Effect of postsurgical rehabilitation programmes in patients operated for lung cancer: A systematic review and meta-analysis

Sommer, Maja Schick; Staerkind, Maja E B; Christensen, Jan; Vibe-Petersen, Jette; Larsen, Klaus; Pedersen, Jesper Holst; Langberg, Henning

doi:10.2340/16501977-2292

Cited by 46 publications

(46 citation statements)

References 37 publications

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“…Seven systematic reviews (eight references as one systematic review was published in duplicate) were included in this overview. Six of the seven reviews included meta‐analyses (Cavalheri et al, 2019; Cavalheri & Granger, 2017; Cavalheri et al, 2013a; Li et al, 2017; Mainini et al, 2016; Rosero et al, 2019; Sommer et al, 2018). One review (Cavalheri et al, 2019) is an updated version of the old one (Cavalheri et al, 2013a).…”

Section: Resultsmentioning

confidence: 99%

“…The effects on exercise capacity were examined in all six metaanalyses ( Table 2). Three reviews (Cavalheri et al, 2019;Cavalheri et al, 2013a;Sommer et al, 2018) reported significantly increased exercise capacity after postoperative exercise interventions. One review (Li et al, 2017) Two reviews (Cavalheri & Granger, 2017;Rosero et al, 2019) reported statistically significant increases in exercise capacity…”

Section: Exercise Capacitymentioning

confidence: 99%

“…Five systematic reviews (Cavalheri et al, 2019;Cavalheri et al, 2013a;Li et al, 2017;Rosero et al, 2019;Sommer et al, 2018) reported the effects on HRQoL ( (Cavalheri et al, 2019;Sommer et al, 2018) found statistically significant increases in physical HRQoL, while one review (Li et al, 2017) reported no significant improvement after postoperative exercise interventions.…”

Section: Hrqolmentioning

confidence: 99%

“…Numerous systematic reviews address postoperative health problems and examine the effects of preoperative and/or postoperative exercise interventions on lung cancer patients following surgery (Cavalheri & Granger, 2017; Cavalheri et al, 2013a, 2013b, 2019; Crandall et al, 2014; Mainini et al, 2016; Ni et al, 2017; Pouwels et al, 2015; Rodriguez‐Larrad et al, 2014; Rosero et al, 2019; Sebio Garcia et al, 2016; Sommer et al, 2018; Steffens et al, 2018; Wang et al, 2019). However, these reviews vary in inclusion criteria and methodological quality, and this leads to inconsistent findings.…”

Section: Introductionmentioning

confidence: 99%

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Effects of perioperative exercise interventions on lung cancer patients: An overview of systematic reviews

Zhou

Woo

Larson

2020

Journal of Clinical Nursing

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Aims and Objectives: To identify, appraise and summarise systematic reviews of exercise interventions for surgical lung cancer patients. Background: Low exercise capacity, reduced pulmonary function, impaired healthrelated quality of life and postoperative pulmonary complications are common in surgical lung cancer patients. Numerous systematic reviews address these health problems and examine the effects of exercise intervention. However, differences in the quality and scope of the systematic reviews and discordant findings from the reviews make it difficult for decisions-makers to interpret the evidence and establish best practices in the clinical settings. Design: Overview of systematic reviews. Methods: This overview was conducted following the PRISMA guideline. A literature search of PubMed, CINAHL, EMBASE, Cochrane Library, SPORTDiscus and PEDro was conducted (October 2019). Peer-reviewed systematic reviews of randomised controlled trials focusing on the effects of exercise interventions for lung cancer patients who underwent surgery were included. The methodological quality of included reviews was assessed using AMSTAR 2. The results of reviews with meta-analysis were synthesised and presented by each health outcome. Results: Seven systematic reviews published between 2013 and 2019 were included. High/moderate-quality evidence showed that postoperative exercise interventions could increase the exercise capacity and muscle strength, and low/very-low-quality evidence showed that postoperative exercise interventions may increase the physical component of health-related quality of life and decease dyspnoea. Low-quality evidence showed that preoperative exercise interventions may increase exercise capacity and pulmonary function, decrease the risk of postoperative pulmonary complications and reduce the length of hospital stay. Conclusions: Postoperative and preoperative exercises have the potential to improve health outcomes in surgical lung cancer patients. Further research is needed to evaluate the effects of different types of exercise and varying amounts of exercise. Relevance to clinical practice: This study provides evidence to support the implementation of exercise interventions for surgical lung cancer patients. | 4483 ZHOU et al.

