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01-04-2020 | Lung Cancer | Original Article

The usefulness of preoperative exercise therapy in patients scheduled for lung cancer surgery; a survey among Dutch pulmonologists and cardiothoracic surgeons

Authors: Sjaak Pouwels, Besir Topal, Joost F. Ter Woorst, Marc P. Buise, Ghada M. Shahin, Martijn A. Spruit, Frank W. J. M. Smeenk

Published in: Supportive Care in Cancer | Issue 4/2020

Abstract

Background

Preoperative exercise training (PET) studies show promising results in various patient populations. However, the lack of standardised programmes and uniformity in practice guidelines are barriers for implementation. Aim of this study was to assess the current opinions of pulmonologists and cardiothoracic surgeons on the clinical applicability of PET in patients scheduled for lung cancer surgery.

Methods

Dutch pulmonologists and cardiothoracic surgeons were asked to complete a 29-question survey regarding PET as an additional option to further optimise the health status of patients scheduled for lung cancer surgery.

Results

In total, 47 respondents (63% response rate), including 30 pulmonologists and 11 cardiothoracic surgeons and 6 residents in training completed the survey. A vast majority of the respondents had a positive attitude towards PET. Home-based exercise was considered less useful, as well as unsupervised exercise. Patient’s motivation, improvements in physical capacity and quality of life, and lifestyle adjustments are important factors for the success of PET. The programme should at least contain inspiratory muscle training (95.7%), lifestyle interventions (95.7%), and supervised exercise training (91.5%). Cardiac and pulmonary risk assessment and medication assessment and optimisation were found less important.

Conclusion

Among pulmonologists and cardiothoracic surgeons, there is a tendency that PET can be a valuable addition to the perioperative care of lung surgery patients. Points of discussion are the contents of PET programmes, and there seems to be a lack of awareness among chest physicians.

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Title: The usefulness of preoperative exercise therapy in patients scheduled for lung cancer surgery; a survey among Dutch pulmonologists and cardiothoracic surgeons
Authors: Sjaak Pouwels
Besir Topal
Joost F. Ter Woorst
Marc P. Buise
Ghada M. Shahin
Martijn A. Spruit
Frank W. J. M. Smeenk
Publication date: 01-04-2020
Publisher: Springer Berlin Heidelberg
Keywords: Lung Cancer
Lung Cancer
Exercise Therapy
Exercise Therapy
Lung Cancer Surgery
Lung Cancer
Published in: Supportive Care in Cancer / Issue 4/2020
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-019-05014-6

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