Preoperative exercise therapy for gastrointestinal cancer patients: a systematic review

Abstract Background Gastrointestinal cancer patients are susceptible to significant postoperative morbidity. The aim of this systematic review was to examine the effects of preoperative exercise therapy (PET) on patients undergoing surgery for GI malignancies. Methods In accordance with PRISMA state...

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Main Authors: Sarah A. Vermillion, Alston James, Robert D. Dorrell, Peter Brubaker, Shannon L. Mihalko, Adrienne R. Hill, Clancy J. Clark
Format: Article
Language:English
Published: BMC 2018-07-01
Series:Systematic Reviews
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13643-018-0771-0
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author Sarah A. Vermillion
Alston James
Robert D. Dorrell
Peter Brubaker
Shannon L. Mihalko
Adrienne R. Hill
Clancy J. Clark
author_facet Sarah A. Vermillion
Alston James
Robert D. Dorrell
Peter Brubaker
Shannon L. Mihalko
Adrienne R. Hill
Clancy J. Clark
author_sort Sarah A. Vermillion
collection DOAJ
description Abstract Background Gastrointestinal cancer patients are susceptible to significant postoperative morbidity. The aim of this systematic review was to examine the effects of preoperative exercise therapy (PET) on patients undergoing surgery for GI malignancies. Methods In accordance with PRISMA statement, all prospective clinical trials of PET for patients diagnosed with GI cancer were identified by searching MEDLINE, Embase, Cochrane Library, ProQuest, PROSPERO, and DARE (March 8, 2017). The characteristics and outcomes of each study were extracted and reviewed. Risk of bias was evaluated using the Cochrane risk of bias tool by two independent reviewers. Results Nine studies (534 total patients) were included in the systematic review. All interventions involved aerobic training but varied in terms of frequency, duration, and intensity. PET was effective in reducing heart rate, as well as increasing oxygen consumption and peak power output. The postoperative course was also improved, as PET was associated with more rapid recovery to baseline functional capacity after surgery. Conclusions PET for surgical patients with gastrointestinal malignancies may improve physical fitness and aid in postoperative recovery.
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spelling doaj.art-3f253b3e6b01496c8986bbb3e93393f32022-12-21T18:38:29ZengBMCSystematic Reviews2046-40532018-07-017111010.1186/s13643-018-0771-0Preoperative exercise therapy for gastrointestinal cancer patients: a systematic reviewSarah A. Vermillion0Alston James1Robert D. Dorrell2Peter Brubaker3Shannon L. Mihalko4Adrienne R. Hill5Clancy J. Clark6Bowman Gray Center for Medical Education, Wake Forest University School of MedicineBowman Gray Center for Medical Education, Wake Forest University School of MedicineBowman Gray Center for Medical Education, Wake Forest University School of MedicineHealth and Exercise Science, Wake Forest UniversityHealth and Exercise Science, Wake Forest UniversityDepartment of Physical Medicine and Rehabilitation, Wake Forest Baptist HealthDivision of Surgical Oncology, Department of General Surgery, Wake Forest Baptist HealthAbstract Background Gastrointestinal cancer patients are susceptible to significant postoperative morbidity. The aim of this systematic review was to examine the effects of preoperative exercise therapy (PET) on patients undergoing surgery for GI malignancies. Methods In accordance with PRISMA statement, all prospective clinical trials of PET for patients diagnosed with GI cancer were identified by searching MEDLINE, Embase, Cochrane Library, ProQuest, PROSPERO, and DARE (March 8, 2017). The characteristics and outcomes of each study were extracted and reviewed. Risk of bias was evaluated using the Cochrane risk of bias tool by two independent reviewers. Results Nine studies (534 total patients) were included in the systematic review. All interventions involved aerobic training but varied in terms of frequency, duration, and intensity. PET was effective in reducing heart rate, as well as increasing oxygen consumption and peak power output. The postoperative course was also improved, as PET was associated with more rapid recovery to baseline functional capacity after surgery. Conclusions PET for surgical patients with gastrointestinal malignancies may improve physical fitness and aid in postoperative recovery.http://link.springer.com/article/10.1186/s13643-018-0771-0PreoperativeCancerSurgeryExercise therapy
spellingShingle Sarah A. Vermillion
Alston James
Robert D. Dorrell
Peter Brubaker
Shannon L. Mihalko
Adrienne R. Hill
Clancy J. Clark
Preoperative exercise therapy for gastrointestinal cancer patients: a systematic review
Systematic Reviews
Preoperative
Cancer
Surgery
Exercise therapy
title Preoperative exercise therapy for gastrointestinal cancer patients: a systematic review
title_full Preoperative exercise therapy for gastrointestinal cancer patients: a systematic review
title_fullStr Preoperative exercise therapy for gastrointestinal cancer patients: a systematic review
title_full_unstemmed Preoperative exercise therapy for gastrointestinal cancer patients: a systematic review
title_short Preoperative exercise therapy for gastrointestinal cancer patients: a systematic review
title_sort preoperative exercise therapy for gastrointestinal cancer patients a systematic review
topic Preoperative
Cancer
Surgery
Exercise therapy
url http://link.springer.com/article/10.1186/s13643-018-0771-0
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