Usefulness of Pulmonary Rehabilitation in Non-Small Cell Lung Cancer Patients Based on Pulmonary Function Tests and Muscle Analysis Using Computed Tomography Images

Choi, Juwhan; Yang, Zhou; Lee, Sung Yong; Lee, Jun Hee; Kim, Hyun Koo; Yong, Hwan Seok

doi:10.4143/crt.2021.769

Cited by 9 publications

(8 citation statements)

References 28 publications

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“…Sarcopenia is associated with low physical function, which leads to poor postoperative outcomes [21,22]. Both pre-and postoperative rehabilitation are effective in maintaining muscle mass [23]. Our study found that PR may reduce the negative effects of frailty and sarcopenia in elderly patients with cancer.…”

Section: Discussionmentioning

confidence: 60%

Association of Preoperative Rehabilitation With Postoperative Length of Hospital Stay for Elderly Lung Cancer Patients

FUNATSU,

MATSUGAKI,

IMAMURA

et al. 2023

J UOEH

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This study aimed to evaluate the effect of preoperative rehabilitation on postoperative hospital stay in elderly lung cancer patients following lung resection. This was a retrospective observational study using the Japanese Diagnosis Procedure Combination database. Data of patients diagnosed between April 2016 and March 2020 were collected. Patients were identified using the International Statistical Classification of Disease and Related Health Problems Version 10-10 codes, C34.0-C34.3 and C34.8. Multilevel linear regression analysis was performed to evaluate the effect of preoperative rehabilitation on the length of hospital stay. A total of 9,393 patients were included in the study. Univariate analysis showed that preoperative rehabilitation was significantly associated with postoperative length of hospital stay (coefficient: -1.61; 95% confidence interval: -2.42, -0.81; P <0.001). In addition, multivariate analysis showed preoperative rehabilitation to be associated with a significant decrease in postoperative length of hospital stay (coefficient=-1.38; 95% confidence interval: -2.19, -0.58; P =0.001). Preoperative rehabilitation may shorten length of hospital stay in elderly patients with lung cancer.

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Section: Discussionmentioning

confidence: 60%

Association of Preoperative Rehabilitation With Postoperative Length of Hospital Stay for Elderly Lung Cancer Patients

FUNATSU,

MATSUGAKI,

IMAMURA

et al. 2023

J UOEH

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“…A study on patients receiving thoracoscopic lobectomy or segmental resection by Zou et al found more notable improvement in pulmonary function at 3 months after hospital discharge in patients receiving pulmonary rehabilitation treatment (55). Furthermore, a retrospective analysis of patients who underwent VATS pneumonectomy by Choi et al revealed better FEV1 preservation in the rehabilitation group than in the non-rehabilitation group (56). These results indicate that effective rehabilitation exercise can facilitate pulmonary function improvement.…”

Section: Effective Rehabilitation Exercisementioning

confidence: 99%

“…Furthermore, a retrospective analysis of patients who underwent VATS pneumonectomy by Choi et al. revealed better FEV1 preservation in the rehabilitation group than in the non-rehabilitation group ( 56 ). These results indicate that effective rehabilitation exercise can facilitate pulmonary function improvement.…”

Section: Postoperative Changes In Pulmonary Function In Patients With...mentioning

confidence: 99%

Rapid Recovery of Postoperative Pulmonary Function in Patients With Lung Cancer and Influencing Factors

Fuzhi

Dongfang

et al. 2022

Front. Oncol.

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Among malignant tumors, lung cancer has the highest morbidity and mortality worldwide. Surgery is the first-line treatment for early-stage lung cancers, and has gradually advanced from conventional open-chest surgery to video-assisted thoracic surgery (VATS). Additionally, increasingly smaller surgical incisions and less surgical trauma have resulted in reduced pulmonary function damage. Previous studies have found that the level of pulmonary function loss and recovery is significantly correlated with postoperative complications and the quality of life. Thus, an accurate assessment of the preoperative pulmonary function and effective rehabilitation of postoperative pulmonary function are highly important for patients undergoing lung surgery. In addition, pulmonary function assessment after pulmonary rehabilitation serves as an objective indicator of the postoperative pulmonary rehabilitation status and is crucial to facilitating pulmonary function recovery. Furthermore, a complete preoperative assessment and effective rehabilitation are especially critical in elderly patients with pulmonary tumors, poor basic physiological functions, comorbid lung diseases, and other underlying diseases. In this review, we summarize the clinical significance of pulmonary function assessment in patients undergoing lung cancer surgery, postoperative changes in pulmonary function, effective pulmonary function rehabilitation, and the influencing factors of pulmonary function rehabilitation.

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“…Pulmonary rehabilitation is essential in a variety of clinical situations, and National Institute for Health and Clinical Excellence guidelines state that it may reduce mortality and pulmonary complication rates and may improve lung function (89,90). Several studies have indicated that pulmonary rehabilitation may also improve quality of life, forced expiratory volume in 1 sec and forced vital capacity, and reduce lung cancer complication and mortality rates (91)(92)(93)(94). The value of pulmonary rehabilitation for patients with NSCLC after surgery merits increased attention.…”

Section: Postoperative Pulmonary Rehabilitation For Patients With Nsclcmentioning

confidence: 99%

Recent advances in postoperative pulmonary rehabilitation of patients with non‑small cell lung cancer (Review)

Hong

et al. 2022

Int J Oncol

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Non-small cell lung cancer (NSCLC) accounts for ~85% of lung cancer cases and has high morbidity and mortality rates. Over the past decade, treatment strategies for NSCLC have progressed rapidly, particularly with the increasing use of screening programs, leading to improvements in the initial diagnosis and treatment of early-stage and preinvasive tumors. Surgical intervention remains the primary treatment for early-stage NSCLC. Thoracoscopic lobectomy has become the main treatment for early-stage NSCLC, as it results in less postoperative bleeding and pain and fewer complications. However, the complication rate for thoracoscopic lobectomy due to sputum retention and weakened respiratory muscle strength remains as high as 19-59%. Treating NSCLC remains challenging in terms of postoperative pulmonary rehabilitation. In the present review, recent advances in postoperative pulmonary rehabilitation for patients with NSCLC were presented in order to assist researchers in developing improved treatments to enhance postoperative pulmonary rehabilitation for such patients. Contents 1. Introduction 2. NSCLC stages and status of lung cancer surgery 3. Postoperative pulmonary rehabilitation for patients with NSCLC 4. Current pulmonary rehabilitation for patients with NSCLC 5. Limitations of postoperative pulmonary rehabilitation 6. Conclusions and perspectives

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Usefulness of Pulmonary Rehabilitation in Non-Small Cell Lung Cancer Patients Based on Pulmonary Function Tests and Muscle Analysis Using Computed Tomography Images

Cited by 9 publications

References 28 publications

Association of Preoperative Rehabilitation With Postoperative Length of Hospital Stay for Elderly Lung Cancer Patients

Association of Preoperative Rehabilitation With Postoperative Length of Hospital Stay for Elderly Lung Cancer Patients

Rapid Recovery of Postoperative Pulmonary Function in Patients With Lung Cancer and Influencing Factors

Recent advances in postoperative pulmonary rehabilitation of patients with non‑small cell lung cancer (Review)

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