Resultados funcionales de un programa de prehabilitación en cirugía electiva de cáncer colorrectal

Parraguez, Luz Alejandra Lorca; Ribeiro, Ivana Leão; Martinez-Mardones, Mónica; Plasser-Troncoso, Jorge; González, Jessica Vivallos; Ocaranza, Roberto Salas; Torres‐Castro, Rodrigo

doi:10.35687/s2452-454920220031399

Cited by 2 publications

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“…25,26 The functional results reported in this study were similar to those reported in the face-to-face prehabilitation program performed before the pandemic, regarding fatigue and ADLs. 27 In the meta-analysis by Han et al, 28 they mentioned that fatigue is the most severe symptom experienced by CRC cancer survivors. The severity varies over time and during the course of treatment.…”

Section: Discussionmentioning

confidence: 99%

Functional results and feasibility of a teleprehabilitation program in patients who are candidates for elective colorectal cancer surgery during the COVID‐19 pandemic

Lorca

Ribeiro

Pizarro

et al. 2023

Asia-Pac J Clncl Oncology

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AimTo assess the value of a prehabilitation program adapted to the current COVID‐19 pandemic using a teleprehabilitation modality in a public Latin American hospital.MethodsThe medical records of candidates for elective colorectal cancer surgery (CRC) and who completed a teleprehabiltation program were analyzed. Sociodemographic, clinical, and functional variables were analyzed, such as cardiorespiratory capacity with the sit‐to‐stand test (STST), independence in activities of daily living with the Barthel index, balance with the five‐times STST (FSTST) and fatigue with Brief Inventory Fatigue (BFI). The feasibility of the program was analyzed in terms of recruitment, retention, user satisfaction, and reporting of adverse events.ResultsOf 107 people recruited, 57 completed the program (54%, 68.78 ± 12.36 years). There was a significant difference in the BFI, FSTST, and STS 1‐min scores after the intervention (p < .01), with an effect size (Cliff's delta) that varied between −.13 and .21. There were no differences in the Barthel index score. In relation to the viability of the program, 99% of patients referred for surgery could be recruited into the program, with 53% retention. Regarding user satisfaction with the program, seven items (77.7%) were rated as “very satisfied,” and two items (22.3%) as “satisfied.” No adverse events were recorded.ConclusionThe structured prehabilitation program adapted to teleprehabilitation for CRC candidates for surgery was effective in optimizing functional results prior to surgery and was feasible to implement in a public hospital with limited resources during the COVID‐19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Functional results and feasibility of a teleprehabilitation program in patients who are candidates for elective colorectal cancer surgery during the COVID‐19 pandemic

Lorca

Ribeiro

Pizarro

et al. 2023

Asia-Pac J Clncl Oncology

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“…So also with the “number of sessions” (item 1) there was no greater satisfaction since they considered that the number was insufficient. Similar results were obtained in the study of Lorca el al., 2022 [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Pre-habilitation is the intervention that is executed in the preoperative period, which corresponds to a window of time and the opportune moment to intervene in the factors that contribute to recovery, both physical and mental, improving the preoperative functional capacity and relieving part of the emotional anguish associated with the anticipation of surgery and the recovery process [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…In our country, evidence for the use of teleprehabilitation for oncosurgical patients [ 4 ] and no exploration of patient perspectives exist. The main objective of this study is to describe the implementation of a teleprehabilitation program during the COVID-19 pandemic for patients who are candidates for elective cancer surgery in a low-income Chilean public hospital.…”

Section: Introductionmentioning

confidence: 99%

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Implementation of a teleprehabilitation program for oncosurgical patients during the COVID-19 pandemic: perspectives and user satisfaction

Parraguez

Ribeiro

Hinojosa

et al. 2023

Support Care Cancer

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Introduction Many rehabilitation services in the face of the COVID-19 health emergency have had to adapt face-to-face interventions with remote care through teleprehabilitation. We aim to describe the implementation of a teleprehabilitation program during the COVID-19 pandemic for patients who are candidates for elective cancer surgery in a low-income Chilean public hospital. Secondarily, describe the perspectives and satisfaction of patients with the program. Material and methods Correspond to a descriptive and retrospective pre-habilitation telemedicine intervention study. Implementation was measured in terms of, recruitment rate, retention, dropouts, and occurrence of adverse events. User perspectives and satisfaction were evaluated through a survey composed of nine items on a Likert scale with five response options. Descriptive analyses were considered with mean, standard deviation, minimum, maximum, as well as absolute and relative frequency. For patients’ perspectives on the program, a qualitative analysis was considered to describe them. The most relevant domains were identified in a text box to illustrate the results. Results One hundred fifty-five patients were referred to the teleprehabilitation program, with 99.3% recruitment, a retention rate of 46.7%, and no adverse events reported. In relation to user satisfaction, in general, patients showed good satisfaction with the teleprehabilitation program except items related to “access to the teleprehabilitation program connection” and “number of sessions.” Thirty-three patients reported their perspectives on the intervention, represented in 12 domains. Conclusion It is possible to implement a teleprehabilitation program for oncosurgical patients in the context of preoperative care during the COVID-19 pandemic, with good user satisfaction. Likewise, this study provides guidance for other health institutions that wish to implement a teleprehabilitation program.

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Resultados funcionales de un programa de prehabilitación en cirugía electiva de cáncer colorrectal

Cited by 2 publications

References 0 publications

Functional results and feasibility of a teleprehabilitation program in patients who are candidates for elective colorectal cancer surgery during the COVID‐19 pandemic

Functional results and feasibility of a teleprehabilitation program in patients who are candidates for elective colorectal cancer surgery during the COVID‐19 pandemic

Implementation of a teleprehabilitation program for oncosurgical patients during the COVID-19 pandemic: perspectives and user satisfaction

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