Prehabilitation as an extra approach to usual care for cancer patients

Rucińska, Monika; Osowiecka, Karolina

doi:10.5603/njo.a2022.0036

Cited by 6 publications

(5 citation statements)

References 89 publications

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“…Taking into consideration that colostomy is an elective procedure, more effort should be made to reduce the complication rate. We would recommend, especially in the context of the mean time to colostomy reversal that was around 15 months from colostomy creation, introduction of prehabilitation and optimization of patients' status prior to surgery [34][35][36]. Wider acceptance of oral antibiotics and abandoning preoperative fasting might also contribute to better overall outcomes of stoma reversal.…”

Section: Discussionmentioning

confidence: 99%

Preliminary results of Polish national multicenter study on colostomy reversal – LICO (Liquidation of Colostomy) study

Kisielewski,

Wojewoda,

Richter

et al. 2024

Videosurgery and Other Miniinvasive Techniques

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Introduction Creation of colostomy is still a commonly performed procedure in emergency settings, when intestinal anastomosis cannot be performed safely. Reversing a stoma has been linked with high rates of morbidity and also mortality. Aim The primary goal of the study was to identify the risk of postoperative complications in patients undergoing colostomy liquidation. The secondary goal was to assess perioperative care parameters. Material and methods The LIquidation of COlostomy (LICO) study is an open multicenter prospective cohort study that began in October 2022 and will continue until December 2023. Data from 20 Polish surgical departments were collected. Overall 45 patients were reported over the initial 3 months; based on that group we performed a preliminary analysis. Results Mean operative time was 163 min. Patients were operated on by specialists in 93.3% of cases. Complications occurred in 15 (33.3%) patients. Wound infection was the most common complication (17.8%). In 3 (6.7%) cases anastomotic leakage was diagnosed, and in 2 of those cases reoperation was required. The overall mortality rate was 2.2%. The mean length of hospital stay was 10.1 days. Preoperative fasting was used in 53.3% of patients, and the mechanical bowel preparation rate was 75.6%. Only in 8.9% of cases was laparoscopic access used for stoma reversal, and only in 1 out of 45 cases was mesh used for incisional peristomal hernia prophylactics. The stoma site was closed by single sutures in 73.3%, and negative pressure assisted closure was performed in 6.7% of patients. Conclusions Colostomy liquidation is associated with significant morbidity and minor mortality in the Polish population. Standardized perioperative care should be established for stoma reversal surgery.

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Section: Discussionmentioning

confidence: 99%

Preliminary results of Polish national multicenter study on colostomy reversal – LICO (Liquidation of Colostomy) study

Kisielewski,

Wojewoda,

Richter

et al. 2024

Videosurgery and Other Miniinvasive Techniques

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“…Prehabilitation also seems to be an important issue in oncological surgery, which not only aims to improve physical condition through rehabilitation and nutritional support, but also focuses on the psychological aspects of the recovery process. This is of considerable importance in the self-assessment of health-related quality of life [22,23].…”

Section: Discussionmentioning

confidence: 99%

Quality of life at 3 to 5 years after surgical treatment of renal cell carcinoma – a pilot cross-sectional study

Tarkowska,

Głowacka-Mrotek,

Peterson

et al. 2023

Nowotwory. Journal of Oncology

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Introduction. Predicted distant health-related quality of life is one of the key elements in the long-term assessment of the effectiveness of therapy, and a factor to be taken into account when deciding upon the choice of therapeutic options in modern cancer surgery. To assess the quality of life of patients having undergone surgical treatment for renal cell carcinoma. Material and methods. This cross-sectional study was carried out in a group of 44 (17 radical nephrectomy [RN], 27 nephron-sparing surgery [NSS]) patients having received surgical treatment for renal cell carcinoma at the Department of Urology of the University Hospital no. 2 in Bydgoszcz. The control group consisted of 24 subjects within a matching age range. The standardized WHOQOL-BREF questionnaire was used as the study tool. Results. No statistically significant differences (p > 0.05) were observed with regard to the subjectively assessed quality of life depending on the type of surgery performed, i.e. RN vs. NSS. A positive correlation was observed between the higher scores within the social (p = 0.0453) and environmental (p = 0.0156) domains and the laparoscopic approach. Lower scores within the somatic (p = 0.0023), environmental (p = 0.0189) and emotional (p = 0.0356) scale domains were observed in female patients. A statistically significant inverse relationship was observed between the cancer stage and the self-assessed overall health scores (p = 0.0025). Conclusions. Minimally invasive surgical techniques open up the potential for the achievement of better quality of life of patients after surgery. Clinical and demographic variables influence the long-term health-related quality of life scores.

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“…In European medical care, a dietitian should be a part of the team planning oncological treatment. According to the European Food and Safety Association (EFSA's) recommendation, one dietician should care for 50 hospital beds [18,20].…”

Section: Nutritional Support -The Physician's Role and Cooperation Wi...mentioning

confidence: 99%

How much does a cancer patient eat and how to calculate it – dietitian's point of view. Collaboration between doctor and dietitian

Surwiłło-Snarska,

Różycka,

Grochowska

et al. 2024

Nowotwory. Journal of Oncology

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Malnutrition in cancer patients is a severe clinical problem. One of the factors determining nutritional status is nutritional intake. The ability to provide adequate oral nutrition in cancer patients is mainly determined by the location and advancement of the disease, the type of oncological treatment, as well as the severity of the side effects of the therapy. Food intake is often reduced in cancer patients, leading to weight loss. Assessment of the nutritional intake requires a unique approach due to various limitations and conditions that do not occur in healthy people and the frequent deficiencies of multiple nutrients. In the context of preventing and treating malnutrition, cooperation between a doctor and a dietitian is crucial. Dietary counselling is the first step of nutritional intervention and can be offered to most patients. According to The European Society for Clinical Nutrition and Metabolism (ESPEN) recommendations, dietary counselling supported by oral nutritional supplements has a recommendation grade of "A" according to Evidence Based Medicine (EBM). Success in maintaining or improving the patient's nutritional status depends on efficient cooperation between the doctor and dietitian. This publication aims to present the tasks of a dietitian and the principles of collaboration with a doctor in the nutritional care of cancer patients.

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Prehabilitation as an extra approach to usual care for cancer patients

Cited by 6 publications

References 89 publications

Preliminary results of Polish national multicenter study on colostomy reversal – LICO (Liquidation of Colostomy) study

Preliminary results of Polish national multicenter study on colostomy reversal – LICO (Liquidation of Colostomy) study

Quality of life at 3 to 5 years after surgical treatment of renal cell carcinoma – a pilot cross-sectional study

How much does a cancer patient eat and how to calculate it – dietitian's point of view. Collaboration between doctor and dietitian

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