, F
Gómez-Martínez, M
Sánchez-Guillén, L
Peris-Castelló, F
Alcaide-Quirós, MJ
Morillas-Blasco, P
Arroyo, A
Ramírez, JM
author_role author
author2 López-Rodrgíuez-Arias, F
Gómez-Martínez, M
Sánchez-Guillén, L
Peris-Castelló, F
Alcaide-Quirós, MJ
Morillas-Blasco, P
Arroyo, A
Ramírez, JM
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Colorectal cancer
Prehabilitation
Home-based
Ergospirometry/Cardiopulmonary exercise testing
6-minute walk test
topic Colorectal cancer
Prehabilitation
Home-based
Ergospirometry/Cardiopulmonary exercise testing
6-minute walk test
description Purpose/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.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/16062
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85175819574&doi=10.1007%2fs00520-023-08140-4&partnerID=40&md5=8d5ce17632237bcd13b5579f3f51837f
url https://fisabio.portalinvestigacion.com/publicaciones/16062
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85175819574&doi=10.1007%2fs00520-023-08140-4&partnerID=40&md5=8d5ce17632237bcd13b5579f3f51837f
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv SPRINGER
publisher.none.fl_str_mv SPRINGER
dc.source.none.fl_str_mv SUPPORTIVE CARE IN CANCER
ISSN: 09414355
ISSNe: 14337339
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
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repository.mail.fl_str_mv
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