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文章:

预康复——复杂患者的简易方案:卵巢癌患者细胞减灭术前预康复的单中心研究结果

Prehabilitation—A Simple Approach for Complex Patients: The Results of a Single-Center Study on Prehabilitation in Patients with Ovarian Cancer Before Cytoreductive Surgery

原文发布日期:1 December 2024

DOI: 10.3390/cancers16234032

类型: Article

开放获取: 是

 

英文摘要:

Background/Objectives: Prehabilitation is a low-cost, safe procedure with no side effects, and it may have a positive impact on postoperative outcomes. However, it is not widely implemented. Our study aimed to assess the impact of prehabilitation on postoperative outcomes in patients with ovarian cancer within the field of gynecological oncology.Methods: We analyzed 110 patients with ovarian cancer who participated in a prehabilitation program before cytoreductive surgery. Based on the results of a 6-min walk test (6MWT), patients were divided into two groups: Group A (patients who improved their 6MWT results) and Group B (patients who did not improve their 6MWT results).Results: Patients in Group A demonstrated better postoperative outcomes. The length of hospital stay was significantly shorter in Group A compared to Group B (median 7 [5, 9] vs. 9 [6, 17],p= 0.032). Group A also had a lower overall number of complications and also fewer complications, as summarized by the Clavien–Dindo classification, compared to Group B.Conclusions: Patient adherence to prehabilitation recommendations was adequate. Prehabilitation was associated with improved postoperative outcomes, including shorter hospital stays and fewer complications. These benefits were more pronounced with higher patient compliance with the prehabilitation program and improvements were recorded in preoperative physical capacity.

 

摘要翻译: 

背景/目的:预康复是一种低成本、安全且无副作用的干预措施,可能对术后结局产生积极影响,但目前尚未得到广泛应用。本研究旨在评估预康复对妇科肿瘤领域卵巢癌患者术后结局的影响。 方法:我们分析了110例在肿瘤细胞减灭术前参与预康复计划的卵巢癌患者。根据6分钟步行试验(6MWT)结果,患者被分为两组:A组(6MWT结果改善的患者)和B组(6MWT结果未改善的患者)。 结果:A组患者表现出更好的术后结局。与B组相比,A组的住院时间显著缩短(中位数7[5,9]天 vs. 9[6,17]天,p=0.032)。此外,A组的总并发症数量较少,且根据Clavien-Dindo分级汇总的并发症发生率也低于B组。 结论:患者对预康复建议的依从性良好。预康复与术后结局改善相关,包括缩短住院时间和减少并发症。这些益处在患者对预康复计划依从性更高、术前体能记录有改善的情况下更为显著。

 

原文链接:

Prehabilitation—A Simple Approach for Complex Patients: The Results of a Single-Center Study on Prehabilitation in Patients with Ovarian Cancer Before Cytoreductive Surgery

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