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Effects of prehabilitation in esophagogastric cancer patients undergoing surgery: a systematic review

Maertens de Noordhout, Louise
(2020)

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Maertens_deNoordhout_Louise_61181300_2019-2020.pdf
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Details

Supervisors
Caty, Gilles ; Piraux, Elise
Faculty
Faculté des sciences de la motricité
Degree label
Master [120] en sciences de la motricité, orientation éducation physique
Abstract
Context: Surgery is considered the cornerstone of curative treatment for locally advanced esophagogastric cancer. However, it remains associated with considerable postoperative complications and mortality. There are evidence that a poor preoperative functional status increases this morbidity and mortality. Physical prehabilitation, a process of enhancing preoperative functional capacity of the individual to enable him or her to withstand a stressful event, could have a positive impact on functional capacity, postoperative outcomes and quality of life. Objective: We aimed to investigate whether a physical prehabilitation program can improve physical status, postoperative outcomes and quality of life in esophagogastric cancer patients undergoing tumor resection. Method: A literature search of The Cochrane Library, PubMed, Scopus and PEDro databases was performed. Studies performing a physical prehabilitation in esophagogastric cancer patients scheduled for surgery were included if they assessed at least one of the following parameters: inspiratory muscle function, maximal inspiratory pressure, aerobic fitness, body composition, muscular strength, length of hospital stay, postoperative complications, mortality and quality of life. Results: Seven studies were included in the review. The five studies that assessed change in physical capacity reported significant improvements. Four studies did not show a decrease in postoperative complications whereas three studies showed positive results on this outcome. Among the two studies assessing quality of life, one showed significant improvements. Conclusion: Our systematic review highlighted that physical prehabilitation in esophagogastric cancer patients could improve preoperative physical status. The effects of the intervention on postoperative outcomes and on quality of life remain uncertain. Additional research with larger sample size should be carried out.