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Section: Resultsmentioning

confidence: 99%

Section: Exercise Capacitymentioning

confidence: 99%

Section: Hrqolmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of perioperative exercise interventions on lung cancer patients: An overview of systematic reviews

Zhou

Woo

Larson

2020

Journal of Clinical Nursing

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“…[28][29][30][31] Rehabilitation and exercise interventions reduce the negative impact of treatment-related symptoms and improve function of individuals living with and beyond cancer. [32][33][34][35][36][37][38][39][40][41][42] Despite growing evidence and recommendations for better integration of rehabilitation into oncology care, [43][44][45][46] rehabilitation is a relatively underutilized service. [47][48][49][50] This care gap is well characterized internationally and contributes to a growing morbidity burden as the population of cancer survivors continues to increase.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of rehabilitation and exercise recommendations in oncology guidelines

Stout

Mina

Lyons

et al. 2020

CA A Cancer J Clinicians

173

140

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Guidelines promote high quality cancer care. Rehabilitation recommendations in oncology guidelines have not been characterized and may provide insight to improve integration of rehabilitation into oncology care. This report was developed as a part of the World Health Organization (WHO) Rehabilitation 2030 initiative to identify rehabilitation-specific recommendations in guidelines for oncology care. A systematic review of guidelines was conducted. Only guidelines published in English, for adults with cancer, providing recommendations for rehabilitation referral and assessment or interventions between 2009 and 2019 were included. 13840 articles were identified. After duplicates and applied filters, 4897 articles were screened. 69 guidelines were identified with rehabilitation-specific recommendations. Thirtyseven of the 69 guidelines endorsed referral to rehabilitation services but provided no specific recommendations regarding assessment or interventions. Thirty-two of the 69 guidelines met the full inclusion criteria and were assessed using the AGREE II tool. Twenty-one of these guidelines achieved an AGREE II quality score of ≥ 45 and were fully extracted. Guidelines exclusive to pharmacologic interventions and complementary and alternative interventions were excluded. Findings identify guidelines that recommend rehabilitation services across many cancer types and for various consequences of cancer treatment signifying that rehabilitation is a recognized component of oncology care. However, these findings are at odds with clinical reports of low rehabilitation utilization rates suggesting that guideline recommendations may be overlooked. Considering that functional morbidity negatively affects a majority of cancer survivors, improving guideline concordant rehabilitative care could have substantial impact on function and quality of life among cancer survivors. CA Cancer

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Exercise training undertaken by people within 12 months of lung resection for non-small cell lung cancer

Cavalheri

Burtin

Formico

et al. 2019

Cochrane Database of Systematic Reviews

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Background Decreased exercise capacity and impairments in health-related quality of life (HRQoL) are common in people following lung resection for non-small cell lung cancer (NSCLC). Exercise training has been demonstrated to confer gains in exercise capacity and HRQoL for people with a range of chronic conditions, including chronic obstructive pulmonary disease and heart failure, as well as in people with cancers such as prostate and breast cancer. A programme of exercise training for people following lung resection for NSCLC may confer important gains in these outcomes. To date, evidence of its efficacy in this population is unclear. Exercise training undertaken by people within 12 months of lung resection for non-small cell lung cancer (Review)

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Effect of postsurgical rehabilitation programmes in patients operated for lung cancer: A systematic review and meta-analysis

Cited by 46 publications

References 37 publications

Effects of perioperative exercise interventions on lung cancer patients: An overview of systematic reviews

Effects of perioperative exercise interventions on lung cancer patients: An overview of systematic reviews

A systematic review of rehabilitation and exercise recommendations in oncology guidelines

Exercise training undertaken by people within 12 months of lung resection for non-small cell lung cancer

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