The pre- and postoperative course of functional status in patients undergoing esophageal cancer surgery

2020 ◽  
Vol 46 (1) ◽  
pp. 173-179
Author(s):  
Maarten A. van Egmond ◽  
Marike van der Schaaf ◽  
Jean H.G. Klinkenbijl ◽  
Jos W.R. Twisk ◽  
Raoul H.H. Engelbert ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Functional Status ◽  
Cancer Surgery ◽  
Postoperative Course ◽  
Esophageal Cancer Surgery

scholarly journals Physiotherapy With Telerehabilitation in Patients With Complicated Postoperative Recovery After Esophageal Cancer Surgery: Feasibility Study

10.2196/16056 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e16056 ◽  
Author(s):  
Maarten A van Egmond ◽  
Raoul H H Engelbert ◽  
Jean H G Klinkenbijl ◽  
Mark I van Berge Henegouwen ◽  
Marike van der Schaaf
Keyword(s):  
Esophageal Cancer ◽  
Postoperative Complications ◽  
Functional Status ◽  
Feasibility Study ◽  
Comparison Group ◽  
Intervention Group ◽  
Cancer Surgery ◽  
Secondary Outcome ◽  
Historical Comparison ◽  
Esophageal Cancer Surgery

Background Improvement of functional status with physiotherapy is an important goal for patients with postoperative complications and an increased length of hospital stay (LoS) after esophagectomy. Supervised physiotherapy with telerehabilitation instead of conventional face-to-face care could be an alternative to treat these patients in their home environment after hospital discharge (T0), but its feasibility has not yet been investigated in detail. Objective The aim of this study was to investigate the feasibility of a 12-week supervised postoperative physiotherapy intervention with telerehabilitation for patients with esophageal cancer who underwent esophagectomy and had postoperative complications or who had an increased LoS. The secondary objective was to investigate the preliminary effectiveness of telerehabilitation on functional recovery compared with usual care. Methods A prospective feasibility study with a matched historical comparison group was performed. Feasibility outcomes included willingness and adherence to participate, refusal rate, treatment duration, occurrence of adverse events, and patient satisfaction. Secondary outcome measures were measurements of musculoskeletal and cardiovascular functions and activities according to the domains of the International Classification of Functioning, Disability and Health. Results A total of 22 patients with esophageal cancer who underwent esophagectomy and had postoperative complications or an increased LoS were included. The mean age at surgery was 64.55 (SD 6.72) years, and 77% (17/22) of patients were male. Moreover, 15 patients completed the intervention. Patient adherence was 99.8% in the first 6 weeks and dropped to 75.6% in the following 6 weeks, with a mean difference of −24.3% (95% CI 1.3 to 47.2; P=.04). At 3 months post operation, no differences in functional status were found between the intervention group and the matched historical comparison group. Conclusions This study showed that a postoperative physiotherapeutic intervention with telerehabilitation is feasible for patients with postoperative complications or an increased LoS after esophageal cancer surgery up to 6 weeks after T0.

scholarly journals Physiotherapy With Telerehabilitation in Patients With Complicated Postoperative Recovery After Esophageal Cancer Surgery: Feasibility Study (Preprint)

2019 ◽  
Author(s):  
Maarten A van Egmond ◽  
Raoul H H Engelbert ◽  
Jean H G Klinkenbijl ◽  
Mark I van Berge Henegouwen ◽  
Marike van der Schaaf
Keyword(s):  
Esophageal Cancer ◽  
Postoperative Complications ◽  
Functional Status ◽  
Feasibility Study ◽  
Comparison Group ◽  
Intervention Group ◽  
Cancer Surgery ◽  
Secondary Outcome ◽  
Historical Comparison ◽  
Esophageal Cancer Surgery

