The effects of respiratory physiotherapy after lung resection: Protocol for a systematic review

Andersen, Karoline Stentoft; Skoffer, Birgit; Oestergaard, Lisa Gregersen; Tulder, Maurits W. van; Petersen, Annemette Krintel

doi:10.1016/j.isjp.2017.03.001

Cited by 8 publications

(9 citation statements)

References 20 publications

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“…Preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines and the Cochrane Handbook for Systematic Reviews of Intervention were followed in this review (Higgins and Green, 2011;Moher et al, 2015). As recommended in the guidelines, to assist transparency of the used methods and processes of the review, a protocol was published ahead of this review (Andersen et al, 2017). Furthermore, the review was registered with the International Prospective Register of Systematic Reviews (PROSPERO) on October 10, 2016 (registration number CRD42016048956).…”

Section: Methodsmentioning

confidence: 99%

The effects of various respiratory physiotherapies after lung resection: a systematic review

Larsen

Skoffer

Oestergaard

et al. 2019

Physiotherapy Theory and Practice

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Section: Methodsmentioning

confidence: 99%

The effects of various respiratory physiotherapies after lung resection: a systematic review

Larsen

Skoffer

Oestergaard

et al. 2019

Physiotherapy Theory and Practice

Self Cite

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“…Secondly, clinicians could offer intense pulmonary rehabilitation programmes to patients in high-risk groups who may benefit ( 20 ). Chest physiotherapy for COPD patients before lung resection has shown encouraging results ( 6 ).…”

Section: Discussionmentioning

confidence: 99%

Cohort study investigating evolution and factors associated with dyspnoea after anatomic lung resection

Pompili,

Tariq,

Dalmia

et al. 2024

J Thorac Dis

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Background Dyspnoea is common following surgical resection for non-small cell lung cancer (NSCLC). The effects range from reduced quality of life to impact on adjuvant therapy outcomes. Currently, dyspnoea beyond the immediate postoperative phase and risk factors are not well characterised. We hope to assess the evolution of patient-reported dyspnoea after anatomic lung resection and associated factors. Methods Single-centre cohort study with analysis on data collected longitudinally of 131 patients undergoing anatomic lung resections for NSCLC between September 2014 and December 2018. The European Organization for Research and Treatment Lung Cancer-specific Quality of Life Questionnaire Dyspnoea Scale was used to measure dyspnoea before and after surgery. Multivariable regression analysis was used to identify factors associated with clinically meaningful perioperative changes in dyspnoea at 6–12 months. Results Mean Dyspnoea Scale scores preoperatively and 6–12 months after resection were 12.6 (standard deviation 17.4) and 17.9 (standard deviation 20.5), respectively. Of all patients 31% experienced a clinically meaningful increase in dyspnoea, defined as >10 points between Dyspnoea Scale scores preoperatively and at 6–12 months. Comparatively, 71% of patients without preoperative symptoms of dyspnoea developed a clinically meaningful increase of dyspnoea postoperatively. After adjusting the analysis for baseline factors and preoperative Dyspnoea Scale score, female sex remained the only patient factor associated with increased postoperative dyspnoea at 6–12 months after surgery (P=0.046). A total of 34% of patients reported increased dyspnoea after lobectomies and 9% after segmentectomies (P=0.014). Segmentectomy (as opposed to larger resections) was the only surgical factor associated with lower risk of increased dyspnoea (P=0.057). Conclusions A clinically meaningful increase in dyspnoea is frequent after lung resection. Postoperative evolution of dyspnoea is non-predictable using objective baseline factors highlighting the importance of patient reported symptoms and involvement in clinical consultation.

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“…The mobilization is inherently challenging in the postoperative course of an esophagectomy due to the restrictions imposed by thoracic drains, catheters, pumps, central lines, feeding tubes, and pain. Patients who delay mobilization have an increased incidence of pulmonary conditions, infectious complications, extended hospitalization, and a decreased home discharge rate [ 69 , 70 ]. In addition, bed rest enhances muscle loss and sarcopenia [ 71 ], creating another vicious cycle in which patients lack limb strength and immobilization, postponing patients’ recovery from surgery.…”

Section: Discussionmentioning

confidence: 99%

The impact of sarcopenia on esophagectomy for cancer: a systematic review and meta-analysis

Park,

Orlandini,

Szor

et al. 2023

BMC Surg

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Background Esophagectomy is the gold-standard treatment for locally advanced esophageal cancer but has high morbimortality rates. Sarcopenia is a common comorbidity in cancer patients. The exact burden of sarcopenia in esophagectomy outcomes remains unclear. Therefore, this systematic review and meta-analysis were performed to establish the impact of sarcopenia on postoperative outcomes of esophagectomy for cancer. Methods We performed a systematic review and meta-analysis comparing sarcopenic with non-sarcopenic patients before esophagectomy for cancer (Registration number: CRD42021270332). An electronic search was conducted on Embase, PubMed, Cochrane, and LILACS, alongside a manual search of the references. The inclusion criteria were cohorts, case series, and clinical trials; adult patients; studies evaluating patients with sarcopenia undergoing esophagectomy or gastroesophagectomy for cancer; and studies that analyze relevant outcomes. The exclusion criteria were letters, editorials, congress abstracts, case reports, reviews, cross-sectional studies, patients undergoing surgery for benign conditions, and animal studies. The meta-analysis was synthesized with forest plots. Results The meta-analysis included 40 studies. Sarcopenia was significantly associated with increased postoperative complications (RD: 0.08; 95% CI: 0.02 to 0.14), severe complications (RD: 0.11; 95% CI: 0.04 to 0.19), and pneumonia (RD: 0.13; 95% CI: 0.09 to 0.18). Patients with sarcopenia had a lower probability of survival at a 3-year follow-up (RD: -0.16; 95% CI: -0.23 to -0.10). Conclusion Preoperative sarcopenia imposes a higher risk for overall complications and severe complications. Besides, patients with sarcopenia had a lower chance of long-term survival.

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The effects of respiratory physiotherapy after lung resection: Protocol for a systematic review

Abstract: HighlightsTo investigate the effects of respiratory physiotherapy after lung resection surgery on mortality rate within 30 days after surgery.Postoperative pulmonary complications within 30 days after surgery.Length of stay in hospital postoperatively.

Cited by 8 publications

References 20 publications

The effects of various respiratory physiotherapies after lung resection: a systematic review

The effects of various respiratory physiotherapies after lung resection: a systematic review

Cohort study investigating evolution and factors associated with dyspnoea after anatomic lung resection

The impact of sarcopenia on esophagectomy for cancer: a systematic review and meta-analysis

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