In-patient rehabilitation of lung cancer patients--a prospective study.
Purpose: It has not previously been shown whether there is any benefit to multi-morbid patients with lung cancer who participate in complex interdisciplinary rehabilitation programmes after primary therapy. The purpose of this prospective study was to assess changes in exercise capacity and quality...
| Publicado en: | Supportive Care in Cancer Vol. 18; no. 7; pp. 877 - 883 |
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| Autores principales: | , , , |
| Formato: | clinical trial research Journal Article |
| Publicado: |
Springer Nature
Jul2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105206966&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105206966 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Jul2010 vid: 18 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105206966 50721477 NLM19714371 2010662810 10.1007/s00520-009-0727-y NLM19714371 105206966 ppf: 877 ppct: 6 formats: fmt: @attributes: type: P tig: atl: In-patient rehabilitation of lung cancer patients--a prospective study. aug: au: Riesenberg H Lübbe AS Riesenberg, Hendrik Lübbe, Andreas Stephan affil: Klinikum Bielefeld, Hämatologie, Onkologie und Palliativmedizin, Bielefeld, Germany sug: subj: Carcinoma, Non-Small-Cell Lung Rehabilitation Carcinoma, Small Cell Rehabilitation Lung Neoplasms Rehabilitation Quality of Life Adult Clinical Assessment Tools Clinical Trials Combined Modality Therapy Exercise Fatigue Etiology Fatigue Prevention and Control Human Lung Neoplasms Complications Middle Age Physical Endurance Prospective Studies Questionnaires Short Form-36 Health Survey (SF-36) Therapeutic Exercise Adult: 19-44 years Middle Aged: 45-64 years ab: Purpose: It has not previously been shown whether there is any benefit to multi-morbid patients with lung cancer who participate in complex interdisciplinary rehabilitation programmes after primary therapy. The purpose of this prospective study was to assess changes in exercise capacity and quality of life before and after an in-patient training programme.Patients and Methods: Forty-five patients with lung cancer (WHO I-III after surgery and/or radiotherapy and/or chemotherapy) were enrolled in a 28-day in-patient rehabilitation programme that included standardised aerobic training. Functional status and health-related quality of life (QLQ-C30, QLQ-LC13, SF-36, and MFI-20) were examined at the beginning of the study and at day 28.Results: A substantial increase in work performance (bicycle ergometry from 68 +/- 3 to 86 +/- 4 W, p < 0.001, and 6-minute walk test from 322 +/- 11 to 385 +/- 13 m, p < 0.001) was registered. In addition, heart rate at rest was reduced (from 84 +/- 2 to 80 +/- 1 beats per minute, p < 0.05) and heart rate variability (indicator of the efficacy of endurance training) was significantly increased (from 9.7 +/- 1 to 12.9 +/- 1 root mean square of successive differences, p < 0.001). Moreover, there was also a significant improvement in quality of life (48 +/- 3 to 62 +/- 2, p < 0.001) while fatigue was reduced from 66 +/- 3 to 41 +/- 4, p < 0.001.Conclusion: A standardised, aerobic endurance training programme as part of the in-patient oncological rehabilitation of patients with lung cancer results in improvements in both physiological and psychological parameters after therapy. A follow-on study in order to determine to what extent this benefit persists over the long-term, particularly, in comparison with patients who have not participated in a rehabilitation programme, is currently being conducted. pubtype: Academic Journal doctype: clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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