Early mobilization programme improves functional capacity after major abdominal cancer surgery: a randomized controlled trial

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorALMEIDA, E. P. M. de
dc.contributor.authorALMEIDA, J. P. de
dc.contributor.authorLANDONI, G.
dc.contributor.authorGALAS, F. R. B. G.
dc.contributor.authorFUKUSHIMA, J. T.
dc.contributor.authorFOMINSKIY, E.
dc.contributor.authorBRITO, C. M. M. de
dc.contributor.authorCAVICHIO, L. B. L.
dc.contributor.authorALMEIDA, L. A. A. de
dc.contributor.authorRIBEIRO- JR., U.
dc.contributor.authorOSAWA, E. A.
dc.contributor.authorDIZ, M. P. E.
dc.contributor.authorCECATTO, R. B.
dc.contributor.authorBATTISTELLA, L. R.
dc.contributor.authorHAJJAR, L. A.
dc.date.accessioned2017-12-12T13:13:51Z
dc.date.available2017-12-12T13:13:51Z
dc.date.issued2017
dc.description.abstractBackground: Major abdominal oncology surgery is associated with substantial postoperative loss of functional capacity, and exercise may be an effective intervention to improve outcomes. The aim of this study was to assess efficacy, feasibility and safety of a supervised postoperative exercise programme. Methods: We performed a single-blind, parallel-arm, randomized trial in patients who underwent major abdominal oncology surgery in a tertiary university hospital. Patients were randomized to an early mobilization postoperative programme based on supervised aerobic exercise, resistance and flexibility training or to standard rehabilitation care. The primary outcome was inability to walk without human assistance at postoperative day 5 or hospital discharge. Results: A total of 108 patients were enrolled, 54 into the early mobilization programme group and 54 into the standard rehabilitation care group. The incidence of the primary outcome was nine (16.7%) and 21 (38.9%), respectively (P = 0.01), with an absolute risk reduction of 22.2% [95% confidence interval (CI) 5.9-38.6] and a number needed to treat of 5 (95% CI 3-17). All patients in the intervention group were able to follow at least partially the exercise programme, although the performance among them was rather heterogeneous. There were no differences between groups regarding clinical outcomes or complications related to the exercises. Conclusions: An early postoperative mobilization programme based on supervised exercises seems to be safe and feasible and improves functional capacity in patients undergoing major elective abdominal oncology surgery. However, its impact on clinical outcomes is still unclear.
dc.description.indexMEDLINE
dc.description.sponsorshipUniversity of Sao Paulo
dc.identifier.citationBRITISH JOURNAL OF ANAESTHESIA, v.119, n.5, p.900-907, 2017
dc.identifier.doi10.1093/bja/aex250
dc.identifier.eissn1471-6771
dc.identifier.issn0007-0912
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/24175
dc.language.isoeng
dc.publisherOXFORD UNIV PRESS
dc.relation.ispartofBritish Journal of Anaesthesia
dc.rightsrestrictedAccess
dc.rights.holderCopyright OXFORD UNIV PRESS
dc.subjectrehabilitation
dc.subjectpostoperative complications
dc.subjectneoplasms
dc.subjectearly ambulation
dc.subjectexercise
dc.subject.otherclinical-trial
dc.subject.othermultimodal optimization
dc.subject.otheradjuvant chemotherapy
dc.subject.othercolorectal-resection
dc.subject.otherenhanced recovery
dc.subject.othercolonic surgery
dc.subject.othersurgical care
dc.subject.otherexercise
dc.subject.otherprotocol
dc.subject.otherrehabilitation
dc.subject.wosAnesthesiology
dc.titleEarly mobilization programme improves functional capacity after major abdominal cancer surgery: a randomized controlled trial
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryItália
hcfmusp.affiliation.countryisoit
hcfmusp.author.externalLANDONI, G.:IRCCS, San Raffaele Sci Inst, Dept Anaesthesia & Intens Care, Via Olgettina 60, I-20132 Milan, Italy
hcfmusp.author.externalFOMINSKIY, E.:IRCCS, San Raffaele Sci Inst, Dept Anaesthesia & Intens Care, Via Olgettina 60, I-20132 Milan, Italy
hcfmusp.citation.scopus54
hcfmusp.contributor.author-fmusphcELISANGELA PINTO MARINHO DE ALMEIDA
hcfmusp.contributor.author-fmusphcJULIANO PINHEIRO DE ALMEIDA
hcfmusp.contributor.author-fmusphcFILOMENA REGINA BARBOSA GOMES GALAS
hcfmusp.contributor.author-fmusphcJULIA TIZUE FUKUSHIMA
hcfmusp.contributor.author-fmusphcCHRISTINA MAY MORAN DE BRITO
hcfmusp.contributor.author-fmusphcLUCIANA BARRIO LARA CAVICHIO
hcfmusp.contributor.author-fmusphcLUCIANA ALEXANDRA ANTONIA DE ALMEIDA
hcfmusp.contributor.author-fmusphcULYSSES RIBEIRO JUNIOR
hcfmusp.contributor.author-fmusphcEDUARDO ATSUSHI OSAWA
hcfmusp.contributor.author-fmusphcMARIA DEL PILAR ESTEVEZ DIZ
hcfmusp.contributor.author-fmusphcREBECA BOLTES CECATTO
hcfmusp.contributor.author-fmusphcLINAMARA RIZZO BATTISTELLA
hcfmusp.contributor.author-fmusphcLUDHMILA ABRAHAO HAJJAR
hcfmusp.description.beginpage900
hcfmusp.description.endpage907
hcfmusp.description.issue5
hcfmusp.description.volume119
hcfmusp.origemWOS
hcfmusp.origem.pubmed28981596
hcfmusp.origem.scopus2-s2.0-85034792642
hcfmusp.origem.wosWOS:000413642900010
hcfmusp.publisher.cityOXFORD
hcfmusp.publisher.countryENGLAND
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hcfmusp.scopus.lastupdate2024-05-10
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