Feasibility and outcomes of a real-world regional lung cancer prehabilitation programme in the UK

Bradley, Patrick; Merchant, Zoe; Rowlinson-Groves, Kirsty; Taylor, Marcus; Moore, J. A.; Evison, Matthew

doi:10.1016/j.bja.2022.05.034

Cited by 16 publications

(12 citation statements)

References 21 publications

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“…Partnering, through established links, with local councils and community and voluntary sector was advantageous as there was already established a sense of trustworthiness. Similar partnership arrangements were also reported as a key to success when Greater Manchester adopted a system-wide approach to MCPP [30]. Involvement from key professionals early in programme development and in an on-going manner was crucial to success, alongside ensuring that decision-making occurs in a collaborative and shared manner [22].…”

Section: Discussionmentioning

confidence: 85%

A qualitative evaluation of a multi-modal cancer prehabilitation programme for colorectal, head and neck and lung cancers patients

Bingham¹,

Small

Semple

2022

Preprint

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Background Growing evidence indicates patients’ survivorship outcomes can be enhanced through active engagement in a multi-modal cancer prehabilitation programme (MCPP), although this intervention is not uniformly embedded as a standard of care. MCPP aims to optimise patients physiologically and psychologically for cancer treatments, shorten recovery time, reduce complications, promote healthier lifestyles and improve quality of life. South Eastern Health and Social Care Trust (SET) developed and evaluated a system-wide collaborative approach to MMCP across three tumour groups (colorectal, lung, head and neck cancer). Addressing the lack of qualitative evaluation of MCPPs, this paper explores mechanisms promoting feasibility and acceptability of MCPP from patients’ and interdisciplinary professionals’ perspectives. Methods Semi-structured virtual one-to-one interviews were conducted with 24 interdisciplinary professionals and nine patients. Transcripts were recorded, transcribed verbatim and themes developed using Framework Analysis. Results Analysis of findings identified four themes providing an in-depth understanding of key elements required to develop and deliver a MCPP: 1) Planning: Building the team, 2) Shared vision to develop and tailor the MCPP to meet patient needs, 3) Delivering the MCPP and 4) Moving forward - improving the MCPP. Conclusion The system-wide collaborative approach to developing a MCPP at SET was deemed both feasible and acceptable. Success was attributed to visionary leadership, alongside a diverse group of interdisciplinary professionals being engaged, motivated and committed to improving patient outcomes. Iterative, responsive troubleshooting during delivery facilitated successful implementation. Greater adherence to provision of prescriptive high intensity exercise within the programme may further promote enhanced patient outcomes.

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Section: Discussionmentioning

confidence: 85%

A qualitative evaluation of a multi-modal cancer prehabilitation programme for colorectal, head and neck and lung cancers patients

Bingham¹,

Small

Semple

2022

Preprint

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“… 10 Regional in-person programs between hospitals and community partners demonstrate feasibility at scale and high uptake, yet still require in-person delivery and participation, which might not be conducive to a patient's wants and needs during the ongoing COVID-19 pandemic. 17 Virtual delivery models may remove these barriers and provide easy access to much-needed interventions for this population before surgery. In the present study, patients living in various parts of the United States who come to MSK for surgery were able to participate in the virtual prehab program from their homes, highlighting the vast reach of virtual programs.…”

Section: Discussionmentioning

confidence: 99%

Implementing a virtual mind-body prehabilitation program for patients undergoing thoracic surgery: A quality improvement project

Mao¹,

Molena²,

Desai³

et al. 2023

JTCVS Open

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“…19 Prehabilitation, or multimodality patient optimisation before major treatment, has demonstrated meaningful improvements in patients' outcomes after LC-related surgery. 20 According to this, implementing patient-reported outcomes (PROs) programme in surgery may help reduce surgical morbidities. Telemedicine is an interesting tool to control all these PROs as well as enhance personalised lifestyle aspects in perioperative care that could be useful in surgery results.…”

Section: M-health In Perioperative Settingmentioning

confidence: 99%

“…Prehabilitation, or multimodality patient optimisation before major treatment, has demonstrated meaningful improvements in patients’ outcomes after LC-related surgery. 20 …”

Section: M-health Applications Used In Patients With Lcmentioning

confidence: 99%

M-Health in lung cancer: A literature review

Sereno,

Iniesta-Chamorro,

Garrido-Rubiales

et al. 2023

SAGE Open Medicine

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The internet and digital technology have become an important resource for patients with cancer. Mobile health strategies permit patients and clinicians to interact via different tools to enrich the supplements to routine hospital visits or out-patient attendance. In this work, we have reviewed different mobile health platforms to support lung cancer patients in different areas: pre-surgery; post-surgery and on systemic treatment. We have also reviewed different digital tools used by long-term lung cancer survivors as well as the impact of these tools on the quality of life, and we tried to analyse according to literature the potential efficiency of these platforms in health system administration.

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Feasibility and outcomes of a real-world regional lung cancer prehabilitation programme in the UK

Cited by 16 publications

References 21 publications

A qualitative evaluation of a multi-modal cancer prehabilitation programme for colorectal, head and neck and lung cancers patients

A qualitative evaluation of a multi-modal cancer prehabilitation programme for colorectal, head and neck and lung cancers patients

Implementing a virtual mind-body prehabilitation program for patients undergoing thoracic surgery: A quality improvement project

M-Health in lung cancer: A literature review

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