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Open Access 01-12-2018 | Research

Preoperative exercise therapy for gastrointestinal cancer patients: a systematic review

Authors: Sarah A. Vermillion, Alston James, Robert D. Dorrell, Peter Brubaker, Shannon L. Mihalko, Adrienne R. Hill, Clancy J. Clark

Published in: Systematic Reviews | Issue 1/2018

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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Title: Preoperative exercise therapy for gastrointestinal cancer patients: a systematic review
Authors: Sarah A. Vermillion
Alston James
Robert D. Dorrell
Peter Brubaker
Shannon L. Mihalko
Adrienne R. Hill
Clancy J. Clark
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Systematic Reviews / Issue 1/2018
Electronic ISSN: 2046-4053
DOI: https://doi.org/10.1186/s13643-018-0771-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Preoperative exercise therapy for gastrointestinal cancer patients: a systematic review

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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