BACKGROUND Improvement of functional status with physiotherapy is an important goal for patients with postoperative complications and an increased length of hospital stay (LoS) after esophagectomy. Supervised physiotherapy with telerehabilitation instead of conventional face-to-face care could be an alternative to treat these patients in their home environment after hospital discharge (T0), but its feasibility has not yet been investigated in detail. OBJECTIVE The aim of this study was to investigate the feasibility of a 12-week supervised postoperative physiotherapy intervention with telerehabilitation for patients with esophageal cancer who underwent esophagectomy and had postoperative complications or who had an increased LoS. The secondary objective was to investigate the preliminary effectiveness of telerehabilitation on functional recovery compared with usual care. METHODS A prospective feasibility study with a matched historical comparison group was performed. Feasibility outcomes included willingness and adherence to participate, refusal rate, treatment duration, occurrence of adverse events, and patient satisfaction. Secondary outcome measures were measurements of musculoskeletal and cardiovascular functions and activities according to the domains of the International Classification of Functioning, Disability and Health. RESULTS A total of 22 patients with esophageal cancer who underwent esophagectomy and had postoperative complications or an increased LoS were included. The mean age at surgery was 64.55 (SD 6.72) years, and 77% (17/22) of patients were male. Moreover, 15 patients completed the intervention. Patient adherence was 99.8% in the first 6 weeks and dropped to 75.6% in the following 6 weeks, with a mean difference of −24.3% (95% CI 1.3 to 47.2; <i>P</i>=.04). At 3 months post operation, no differences in functional status were found between the intervention group and the matched historical comparison group. CONCLUSIONS This study showed that a postoperative physiotherapeutic intervention with telerehabilitation is feasible for patients with postoperative complications or an increased LoS after esophageal cancer surgery up to 6 weeks after T0.

scholarly journals The role of cardiovascular risk factors on postoperative course after esophageal cancer surgery

2016 ◽  
Vol 27 ◽  
pp. vi214
Author(s):  
D. Collet ◽  
C. Gronnier ◽  
G. Luc ◽  
R. Chevalier ◽  
E. Guinard ◽  
...  
Keyword(s):  
Risk Factors ◽  
Esophageal Cancer ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Cancer Surgery ◽  
Postoperative Course ◽  
Esophageal Cancer Surgery

Risk stratification of anastomotic leakage using eGFR and FIB-4 index in patients undergoing esophageal cancer surgery

2021 ◽  
Author(s):  
Keita Takahashi ◽  
Katsunori Nishikawa ◽  
Yuichiro Tanishima ◽  
Yoshitaka Ishikawa ◽  
Takahiro Masuda ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Risk Stratification ◽  
Anastomotic Leakage ◽  
Cancer Surgery ◽  
Esophageal Cancer Surgery

Volume and outcomes after esophageal cancer surgery: the experience of the Region of Lombardy—Italy

2013 ◽  
Vol 65 (4) ◽  
pp. 271-275 ◽  
Author(s):  
Uberto Fumagalli ◽  
Maurizio Bersani ◽  
Antonio Russo ◽  
Alessandra Melis ◽  
Stefano de Pascale ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Cancer Surgery ◽  
Esophageal Cancer Surgery

Esophageal Cancer Surgery in Heart Transplant Patients

2005 ◽  
Vol 80 (4) ◽  
pp. 1510-1512 ◽  
Author(s):  
Burkhard H.A. von Rahden ◽  
Hubert J. Stein ◽  
Georg Schmidt ◽  
Holger Bartels ◽  
Matthias Overbeck ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Heart Transplant ◽  
Cancer Surgery ◽  
Transplant Patients ◽  
Esophageal Cancer Surgery

Enteral immuno-enhanced diets with arginine are safe and beneficial for patients early after esophageal cancer surgery

2008 ◽  
Vol 21 (7) ◽  
pp. 619-627 ◽  
Author(s):  
Satoshi Aiko ◽  
Yutaka Yoshizumi ◽  
Takamitsu Ishizuka ◽  
Takuya Horio ◽  
Takashi Sakano ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Cancer Surgery ◽  
Esophageal Cancer Surgery
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