Preliminary evidence for physical activity following pelvic exenteration : a pilot longitudinal cohort study

BACKGROUND: The physical activity (PA) level of patients undergoing major cancer surgery remains unclear. This pilot study aimed to: (i) Compare preoperative PA level between patients undergoing major cancer surgery and the general population; (ii) describe PA trajectories following major cancer surgery; (iii) Compare objective versus subjective PA measures in patients undergoing major cancer surgery; and (iv) Investigate the association between preoperative PA level and postoperative outcomes.

METHODS: Patients undergoing pelvic exenteration between September/2016 and September/2017 were included and followed at preoperative, 6-weeks and 6-months postoperative. PA was measured using the International Physical Activity Questionnaire Short-Form and McRoberts activity monitor. Analyses were performed using SPSS.

RESULTS: This pilot study included 16 patients. When compared to the general population, patients undergoing major cancer surgery presented a reduced preoperative PA level. PA levels decreased at 6 weeks but returned to preoperative levels at 6 months postoperative. Objective and subjective measures of PA were comparable, with some variables presenting strong correlations. A higher preoperative level PA was associated with an absence of postoperative complications and better quality of life outcomes.

CONCLUSIONS: Patients undergoing major cancer surgery demonstrated lower PA levels when compared to the general population. PA trajectories decreased at 6 weeks postoperative, returning to preoperative levels within 6-months. In this cohort, it seems that higher preoperative PA level may improve postoperative surgical outcomes; however, this preliminary evidence should be confirmed in a larger cohort.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

BMC cancer - 19(2019), 1 vom: 04. Juli, Seite 661

Sprache:

Englisch

Beteiligte Personen:

Steffens, Daniel [VerfasserIn]
Young, Jane M [VerfasserIn]
Solomon, Michael [VerfasserIn]
Beckenkamp, Paula R [VerfasserIn]
Koh, Cherry [VerfasserIn]
Vuong, Kenneth [VerfasserIn]
Brodie, Matthew A [VerfasserIn]
Delbaere, Kim [VerfasserIn]

Links:

Volltext

Themen:

Cancer
Journal Article
Physical activity
Surgery
Surgical outcomes

Anmerkungen:

Date Completed 11.12.2019

Date Revised 25.02.2020

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12885-019-5860-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM298859459