Preoperative levels of physical activity can be increased in pancreatectomy patients via a remotely monitored, telephone-based intervention: A randomized trial
Background: Higher levels of preoperative physical activity are associated with improved outcomes after pancreatectomy, but it remains unclear if preoperative activity levels are modifiable. Methods: Patients undergoing pancreatectomy were randomized 1:1 to a telephone-based intervention at least on...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Surgery in Practice and Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S266626202300058X |
| _version_ | 1797386814857674752 |
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| author | Jorge G. Zarate Rodriguez Heidy Cos Rohit Srivastava Alice Bewley Lacey Raper Dingwen Li Ruixuan Dai Gregory A. Williams Ryan C. Fields William G. Hawkins Chenyang Lu Dominic E. Sanford Chet W. Hammill |
| author_facet | Jorge G. Zarate Rodriguez Heidy Cos Rohit Srivastava Alice Bewley Lacey Raper Dingwen Li Ruixuan Dai Gregory A. Williams Ryan C. Fields William G. Hawkins Chenyang Lu Dominic E. Sanford Chet W. Hammill |
| author_sort | Jorge G. Zarate Rodriguez |
| collection | DOAJ |
| description | Background: Higher levels of preoperative physical activity are associated with improved outcomes after pancreatectomy, but it remains unclear if preoperative activity levels are modifiable. Methods: Patients undergoing pancreatectomy were randomized 1:1 to a telephone-based intervention at least one week before surgery or to control. All patients wore wearable devices to remotely collect physical activity and clinical data. Results: In total, 152 patients were enrolled and 83 completed the study (41 intervention and 42 control). The intervention group walked 4568 (SD 2522) average daily steps pre-intervention, which increased to 5071 (SD 3055) post-intervention (p = 0.042) (11.0% increase). The control group walked 5260 (SD 2795) average daily steps. There were no differences in the rate of severe complications between groups (intervention 22.9% vs control 20.5%, p = 0.807). Conclusions: A telephone-based intervention increased average daily step count in patients scheduled to undergo pancreatectomy, demonstrating physical activity is a modifiable target for surgical prehabilitation protocols. |
| first_indexed | 2024-03-08T22:14:49Z |
| format | Article |
| id | doaj.art-fa7e20a024d94bb0b4cb3067fd7d5188 |
| institution | Directory Open Access Journal |
| issn | 2666-2620 |
| language | English |
| last_indexed | 2024-03-08T22:14:49Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery in Practice and Science |
| spelling | doaj.art-fa7e20a024d94bb0b4cb3067fd7d51882023-12-19T04:17:23ZengElsevierSurgery in Practice and Science2666-26202023-12-0115100212Preoperative levels of physical activity can be increased in pancreatectomy patients via a remotely monitored, telephone-based intervention: A randomized trialJorge G. Zarate Rodriguez0Heidy Cos1Rohit Srivastava2Alice Bewley3Lacey Raper4Dingwen Li5Ruixuan Dai6Gregory A. Williams7Ryan C. Fields8William G. Hawkins9Chenyang Lu10Dominic E. Sanford11Chet W. Hammill12Department of Surgery, Barnes-Jewish Hospital and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USADepartment of Surgery, Barnes-Jewish Hospital and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USADepartment of Surgery, Barnes-Jewish Hospital and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USADepartment of Surgery, Barnes-Jewish Hospital and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USADepartment of Surgery, Barnes-Jewish Hospital and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USADepartment of Computer Science and Engineering, McKelvey School of Engineering, Washington University, St. Louis, MO, USADepartment of Computer Science and Engineering, McKelvey School of Engineering, Washington University, St. Louis, MO, USADepartment of Radiology, Barnes-Jewish Hospital and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USADepartment of Surgery, Barnes-Jewish Hospital and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USADepartment of Surgery, Barnes-Jewish Hospital and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USADepartment of Computer Science and Engineering, McKelvey School of Engineering, Washington University, St. Louis, MO, USADepartment of Surgery, Barnes-Jewish Hospital and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USADepartment of Surgery, Barnes-Jewish Hospital and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USA; Corresponding author at: Associate Professor of Hepatic, Pancreatic, & Gastrointestinal Surgery, 660 South Euclid Avenue, Campus Box 8109, St. Louis, Missouri, 63110-8109.Background: Higher levels of preoperative physical activity are associated with improved outcomes after pancreatectomy, but it remains unclear if preoperative activity levels are modifiable. Methods: Patients undergoing pancreatectomy were randomized 1:1 to a telephone-based intervention at least one week before surgery or to control. All patients wore wearable devices to remotely collect physical activity and clinical data. Results: In total, 152 patients were enrolled and 83 completed the study (41 intervention and 42 control). The intervention group walked 4568 (SD 2522) average daily steps pre-intervention, which increased to 5071 (SD 3055) post-intervention (p = 0.042) (11.0% increase). The control group walked 5260 (SD 2795) average daily steps. There were no differences in the rate of severe complications between groups (intervention 22.9% vs control 20.5%, p = 0.807). Conclusions: A telephone-based intervention increased average daily step count in patients scheduled to undergo pancreatectomy, demonstrating physical activity is a modifiable target for surgical prehabilitation protocols.http://www.sciencedirect.com/science/article/pii/S266626202300058XPancreatectomyPrehabilitationWearable technology |
| spellingShingle | Jorge G. Zarate Rodriguez Heidy Cos Rohit Srivastava Alice Bewley Lacey Raper Dingwen Li Ruixuan Dai Gregory A. Williams Ryan C. Fields William G. Hawkins Chenyang Lu Dominic E. Sanford Chet W. Hammill Preoperative levels of physical activity can be increased in pancreatectomy patients via a remotely monitored, telephone-based intervention: A randomized trial Surgery in Practice and Science Pancreatectomy Prehabilitation Wearable technology |
| title | Preoperative levels of physical activity can be increased in pancreatectomy patients via a remotely monitored, telephone-based intervention: A randomized trial |
| title_full | Preoperative levels of physical activity can be increased in pancreatectomy patients via a remotely monitored, telephone-based intervention: A randomized trial |
| title_fullStr | Preoperative levels of physical activity can be increased in pancreatectomy patients via a remotely monitored, telephone-based intervention: A randomized trial |
| title_full_unstemmed | Preoperative levels of physical activity can be increased in pancreatectomy patients via a remotely monitored, telephone-based intervention: A randomized trial |
| title_short | Preoperative levels of physical activity can be increased in pancreatectomy patients via a remotely monitored, telephone-based intervention: A randomized trial |
| title_sort | preoperative levels of physical activity can be increased in pancreatectomy patients via a remotely monitored telephone based intervention a randomized trial |
| topic | Pancreatectomy Prehabilitation Wearable technology |
| url | http://www.sciencedirect.com/science/article/pii/S266626202300058X |
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